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The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment

Thesis (PhD)--University of Pretoria, 2015.

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Other Authors: Dada, Shakila
Format: Thesis
Language:English
Published: University of Pretoria 2014
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access_status_str Open Access
author2 Dada, Shakila
author_browse Dada, Shakila
author_facet Dada, Shakila
collection Thesis
dc_rights_str_mv © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria
description Thesis (PhD)--University of Pretoria, 2015.
format Thesis
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institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:39:30.213Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher University of Pretoria
publisherStr University of Pretoria
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source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/42842 The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment Dada, Shakila Uys, Catharina Jacoba Elizabeth Bastable, Kirsty Severe disability Cerebral Palsy (CP) Non-powered mobility Severe motor impairment Young children Engagement UCTD Thesis (PhD)--University of Pretoria, 2015. Engagement is the active involvement in experiences which allows for development. For children with severe mobility impairments however, challenges arise in accessing experience which can lead to learned helplessness. Due to these challenges powered mobility has been suggested as a mechanism for the provision of self-initiated access to experiences. However, powered mobility is out of reach of the majority of children with disabilities in South Africa hence a non-powered alternative has been sought. This study sought to determine the effect of non-powered, self-initiated mobility on the engagement of young children, with severe mobility impairment, in play. A multiple probe design across participants was used. Four participants, aged 2 years 10 months to 6 years 9 months with severe mobility impairment (Gross Motor Function Classification Scale (GMFCS) level V) underwent a minimum of 5 baseline sessions, followed by 8 intervention sessions. Engagement was measured during each session using the Individual Child Engagement Record –Revised (ICER-R). The data was analysed using visual graphic and statistical analysis. All participants demonstrated an improvement in engagement in play with the introduction of non-powered, self-initiated mobility. A reciprocal deterioration in non-engagement was also recorded. A decrease in engagement in play at the start of intervention was attributed to the focus of engagement being on mobility skills as the device was introduced but this reverted as the participants spent more time on the mobility device. Functional abilities were identified as having a greater role in engagement than age. The introduction of non-powered, self-initiated mobility correlated with the improvement of engagement of young children with severe motor impairment. Non-powered, self-initiated mobility is a viable, cost effective mechanism for mobility at a young age. Centre for Augmentative and Alternative Communication (CAAC) PhD Unrestricted 2014-12-08T06:11:23Z 2014-12-08T06:11:23Z 2015 2015 Thesis Bastable, KG 2015, The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment, PhD Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/42842> A2015 http://hdl.handle.net/2263/42842 en © 2015 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria application/pdf University of Pretoria
spellingShingle Severe disability
Cerebral Palsy (CP)
Non-powered mobility
Severe motor impairment
Young children
Engagement
UCTD
The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title_full The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title_fullStr The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title_full_unstemmed The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title_short The effect of non-powered, self-initiated mobility on the engagement of young children with severe mobility impairment
title_sort effect of non powered self initiated mobility on the engagement of young children with severe mobility impairment
topic Severe disability
Cerebral Palsy (CP)
Non-powered mobility
Severe motor impairment
Young children
Engagement
UCTD
url http://hdl.handle.net/2263/42842