Fig. 3: Child learning to perform independent mobility.

a At initial evaluation, child utilized external supports and behavioral strategies to sit upright including hooking arms around armrests, chest strap, pelvic strap, and capital extension of neck to stack head over spine to position and control head. Parent report. a “And this is one of the things that I think people who don’t have a child with a disability take for granted as far as being able to put your child in a grocery cart. This has been a main problem for me for a long time because she couldn’t sit up. Now I can put her in a grocery cart. I don’t have to have a special seat or a special tool or a special anything. I can just go to the grocery store.” b By discharge, she was able to independently propel a manual wheelchair while navigating her environment using only a seat belt while maintaining trunk and head upright. Parent report. b “I never thought I’d have to child-proof my home with a child with a serious physical disability. She really wasn’t going any place that I didn’t take her or put her and since we’ve been here she is rolling from place to place, she’s much more physically active. And she’s getting into things that she’s not supposed to; which is good and bad, but mostly good”.