{"id":2227,"date":"2025-01-16T04:26:41","date_gmt":"2025-01-16T09:26:41","guid":{"rendered":"https:\/\/cdci.w3.uvm.edu\/blog\/?page_id=2227"},"modified":"2025-01-16T04:26:43","modified_gmt":"2025-01-16T09:26:43","slug":"exploratory-analysis-of-a-developmentally-progressive-modified-ride-on-car-intervention-for-young-children-with-down-syndrome","status":"publish","type":"page","link":"https:\/\/cdci.w3.uvm.edu\/blog\/research\/research-summaries\/exploratory-analysis-of-a-developmentally-progressive-modified-ride-on-car-intervention-for-young-children-with-down-syndrome\/","title":{"rendered":"&#8220;Exploratory analysis of a developmentally progressive modified ride on car intervention for young children with Down syndrome&#8221;"},"content":{"rendered":"<section class=\"featured-cta-block d-flex uvm-block wp-full-width bg-gray\" id=\"CTA\">\n  <div class=\"container-fluid\">\n    <div class=\"row overview-columns align-items-center\">\n      <div class=\"col-12 col-md-6 details\">\n        <p class=\"overline\">Recommended Research Summary, June 2022<\/p>        <h2 class=\"h3\">Ride-on Car Intervention for Young Children with Down Syndrome<\/h2>        \n                <ul class=\"buttons-list\">\n                      <li><a href=\"https:\/\/cdci.w3.uvm.edu\/blog\/wp-content\/uploads\/2025\/01\/Recommended-Research-Early-Mobility-Fall-2022-v4.pdf\" target=\"\" class=\"btn btn-primary\">Download a .pdf of this research summary<\/a><\/li>\n                      <li><a href=\"https:\/\/cdci.w3.uvm.edu\/blog\/cdciresources\/wp-content\/uploads\/sites\/3\/2023\/03\/Recommended-Research-Scottie-Taylor-Ride-On-Cars-Fall-2022.mp3\" target=\"\" class=\"btn btn-primary\">Listen to an audio version of this summary (.mp3)<\/a><\/li>\n                  <\/ul>\n              <\/div>\n\n      <div class=\"col-12 col-md-6 media\">\n        <figure>\n          <img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"500\" src=\"https:\/\/cdci.w3.uvm.edu\/blog\/wp-content\/uploads\/2025\/01\/ride-on-thumbnail-web-frame.001-750x500.png\" class=\"attachment-three-two-md size-three-two-md\" alt=\"Thumbnail of ride-on car research summary\" srcset=\"https:\/\/cdci.w3.uvm.edu\/blog\/wp-content\/uploads\/2025\/01\/ride-on-thumbnail-web-frame.001-750x500.png 750w, https:\/\/cdci.w3.uvm.edu\/blog\/wp-content\/uploads\/2025\/01\/ride-on-thumbnail-web-frame.001-1500x1000.png 1500w, https:\/\/cdci.w3.uvm.edu\/blog\/wp-content\/uploads\/2025\/01\/ride-on-thumbnail-web-frame.001-120x80.png 120w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/>        <\/figure>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n\n\n<h2 class=\"wp-block-heading\">What&#8217;s this study about?<\/h2>\n\n\n\n<p>Children with Down syndrome may have limited opportunities to engage in self-directed mobility and play due to motor delays. A recent modified ride-on car innovation is the sit-to-stand model, which incorporates functional standing and walking training with the experience of powered mobility. <\/p>\n\n\n\n<p>This study aimed to (1) describe how three modified ride-on car modes (seated, standing, and powerpush) were used by young children with Down syndrome; (2) examine the ability of young children with Down syndrome to independently use the ride-on car in seated and standing modes, and (3) describe whether children with Down syndrome who had access to these ride-on cars did better at reaching motor milestones than did children without access to the cars.<\/p>\n\n\n<section id=\"accordion-block_d2e134e52c6c3518c8331ad83ac56720\" class=\"accordion-block\">\n\n  <div class=\"card\">\n    <div class=\"card-header\" id=\"heading1\">\n      <a class=\"collapsed d-flex align-items-center justify-content-between\" data-toggle=\"collapse\" data-target=\"#accordion-block_d2e134e52c6c3518c8331ad83ac567201\" aria-expanded=\"true\" aria-controls=\"accordion-block_d2e134e52c6c3518c8331ad83ac567201\" href=\"#\">\n        <h3>What did the researchers do?