Abstract:
AIM : To determine the effect of a non-powered, self-initiated mobility
program on the engagement of young children with severe mobility limitations, in
the South African context. METHODS : A multiple-probe-across-participant design was
used. Four children (aged 2–6 years) with severe mobility limitations underwent an intervention
that targeted non-powered, self-initiated mobility. The intervention comprised
eight sessions over a 2-week period. Engagement was measured during each
baseline, intervention and postintervention session using the Individual Child Engagement
Record–Revised (ICER–R). The data were presented graphically and analyzed
using statistical procedures appropriate for single-subject designs. RESULTS : Participants
demonstrated an improvement in engagement during the time in which non-powered,
self-initiated mobility program was introduced. A reciprocal deterioration in nonengagement
was also demonstrated. The results of the study are discussed in terms of various
intrinsic and extrinsic factors. CONCLUSIONS : The use of a non-powered, self-initiated
mobility program may be effective in improving engagement in some young children
with severe mobility limitations.
