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Drivin' Donuts: Using Ride-On Toys to Enhance Upper Extremity Outcomes in Unilateral Cerebral Palsy
Sudha M Srinivasan1, Patrick D Kumavor, Chaeyeon Yoo
1Physical Therapy Program, Department of Kinesiology, (Dr Srinivasan), Institute for Health, Intervention, and Policy (InCHIP) (Dr Srinivasan), Institute for the Brain and Cognitive Sciences (IBACS) (Dr Srinivasan), Biomedical Engineering Department (Dr Kumavor), Statistical Consulting Services, Center for Open Research Resources & Equipment, University of Connecticut, Storrs, CT (Ms Yoo and Dr Moore); Burke Neurological Institute, White Plains, New York; Weill Cornell Medicine, New York, New York (Dr Friel); and Department of Physical Therapy and Athletic Training, Grand Valley State University, Grand Rapids, Michigan (Dr Kenyon).
Purpose:
We assessed potential benefits of an intervention combining ride-on-toy navigation training (RNT) and structured upper extremity play activities (SUPA) added to usual care relative to usual care only on affected upper extremity (UE) function in unilateral cerebral palsy.
Methods:
Fifteen children (3-8 years) participated in a 19-week, single-arm trial involving baseline testing (T0), 6-week usual care only phase, preintervention testing (T1), 6-week intervention phase (RNT + SUPA plus usual care), postintervention testing (T2), and 4-week retention test (T3). Children received RNT + SUPA 3-4 sessions/week. Outcome measures included the Shriners Hospital Upper Extremity Evaluation, Quality of Upper Extremity Skills Test, ABILHAND-Kids questionnaire, and video-based measures.
Results:
Compared with Usual Care Only, RNT + SUPA combined with usual care was associated with short-term improvements in spontaneous and independent affected UE use during bimanual tasks on researcher-rated and parent-reported measures.
Conclusions:
We found preliminary evidence suggesting potential benefit of a community-based, caregiver-supported RNT + SUPA program.
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