<\/h3>\n        <i class=\"fa-plus fa-regular fa-sharp\" aria-hidden=\"true\"><\/i>\n      <\/a>\n    <\/div>\n\n    <div id=\"accordion-block_d2e134e52c6c3518c8331ad83ac567201\" class=\"collapse\" aria-labelledby=\"heading1\">\n      <div class=\"card-body\">\n        <p>Eight young children with Down Syndrome (DS) and their families were invited to the study. Each child could sit at the onset of the study.<\/p>\n<p>The children continued receiving their early intervention \/ current team services throughout the study. Each child used two modified ride-on cars. One was a seated model, the other a sit-to-stand (STS) model.<\/p>\n<p>The STS model had two modes: standing and power-push. As soon as the child was deemed capable of maintaining weight on their legs they were progressed from the seated model to the STS model.<\/p>\n<p>The prescribed intervention period was 9 months, though families were able to discontinue use of the cars at any time. Use of the car ranged from 7-15 months across families. They were encouraged to use the car daily, and the researcher and family collaborated to come up with new and engaging activities in the car.<\/p>\n<p>Logs were kept of the days and minutes of driving time, location, and activities. The Bayley Scales of Infant Development was used to measure six specific items from the gross motor subscale. Once walking was reported, one final Bayley Scale assessment was performed, if possible, to confirm the ability to walk \u2013 defined as three consecutive independent steps.<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"card\">\n    <div class=\"card-header\" id=\"heading2\">\n      <a class=\"collapsed d-flex align-items-center justify-content-between\" data-toggle=\"collapse\" data-target=\"#accordion-block_d2e134e52c6c3518c8331ad83ac567202\" aria-expanded=\"true\" aria-controls=\"accordion-block_d2e134e52c6c3518c8331ad83ac567202\" href=\"#\">\n        <h3>What did the researchers learn?<\/h3>\n        <i class=\"fa-plus fa-regular fa-sharp\" aria-hidden=\"true\"><\/i>\n      <\/a>\n    <\/div>\n\n    <div id=\"accordion-block_d2e134e52c6c3518c8331ad83ac567202\" class=\"collapse\" aria-labelledby=\"heading2\">\n      <div class=\"card-body\">\n        <ul>\n<li>All children in the study were able to turn on the switch in both modes (seated and standing positions) by 7 months of age.<\/li>\n<li>The days and amount of time of use to independent activation were similar in both modes. Children took approximately 3.5 weeks to achieve independent use in both modes.<\/li>\n<li>More research is needed to understand the developmental benefits of this therapeutic intervention.<\/li>\n<\/ul>\n<p>All eight children independently activated the modified ride-on car in seated and standing modes. Most motor milestones were achieved earlier in this sample than expected for DS norms, including the onset of independent walking.<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"card\">\n    <div class=\"card-header\" id=\"heading3\">\n      <a class=\"collapsed d-flex align-items-center justify-content-between\" data-toggle=\"collapse\" data-target=\"#accordion-block_d2e134e52c6c3518c8331ad83ac567203\" aria-expanded=\"true\" aria-controls=\"accordion-block_d2e134e52c6c3518c8331ad83ac567203\" href=\"#\">\n        <h3>What does this mean for the real world?<\/h3>\n        <i class=\"fa-plus fa-regular fa-sharp\" aria-hidden=\"true\"><\/i>\n      <\/a>\n    <\/div>\n\n    <div id=\"accordion-block_d2e134e52c6c3518c8331ad83ac567203\" class=\"collapse\" aria-labelledby=\"heading3\">\n      <div class=\"card-body\">\n        <p>This research article indicates that children with Down syndrome have the ability to learn the mechanisms of use for a powered mobility option, in developmentally appropriate positions. This, in turn, allows them to explore and access their homes and communities with more efficient movement options.<\/p>\n<p>It also indicates that these children learned these developmentally appropriate positions (sitting, standing with support, walking) sooner than the averages of gross motor milestones in the Down syndrome community.