Does power mobility training impact a child's mastery motivation and spectrum of EEG activity? An exploratory project
Does power mobility training impact a child's mastery motivation and spectrum of EEG activity? An exploratory project
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DOI：
10.1080/17483107.2017.1369587
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发表时间：
2018-01-01
影响因子：
2.2
通讯作者：
Rhodes, Samhita
中科院分区：
文献类型：
--
作者：
Kenyon, Lisa K.;Farris, John P.;Rhodes, Samhita
目的：这个探索性项目的目的是：（1）评估力量运动训练对患有多重严重障碍的儿童的影响;（2）确定儿童的脑电图（EEG）活动频谱在力量运动训练期间是否发生变化。研究设计：采用单受试者A-B-A-B研究设计，每个阶段持续四周。本研究探讨两种目标行为：（1）通过掌握问卷（DMQ）维度评估的掌握动机;（2）在不同条件下收集的EEG数据。电源流动性技能也assessed.Methods：参与者是一个三年，两个月大的女孩痉挛性四肢瘫痪脑瘫，粗大运动功能分类系统V级。每个目标行为每周测量。在干预阶段，权力流动性training provided.Results：DMQ的子量表分数的改善。还观察到短期和长期EEG变化。改进注意到在权力的流动性skills.Conclusions：在这个探索性项目的参与者表现出改善权力的流动性技能和功能。EEG数据收集程序和个体EEG活动的可变性使得难以确定参与者的EEG活动频谱是否响应于功率移动性训练而实际改变。需要更多的研究来调查力量移动训练对患有多重严重障碍的儿童的脑电图活动频谱的影响。康复的意义力量移动训练似乎对患有多重严重障碍的儿童有益，尽管儿童可能永远不会成为独立的人，以社区为基础的电动轮椅使用者。脑电图可能是一个有价值的补充，力量移动性训练似乎会影响具有多重严重障碍的儿童的掌握动机（解决复杂问题和掌握新技能的内部驱动力）。
Purpose: The purposes of this exploratory project were: (1) to evaluate the impact of power mobility training with a child who has multiple, severe impairments and (2) to determine if the child's spectrum of electroencephalography (EEG) activity changed during power mobility training.Study design: A single-subject A-B-A-B research design was conducted with a four-week duration for each phase. Two target behaviours were explored: (1) mastery motivation assessed via the dimensions of mastery questionnaire (DMQ) and (2) EEG data collected under various conditions. Power mobility skills were also assessed.Methods: The participant was a three-year, two-month-old girl with spastic quadriplegic cerebral palsy, gross motor function classification system level V. Each target behaviour was measured weekly. During intervention phases, power mobility training was provided.Results: Improvements were noted in subscale scores of the DMQ. Short-term and long-term EEG changes were also noted. Improvements were noted in power mobility skills.Conclusions: The participant in this exploratory project demonstrated improvements in power mobility skill and function. EEG data collection procedures and variability in an individual's EEG activity make it difficult to determine if the participant's spectrum of EEG activity actually changed in response to power mobility training. Additional studies are needed to investigate the impact of power mobility training on the spectrum of EEG activity in children who have multiple, severe impairments.IMPLICATIONS FOR REHABILITATIONPower mobility training appeared to be beneficial for a child with multiple, severe impairments though the child may never become an independent, community-based power wheelchair user.Electroencephalography may be a valuable addition to the study of power mobility use in children with multiple, severe impairments.Power mobility training appeared to impact mastery motivation (the internal drive to solve complex problems and master new skills) in a child who has multiple, severe impairments.