Ready, Set, Move! Tracking Children's Modified Ride-On Car Use With a Custom Data Logger.
Sarah M Dean-Hergert, Christina Papazian, Rebecca Barchus and 5 others
PMID 37820364WHAT IT FOUND
A custom low-cost logger successfully tracked modified ride-on car use for 12 months in 14 children.
Use was often short and seasonal, averaging once weekly, and 66% of bouts lasted 1-10 minutes.
Key findings
01Remote tracking of modified ride-on car use was feasible with 14 cars that logged data successfully.
02Use was relatively infrequent, consistent with caregiver reports averaging once per week and ranging from 0 to 5 times per week.
03Most recorded driving bouts were short, with 66% lasting 1 to 10 minutes.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 14 families had complete data, and they were recruited by convenience sampling, so the use patterns may not represent all children with cerebral palsy or developmental delay. One data logger failed to record any data, and incomplete text lines were removed during analysis, which may have underestimated use. Data were not recorded when the car was not charged, so use could have been missed if families did not charge the car. Caregiver reports used to check the logger data came from interviews, and recall by busy families may not be reliable. Families were not given specific driving dosage targets, so variability in use cannot be interpreted as a treatment dose or failure. The study tracked use patterns and feasibility, not whether modified ride-on car use improved mobility, cognition, social interaction, or communication. Building and programming the logger required an interdisciplinary team and took substantial time, so widespread clinical use may be difficult. The paper reports 14 participants with complete data but also refers to 15 children in a switch-hit result, so the exact analysed sample is unclear.
Declared interests
The authors declare no conflict of interest. The article is tagged as supported by N.I.H. and non-U.S. government research funding.
The easy way to misread this
Do not conclude that modified ride-on cars improve child development or participation because this study did not test those outcomes. It tracked how often cars were used, not whether use changed abilities. Do not treat low recorded use as evidence that the car was not useful; families had no dosage targets, cars were not always charged, and data loss may have underestimated use.