<\/p>\n<p>The developmentally progressive nature of the intervention and high dosage may have been instrumental in encouraging the onset of independent activation and earlier motor milestones.<\/p>\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"card\">\n    <div class=\"card-header\" id=\"heading4\">\n      <a class=\"collapsed d-flex align-items-center justify-content-between\" data-toggle=\"collapse\" data-target=\"#accordion-block_d2e134e52c6c3518c8331ad83ac567204\" aria-expanded=\"true\" aria-controls=\"accordion-block_d2e134e52c6c3518c8331ad83ac567204\" href=\"#\">\n        <h3>What are the limitations of the study?<\/h3>\n        <i class=\"fa-plus fa-regular fa-sharp\" aria-hidden=\"true\"><\/i>\n      <\/a>\n    <\/div>\n\n    <div id=\"accordion-block_d2e134e52c6c3518c8331ad83ac567204\" class=\"collapse\" aria-labelledby=\"heading4\">\n      <div class=\"card-body\">\n        <ul>\n<li>The study had a small sample size (only 8 children).<\/li>\n<li>That makes it difficult to know if the results would apply to others.<\/li>\n<li>Only 5 of 8 children \/ families used the modified car as a power-push device (which was a developmentally appropriate option).<\/li>\n<li>It is possible that a greater effect would have been found if all children \/ families had used the powerpush option.<\/li>\n<\/ul>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n\n<section class=\"info-highlights-block d-flex uvm-block wp-full-width bg-gray\" id=\"Highlights\">\n  <div class=\"container-fluid\">\n    <div class=\"row overview-row\">\n      <div class=\"col-12 col-lg-10 details\">\n                <h2>Why is this research important?<\/h2>        <p>Children with disabilities of all kinds deserve the ability to move independently. Doing research on tools that help children move independently helps everyone &#8212; researchers, healthcare workers, and families &#8212; learn more about how to help children with disabilities be independent.<\/p>\n      <\/div>\n    <\/div>\n\n        <div class=\"info-highlights-grid row\">\n            <div class=\"info-highlight col-12 col-md-6 col-lg-4\">\n        <span class=\"highlight-icon\"><i class=\"fa-sharp fa-regular fa-circle-info\" aria-hidden=\"true\"><\/i><\/span>\n        <h3>Summary Author<\/h3>        <ul>\n<li><strong>Scottie Thomas,<\/strong> Physical Therapy Consultant. Vermont Early Mobility Project.<\/li>\n<\/ul>\n      <\/div>\n            <div class=\"info-highlight col-12 col-md-6 col-lg-4\">\n        <span class=\"highlight-icon\"><i class=\"fa-sharp fa-solid fa-headphones\" aria-hidden=\"true\"><\/i><\/span>\n        <h3>Audio Summary<\/h3>        <ul>\n<li><a href=\"https:\/\/cdci.w3.uvm.edu\/blog\/cdciresources\/wp-content\/uploads\/sites\/3\/2023\/03\/Recommended-Research-Scottie-Taylor-Ride-On-Cars-Fall-2022.mp3\">Listen to an audio version of this research summary (.mp3)<\/a><\/li>\n<\/ul>\n      <\/div>\n          <\/div>\n      <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>What&#8217;s this study about? Children with Down syndrome may have limited opportunities to engage in self-directed mobility and play due to motor delays. A recent modified ride-on car innovation is &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":218,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-2227","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>&quot;Exploratory analysis of a developmentally progressive modified ride on car intervention for young children with Down syndrome&quot; - UVM Center on Disability &amp; Community Inclusion (CDCI)<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdci.w3.uvm.edu\/blog\/research\/research-summaries\/exploratory-analysis-of-a-developmentally-progressive-modified-ride-on-car-intervention-for-young-children-with-down-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&quot;Exploratory analysis of a developmentally progressive modified ride on car intervention for young children with Down syndrome&quot; - UVM Center on Disability &amp; Community Inclusion (CDCI)\" \/>\n<meta property=\"og:description\" content=\"What&#8217;s this study about? 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