Bookmark and Share

Research Question 9

Citation Nilsson, L. & Nyberg, P. (1999). Single-switch control versus powered wheelchair for training cause-effect relationships: Case studies. Technology and Disability, 11, 35-38.
Question Do individuals functioning at early developmental levels learn cause-effect most effectively with toys, computers or power wheelchairs?
Description The authors describe case studies where they used power chairs, switch toys and computers with a variety of individuals.
• 1 child followed from 12 months – 5 years of age
• 40 people, functioning at an early developmental level aged between 12 months and 50 years old
• 17 infants who were developing typically were followed from 3-12 months of age
Results • Case study – drove with intent at age 2.5 and understood connection between switch and remote toy. Drove chair functionally at age 3.5. Understood computer mouse by age 4.5.
• Out of 40 individuals, 9 were able to drive power chairs but only 2 of these understood the computer mouse.
• Infants: By 3-4 months they understood cause-effect with joystick. By 7-8 months they understood direction with joystick and understood switch and remote toy. By 12 months the infants still did not understand the computer mouse.
Messages • For individuals functioning at an early developmental level it may be more effective to train cause-effect and joystick use in a powered wheelchair than with other technologies
• For these individuals, training joystick control on a computer may not be meaningful
• Suggested developmental progression
1. Basic cause-effect in power chair
2. Directional control in power wheelchair and understanding of cause-effect with a separate switch and toy emerge at a similar time
3. Functional driving
4. Computer joystick or mouse
Last Updated: Jan 13, 2011