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Joystick-Operated Ride-On Toys as a Therapy Adjunct for a Child With Hemiplegia: A Case Report
Sudha Srinivasan1, Vaishnavi Shahane, Patrick Kumavor
1Physical Therapy Program, Department of Kinesiology (Dr Srinivasan and Ms Shahane), Institute for Health, Intervention and Policy (InCHIP) (Drs Srinivasan and Morgan), The Institute for the Brain and Cognitive Sciences (IBACS) (Dr Srinivasan), Biomedical Engineering Department(Drs Kumavor and Morgan), University of Connecticut, Storrs, Connecticut; Burke Neurological Institute (Dr Friel), White Plains, New York; and Brain Mind Research Institute, Weill Cornell Medicine (Dr Friel), New York, New York.
Purpose:
This case report describes the feasibility, acceptance, and satisfaction associated with community-based implementation of a novel upper extremity (UE) training program using a joystick-operated powered ride-on toy with an 8-year-old male child with unilateral cerebral palsy(UCP).
Summary Of Key Points:
The 8-session, 1 month training program was feasible to implement in collaboration with the child's caregiver, was enjoyable and well-accepted by the child and his caregiver and associated with improvements in the child's affected UE motor function on participant-report and video-based measures.
Conclusion And Recommendations For Clinical Practice:
Ride-on toys are versatile, easy-to-operate, family-friendly tools that can be used across a variety of naturalistic settings. Intervention programs using joystick-operated ride-on toys may be used to create intrinsically motivating training opportunities to encourage children with UCP to spontaneously use their affected UE for task-oriented sensorimotor exploration of their physical environment and improve movement control in the affected UE.
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