KA Ingraham, HA Feldner, KM Steele (2024) “An Instrumented ‘Explorer Mini’ for Quantitative Analysis of Toddlers Using Powered Mobility for Exploratory, Mobile, and Digital Play”

Journal Article in the 10th IEEE RAS EMBS Intl. Conference on Biomedical Robotics and Biomechatronics (BioRob).

For toddlers with disabilities, assistive technologies can enable developmentally appropriate exploration, play, and participation, but little is known about how children interact with accessible interfaces, such as joysticks.

The instrumented explorer mini measures joystick position, wheel rotations, and bodyweight loading at 100 Hz. Representative raw data collected from the device are shown here for 100 seconds.Aim: The Permobil Explorer Mini is currently the only commercially available, FDA-cleared pediatric powered mobility device in the United States designed for children ages 12–36 months. In this paper, we present an instrumented Explorer Mini that enables us to quantitatively analyze how young children with disabilities learn to use and interact with joystick-based technology.

Methods: We discuss preliminary results from two studies conducted with two toddlers with motor disabilities using the instrumented Explorer Mini in different contexts: 1) during exploratory mobile play (i.e., driving) and 2) during interactive digital play (i.e., playing a simple computer game).

Results: In the first study, we found that, for a given 15–20 minute play session, participants drove between 11.3 and 65.6 m, and engaged with the joystick between 53 and 165 times. In the second study, we found that children could use the joystick to play a simple cause-and-effect computer game, but that they disproportionately used the ‘forward’ direction of the joystick, regardless of the direction of the displayed target.

Interpretation: The novel experimental platform, research framework, and preliminary data presented in this paper lay the foundation to study how children with disabilities learn to use and interact with joystick-based assistive technologies. This knowledge is critical to inform the design and advancement of developmentally appropriate technologies that equitably support toddlers in exploration, mobility, and play.

NL Zaino, KA Ingraham, ME Hoffman, HA Feldner, KM Steele (2024) “Quantifying toddler exploration in different postures with powered mobility”

Journal Article in Assistive Technology

Access to powered mobility can support play and development for toddlers with disabilities. Using powered mobility in a standing posture has been theorized to support development of muscle coordination, balance, head and trunk stability, and transition to ambulation.

Aim: The purpose of this study was to quantify and characterize joystick control, bodyweight support, and muscle activity while using the Permobil Explorer Mini in seated and supported standing postures.

Methods: Nine children with mobility disabilities participated in four visits where they completed two, 15–20 minute play sessions, one in each posture, with a break between.

Results: We found that all toddlers engaged with the joystick in both postures, with individual differences in favored directions and control patterns. Participants had similar loading through their feet in both postures, but had slightly higher muscle activity in standing, especially while driving.

Interpretation: These results demonstrate that young children with disabilities quickly engage with joystick-based powered mobility in seated and standing postures, with important individual differences that can inform future design of devices and interventions to support play and development.

Riley Bernas presents at the CNT 2024 Summer Undergraduate Research Symposium

This summer, the Steele Lab hosted undergraduate researcher, Riley Bernas, from the University of Connecticut. Riley was mentored by Mia Hoffman, Heather Feldner, and Kat Steele.

She finished up her 10-week summer Research Experience for Undergraduate (REU) by presenting at the 2024 Summer Undergraduate Research Symposium with the Center for Neurotechnology (CNT).

Riley gave a podium and poster presentation titled “Quantifying low-cost switch access play-kit usage in clinical settings: A first glance.“

Way to go, Riley!

Switch Kit Workshop at Boyer Clinic

Steele Lab members, Mia Hoffman, Riley Bernas, and Katie Landwehr led a “Switch Kit” Workshop at Boyer Clinic in Seattle, WA.

The workshop aimed to teach Pediatric Physical Therapists, Occupational Therapists, Speech-Language Pathologists, and Educators how to use a new system we have designed with local families and clinicians for inclusive play options in early intervention. The Boyer Team also got to try a variety of adaptive switches Mia, Kate, and Alisha made.

Stay tuned for more on this project!

  • A diverse group of individuals enthusiastically raising their hands to high five and connect their hands to activate a DIY switch.
  • A conference room filled with people seated and standing around a large table while engaging with games and music on an iPad via DIY switches.
  • In a conference room, two women engage in hands-on work with DIY adaptive switches and an iPad.

Switch Kit Workshop at Kindering Redmond

Steele Lab members, Mia Hoffman, and Katie Landwehr led a “Switch Kit” Workshop at Kindering in Redmond, WA.

The workshop aimed to teach Pediatric Physical Therapists, Occupational Therapists, Speech-Language Pathologists, and Educators how to use a new system we have designed with local families and clinicians for inclusive play options in early intervention. The Kindering Team also got to try a variety of adaptive switches Mia, Kate, and Alisha made. Stay tuned for more on this project.