Early Intervention

Neuromechanics & Mobility Lab presents at RehabWeek 2025

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Members of the Neuromechanics and Mobility Lab has a busy week attending the 2025 Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) Conference, held as part of RehabWeek 2025 from May 12-16 in Chicago, IL.

RehabWeek is a premier, week-long event that brings together multiple conferences in the field of rehabilitation technology. It fosters cross-disciplinary collaboration and innovation among researchers, clinicians, and industry professionals. Our lab was proud to be part of this vibrant community, with several members presenting their research and contributing to the ongoing dialogue on the future of rehabilitation science.

Two of our PhD students, Mia Hoffman and Madeleine McCreary, participated in the RESNA Student Scientific Paper Competition and presented their work during the Student Scientific Paper Platform session. Mia presented her research titled “Measuring Early Intervention Providers’ Use of a Novel Switch-Accessible Play Kit,” while Maddie shared findings from our lab’s Early Mobility & Play research in her talk, “Kicking it off: Do toddlers with disabilities activate leg muscles when driving with a joystick?”

Mia Hoffman also led a session on Play and Recreation in Assistive Technology titled “Switch It Up: From Adapted Toys to Therapeutic Gaming.”

Alexandra (Sasha) Portnova-Fahreeva presented a poster titled “Evaluating the Effects of Noninvasive Spinal Stimulation on Gait Parameters in Cerebral Palsy via Markerless Motion Capture” sharing findings from our lab’s Spinal Neuromodulation research. She also participated in the RESNA Student Design Challenge with her project, “H.A.T. – A Camera-Based Finger Range-of-Motion Hand Assessment Tool to Enhance Therapy Practices” where she and her team received honorable mention.

Katie Landwehr-Prakel presented a poster on “Cardiovascular Load of Using a Walker-Based Exoskeleton in Children with Cerebral Palsy,” and placed in the top 10 of the Fast Forward Poster Competition.

We are especially proud to share that Mia Hoffman was awarded 1st place and Madeleine McCreary received 2nd place in the Student Scientific Paper Competition. Congratulations to both for their outstanding work and well-deserved recognition.

We’re incredibly proud of our team’s contributions and accomplishments at RehabWeek 2025!

Neuromechanics & Mobility Lab Presents at NWBS 2025

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Members of the Neuromechanics & Mobility Lab traveled to Vancouver, BC for the 2025 Northwest Biomechanics Symposium (NWBS) May 2-3 hosted by the University of British Columbia. The Northwest Biomechanics Symposium is a student-friendly conference and incorporates research labs from all of the Northwest, including Canada.

Ally Clarke and Madeleine McCreary gave podium presentations at the conference in Vancouver. Mia Hoffman, Alisha Bose, and Katie Landwehr-Prakel each gave a poster presentation.

A special congratulations to Ally Clarke and Madeleine McCreary for receiving the Honorable Mention Award and Best Podium Award, respectively, in the PhD category.

We are looking forward to NWBS 2026 in Bozeman, MT!

APTA CSM 2025 Conference Recap

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Neuromechanics & Mobility Lab member, Mia Hoffman, attended the 50th Annual American Physical Therapy Association Combined Sections Meeting (APTA CSM) in Houston, TX on Feb 13-15, where thousands of PTs, PTAs, and students came together to learn, connect, and celebrate 50 years of innovation in physical therapy.

Mia, alongside IMPACT Collaboratory members Heather A. Feldner, PT, MPT, PhD and Tiffany Li, SPT, presented a workshop on “Co-Designing a Switch Accessible Digital Play Environment for Children in Partnership with Clinicians and Families“.

Three women stand together at a conference center. The women in the center is holding a bag containing the "switch kit" supplies.

KA Ingraham, NL Zaino, C Feddema, ME Hoffman, L Gijbels, A Sinclair, AN Meltzoff, PK Kuhl, HA Feldner, KM Steele (2025) “Quantifying Joystick Interactions and Movement Patterns of Toddlers With Disabilities Using Powered Mobility With an Instrumented Explorer Mini”

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Journal Article in IEEE Transactions on Neural Systems and Rehabilitation Engineering

Powered mobility technology can be a powerful tool to facilitate self-initiated exploration and play for toddlers with motor disabilities. The joystick-controlled Permobil Explorer Mini is currently the only commercially available powered mobility device for children ages 1-3 years in the United States. However, many open questions persist regarding how joystick-based mobility technologies should be designed to optimally suit the developmental needs of toddlers.

The instrumented Explorer Mini measures joystick position in (x,y) coordinates and the number of wheel rotations for the left and right wheels at a sampling frequency of 100 Hz. Wheel displacement is calculated by multiplying the number of rotations by the measured wheel circumference. Representative raw data collected from the device are shown here for 100 seconds.Aim: The purpose of this study was to quantify how toddlers with motor disabilities use the Explorer Mini during free exploration and play.

Methods: For this work, we developed a custom-instrumented Explorer Mini with embedded sensors to measure joystick interactions and wheel rotations. Nine children with motor disabilities (ages 12-36 months) participated in 12 in-lab visits, and during each visit they engaged in two 15-20 minute play sessions. For each session, we calculated several quantitative outcome metrics, including the time spent using the joystick, distance traveled, and the number, duration, and complexity of joystick interactions.

Results: Every participant independently interacted with the joystick and moved the Explorer Mini during every session. Over 12 visits, participants significantly increased their distance traveled and the time spent with the joystick active. Surprisingly, we found that only 48% of joystick interactions resulted in device movement, which has important implications for learning.

Interpretation: These results can serve as a benchmark for caregivers and clinicians to understand early device use patterns. Furthermore, this knowledge can be used to inform the design of new powered mobility technologies for toddlers with disabilities or support the refinement of existing devices.

KA Ingraham, HA Feldner, KM Steele (2024) “Forward first: Joystick interactions of toddlers during digital play”

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Journal Article in PLoS ONE

Computers and technology are essential tools for supporting the development of toddlers with and without disabilities. Developmentally appropriate access to technology can support toddlers in learning and play. While touch screens are a popular interaction modality for children under the age of three, they may not be appropriate for all children or all tasks.

A child is pictured sitting in a Explorer Mini while using the joystick to play a directional cause-and-effect game on a computer screen, toddlers demonstrated a strong preference for initiating movement in the forward direction, irrespective of the target on the screen.Aim: We know comparatively little about how toddlers interact with joystick-based technology, and more fundamental research is required to understand joystick interactions at different ages and developmental stages.

Methods: We quantified how 36 nondisabled toddlers used a joystick to play a cause-and-effect game on a computer.

Results: Children demonstrated a strong preference for moving the joystick forward first, regardless of the target direction. On average, the oldest children navigated the joystick to the target 5 seconds faster than the youngest children, and were nearly twice as efficient in their joystick path.

Interpretation: These findings inform the design of assistive algorithms for joystick-enabled computer play and developmentally appropriate technologies for toddlers.