Integration of a Bimanual Training Program Using Joystick-Operated Ride-On Toys into an Intensive, Task-Oriented...

Area of Science:

• Pediatric Rehabilitation
• Neuroscience
• Occupational Therapy

Background:

• Unilateral cerebral palsy (UCP) affects upper extremity (UE) function.
• Constraint-induced movement therapy and bimanual training are established approaches.
• Novel, engaging therapeutic interventions are needed for children with UCP.

Purpose of the Study:

• To assess the feasibility of a play-based bimanual ride-on-toy navigation training (RNT) program.
• To evaluate RNT's integration into an intensive hybrid training camp.
• To measure the impact of RNT on UE function and navigation in children with UCP.

Main Methods:

• A pretest-posttest, mixed methods design was used.
• Ten children (3-11 years) with UCP participated in a 3-week intensive camp.
• Feasibility assessed via training logs and staff questionnaires; outcomes measured by standardized tests (QUEST, SHUEE, Box and Blocks) and video analysis.

Main Results:

• RNT demonstrated high session adherence (90.7%) and successful staff delivery.
• Significant improvements observed in Quality of Upper Extremity Skills Test (QUEST) and SHUEE spontaneous functional analysis scores.
• Children increased affected UE use and demonstrated enhanced navigational abilities.

Conclusions:

• Ride-on-toy navigation training (RNT) is a feasible and adaptable therapy adjunct for UCP.
• RNT effectively complements traditional therapies.
• This approach incentivizes spontaneous affected UE use in children with UCP.