A novel program including ride-on toys to improve upper extremity function in children with hemiplegia: a randomized controlled trial.
Objective: This study will assess the feasibility, acceptance, and preliminary efficacy of a novel and engaging task-oriented UE training program, Strength and Power in upper Extremities through Exploratory Driving (SPEED), including joystick-operated ride-on toys, as a therapy adjunct, to advance U...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 21; no. 1; pp. 173 - 187 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190668410&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190668410 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Jan2026 vid: 21 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 190668410 186771085 190668410 190668410 10.1080/17483107.2025.2534436 190668410 ppf: 173 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A novel program including ride-on toys to improve upper extremity function in children with hemiplegia: a randomized controlled trial. aug: au: Srinivasan, Sudha M. Kataria, Kush Yorns Jr., William Moore, Timothy E. Yoo, Chaeyeon Kumavor, Patrick D. Morgan, Kristin Friel, Kathleen affil: Physical Therapy Program, Department of Kinesiology, University of Connecticut, Storrs, CT, USA sug: subj: Hemiplegia Rehabilitation Upper Extremity Physiology Play and Playthings Utilization Functional Status Play Therapy Methods Patient Attitudes Treatment Outcomes Evaluation Funding Source Human Male Female Child, Preschool Child Scales Randomized Controlled Trials Random Assignment Descriptive Statistics Data Analysis Software Poisson Distribution Patient Compliance Pilot Studies Family Centered Care Caregivers Agility Grip Strength Accelerometry Psychometrics Kinematics Videorecording Home Health Care Consent Questionnaires Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: Objective: This study will assess the feasibility, acceptance, and preliminary efficacy of a novel and engaging task-oriented UE training program, Strength and Power in upper Extremities through Exploratory Driving (SPEED), including joystick-operated ride-on toys, as a therapy adjunct, to advance UE function among children with hemiplegia. Methods: We will conduct a randomized controlled trial to compare SPEED training to a dose-matched program, Creative Rehabilitation for Arm Function Training (CRAFT), based on standard-of-care. 30 children with hemiplegia between 3 and 9 years will be recruited. Training will last 6 weeks, 4 times/week, 2 sessions by researchers (30-45 min/session) and 2 sessions by caregivers (15-20 min/session). The SPEED group will engage in playful games including ride-on toys and the CRAFT group will complete seated, fine motor activities. The primary outcome measure is treatment adherence. Secondary measures include participant retention, perceived satisfaction, implementation fidelity scores, child engagement, wrist-worn accelerometry, kinematics, scores on the Shriner's Hospital Upper Extremity Evaluation, Quality of Upper Extremity Skills Test, and the ABILHAND-Kids questionnaire, grip strength assessment, and measures of navigational control. Impact: We propose a community-based, innovative, task-oriented training including modifiedride-on toys to promote self-initiated use of the affected UE in young children with hemiplegia. Study findings have implications for the adoption of the SPEED program by families as an adjunct to conventional therapy to increase children's functional use of their affected arm through playful exploration. IMPLICATIONS FOR REHABILITATION: Forty percent of children with Cerebral Palsy have hemiplegialeading to significant limitations in daily function and participation. We propose an innovative, child- and family-friendly, task-based training program including modified, commercially available, joystick-operated ride-on toys to promote movement skills and intensive self-initiated use of the affected upper extremity in young children with hemiplegia. Study findings have implications for the adoption of the age-appropriate, highly enjoyable, and easy-to-implement training program by families as an adjunct to conventional therapy to increase children's functional use of their affected arm through task-oriented playful games within naturalistic environments. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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