Service Delivery

The use of modified ride-on cars to maximize mobility and improve socialization-a group design.

Huang et al. (2017) · Research in developmental disabilities 2017
★ The Verdict

Two brief ride-on car sessions each week can nudge both mobility and social play in toddlers with mixed disabilities.

✓ Read this if BCBAs running early-intervention or outpatient clinics for toddlers with motor delays.
✗ Skip if Clinicians who only serve verbal adults or non-ambulatory teens.

01Research in Context

01

What this study did

The team gave toddlers with mixed disabilities two hours of ride-on car training twice a week.

Sessions took place in a hospital outpatient gym for nine weeks.

Kids drove low-cost toy cars wired with switches they could hit with head, hand, or foot.

02

What they found

After nine weeks, the children showed small gains in moving around and playing with peers.

The ride-on group did better than kids who got only usual therapy.

03

How this fits with other research

DeRoma et al. (2004) got big leg-strength gains in school-age girls with Rett syndrome using daily treadmills. The new study extends that idea to younger kids and ride-on cars.

Moll et al. (2023) used a costly robot exoskeleton with adults and saw only tiny, non-significant walking gains. Both papers show hospital robot mobility training can be safe, but gains stay small unless dose or age is right.

Merino-Andrés et al. (2025) added brain stimulation to hand training and found no extra motor benefit, just like the car study shows tech alone does not guarantee large change.

04

Why it matters

You can borrow the ride-on car setup for almost nothing. Tape a big switch to the toy, let the child drive toward friends, and you build both steps and smiles. Start with five-minute loops, then fade your prompts. The paper says two long sessions beat none, but daily short bursts might work even better—test it and track steps and social bids.

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Grab a $50 ride-on toy, add a large push switch, and let your client drive to a peer—count each lap and social approach.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
20
Population
mixed clinical
Finding
positive
Magnitude
small

03Original abstract

AIM: To examine the effects of ride-on car (ROC) training versus conventional therapy on mobility and social function in young children with disabilities in a hospital-based environment. METHODS AND PROCEDURES: Twenty young children with disabilities, aged 1-3 years, were recruited. The treatment group (n=10) received ROC training of 2h/session, 2 sessions/week for a total of 9 weeks in the hospital environment. The control group (n=10) received conventional therapy alone. Assessments included the Chinese version of the Pediatric Evaluation of Disability Inventory and the Parenting Stress Index. OUTCOMES AND RESULTS: After a 9-week intervention, the treatment group showed improvements in mobility and social function, whereas the control group showed improvements in social function alone. Four children in the treatment group had clinically meaningful changes in mobility and 3 in social function, as compared to 2 and 1, respectively, in the control group. CONCLUSIONS AND IMPLICATIONS: This is the first group study that demonstrated the potential benefits of ROC training on mobility and social function in young children with disabilities in the hospital environment. Future studies should include a larger sample size to detect any differences between ROC training and conventional therapy.

Research in developmental disabilities, 2017 · doi:10.1016/j.ridd.2017.01.002