Young children spontaneously invent three different types of associative tool use behaviour

Factors clinicians consider when providing pediatric wheelchair skills training: a modified think aloud study

PURPOSE

Children who use a manual wheelchair (WC) or a power WC may not receive adequate WC skills training. Clinicians report knowledge as a barrier to the provision of paediatric WC skills training. The purpose of this study was to explore the breadth and depth of specific factors clinicians consider when providing WC skills training for children.

METHODS

Data in this modified Think Aloud study were gathered via one-on-one, Zoom-based, audio-recorded Think Aloud Sessions. Sessions consisted of participants viewing four videos, each of different children performing a different WC skill while thinking aloud (verbally expressing) about the factors they recognized, observed, and considered while watching the video. After each video, participants also responded to questions regarding the specific WC skill and the provision of WC skills training for the child in the video. Factors participants reported were independently identified by three researchers through a deductive process of directed content analysis and categorized using the International Classification of Functioning, Disability and Health (ICF) coding system.

RESULTS

Twenty-eight English-speaking clinicians participated in the study. A total of 1246 distinct factors were mapped to 352 unique ICF codes spanning all four ICF Domains. The largest number of identified factors mapped to codes within the Activities and participation Domain (42.25%).

CONCLUSION

Participants reported considering multiple factors across the ICF in the provision of WC skills training for children. Providing paediatric WC skills training is a complex activity requiring clinicians to consider a wide range of factors that go beyond a child's motor abilities.IMPLICATIONS FOR REHABILITATIONProviding paediatric wheelchair (WC) skills training is a complex activity requiring clinicians to consider a wide range of factors that go beyond a child's motor abilities.Clinicians should consider the child's Mental Functions, Activities and Participation, and Environmental Factors when providing wheelchair skills training for children.A lack of wheelchair-specific International Classification of Functioning, Disability, and Health codes was noted. Revising these codes to better capture the diverse range of the benefits and challenges involved in learning to use and using a wheelchair would be beneficial.

Tool use acquisition induces a multifunctional interference effect during object processing: evidence from the sensorimotor mu rhythm

A fundamental characteristic of human development is acquiring and accumulating tool use knowledge through observation and sensorimotor experience. Recent studies showed that, in children and adults, different action possibilities to grasp-to-move and grasp-to-use objects generate a conflict that extinguishes neural motor resonance phenomena during visual object processing. In this study, a training protocol coupled with EEG recordings was administered in virtual reality to healthy adults to evaluate whether a similar conflict occurs between novel tool use knowledge. Participants perceived and manipulated two novel 3D tools trained beforehand with either single or double-usage. A weaker reduction of mu-band (10-13 Hz) power, accompanied by a reduced inter-trial phase coherence, was recorded during the perception of the tool associated with the double-usage. These effects started within the first 200 ms of visual object processing and were predominantly recorded over the left motor system. Furthermore, interacting with the double usage tool delayed grasp-to-reach movements. The results highlight a multifunctional interference effect, such as tool use acquisition reduces the neural motor resonance phenomenon and inhibits the activation of the motor system during subsequent object recognition. These results imply that learned tool use information guides sensorimotor processes of objects.