ADVANCING LOCOMOTION AND DEVELOPMENT IN YOUNG CHILDREN WITH DOWN SYNDROME

促进患有唐氏综合症的幼儿的运动和发育

基本信息

批准号：
8622489
负责人：
JAMES C. GALLOWAY
金额：
$ 22.19万
依托单位：
UNIVERSITY OF DELAWARE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-06-09 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8622489
关键词：
Address Automobile Driving Behavioral Biomechanics Brain Categories Child Childhood Clinical Clinical Research Code Cognitive Data Development Developmental Delay Disorders Device Designs Devices Dose Down Syndrome Emotional Environment Equilibrium Exercise Family Feasibility Studies Funding Funding Agency Goals Gold Hour Impairment Industry Infant Infant Development Intervention Intervention Studies Laboratories Language Language Development Learning Life Locomotion Measures Mechanics Modeling Modification Motion Motor Population Positioning Attribute Rehabilitation therapy Research Robot Robotics Role Self-Help Devices Series Socialization Technology Testing Therapeutic Time Toy Training United States National Institutes of Health Walking Wit Work assistive device/technology clinically significant cost design experience follow-up innovation interest novel peer programs public health relevance research and development skills skills training social

项目摘要

PROJECT SUMMARY/ABSTRACT The overall goal of this clinical research program is to provide infants with Down syndrome (DS) with the training and technology to independently explore their world to the same degree as their typically developing peers. Moving and mobility comprise up to 80% of a young child's waking hours. Such a high dose of sitting, standing and walking are a lofty gold standard for pediatric rehabilitation. Down syndrome (DS), which delays sitting, standing and walking by up to a year, significantly reduces infants' daily exploration with serious cognitive, language, and social consequences. This proposal specifically tests the feasibility and effects of a novel 'mobile therapy environment' that provides powered mobility, progressive exercise and functional skills training in one assistive technology device. Our modified ride on cars specifically combine the fun and exploration of powered mobility (such as a Segway) with the ability to advance balance, strength and coordination through therapeutic exercises while infants practice sitting, standing and walking. Over the last year, we have developed a series of electrical and mechanical modifications that allow a single car to be progressively driven in sitting, then safely driven as triggered by standing (Figure 1 upper) then triggered by over ground walking (Figure 1 lower). This proposal will allow us to determine the feasibility and effect of ride on car training on sitting, standing and walking delays (Aim 1) and on infants' broader cognitive, language and social-emotional development (Aim 2). This proposal, inspired by our mobile robotics work and supported by preliminary data, is scientifically principled, innovative yet feasible within the funding period. The data and devices from this 2 yr project will support more formal work on the clinical and commercial potential of a novel category of assistive technology: the 'mobile therapy environment'. Figure 1 Modified ride on toy cars provide inexpensive effective mobility and socialization as well as strengthening, balance, coordination during driving while standing (Upper) and driving while walking (Lower).

项目摘要/摘要该临床研究计划的总体目标是为婴儿提供唐氏综合症（DS）以及培训和技术独立探索他们的与他们通常发展的同龄人相同的程度。移动和流动性最多占幼儿醒来的80％。如此高的坐着，站立步行是小儿康复的崇高金标准。唐氏综合症（DS），延迟坐着，站立和步行长达一年，大大减少了婴儿的每日探索严重的认知，语言和社会后果。这个建议专门测试了新型“移动疗法环境”的可行性和影响在一个辅助方面提供动力移动性，渐进式锻炼和功能技能培训技术设备。我们在汽车上修改的骑行专门结合了动力移动性的乐趣和探索（例如Segway）具有通过在婴儿练习坐着，站立和步行时进行治疗运动。在过去的一年中，我们已经开发了一系列电气和机械修饰，以允许单个汽车逐渐坐在坐着时，然后安全地按照站立触发（图1）上层）然后是由地面行走触发的（图1下）。该建议将使我们能够确定乘车对汽车训练的可行性和影响坐着，站立和步行延迟（目标1）以及婴儿的更广泛的认知，语言和社会情感发展（AIM 2）。这项提案，灵感来自我们的移动机器人工作在初步数据的支持下，在科学原则上具有创新性，但可行资金期。该2年项目的数据和设备将支持更多的正式工作辅助技术的新型类别的临床和商业潜力：移动治疗环境”。图1修改后的骑行玩具车提供廉价的有效流动性和社会化以及加强平衡，协调在开车期间站立（上）和步行时开车（降低）。