Fueling Life on Wheels (FLOW) – a single-subject study on the effects of a dance program on the self-esteem and confidence of pediatric manual wheelchair users

Abstract Purpose The pilot Fueling Life on Wheels program was developed to engage pediatric manual wheelchair users in the joy that is the art of dance. This study tests the hypothesis that a dance program will further increase self-esteem and confidence in pediatric manual wheelchair users. Materials and Methods Professional dance choreographers and occupational therapy doctoral students worked together to provide a 5-night series of dance class activities for children who are wheelchair users. The Rosenberg Self-Esteem Scale, Coopersmith Self-Esteem Inventory, and Pediatric Wheelchair-User Fear of Falling Scale measured participants’ self-esteem as well as confidence and ability to complete wheelchair skills. Semi-structured, caregiver interviews were also conducted. Results The study resulted in increases in self-esteem for both participants. Participants noted either a decrease or no change in fear of falling out of their chair. The caregiver interviews denoted overall program satisfaction which is a crucial component of the program. Conclusion Limited sample sizes for this pilot study allowed for a multiple single subject design. Though larger studies are warranted, the program demonstrated a positive influence on the participants and developed pragmatic data for future iterations. IMPLICATIONS FOR REHABILITATION Dance, a medium traditionally not geared at wheelchair users (or specifically pediatric wheelchair users) can be an effective strategy for meaningful engagement and increased self-esteem. Pediatric programs with dance activities can serve as a method for boosting social participation among children with disabilities. This work opens the door for future work studying the impact of dance for children with disabilities.