Using Power Mobility Training to Promote Arm & Hand Function in Children With Cerebral Palsy

Обзор

Approximately 40% of children with ambulatory cerebral palsy have significant functional asymmetries in arm and hand function. Children with these significant functional asymmetries have difficulties using their more-affected (less preferred) arm and hand in daily activities, especially true in daily activities requiring bilateral hand and arm use. Recent research suggests that power mobility training provided via a ride-on toy may help to motivate these children to use their less preferred arm and hand. This research further notes that participation in power mobility training designed to encourage a child to use their less preferred arm and hand also may help to improve their arm and hand function and use in their daily activities. This exploratory study seeks to explore an innovative intervention using arm- and hand-use focused power mobility training activities, encompassing both navigational/maneuvering activities and embedded play-based reaching and grasping activities. During power mobility training activities, children will be asked to wear a soft mitten or sock on their preferred hand to help them remember to use their less preferred hand and arm. The purpose of this exploratory study is to examine both the effect and feasibility of a 6-week laboratory-based arm-and hand-use focused power mobility training program.

Вмешательства

• Другое Arm- and hand-use focused power mobility training
  These arm- and hand-use focused power mobility training activities will encompass both navigational/maneuvering activities and play-based reaching and grasping activities embedded into the navigational/maneuvering activities. During power mobility training activities, children will be asked to wear a soft mitten or sock on their preferred hand to help them remember to use their less preferred hand and arm.

Первичные конечные точки

• Canadian Occupational Performance Measure [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• ABILHAND-Kids-CP Questionnaire [Срок оценки: From enrollment to the end of treatment at 6 weeks]

Вторичные конечные точки (2)

• Shriner's Hospital Upper Extremity Evaluation [Срок оценки: From enrollment to the end of treatment at 6 weeks]
• Grip strength [Срок оценки: From enrollment to the end of treatment at 8 weeks]

Критерии участия

Критерии включения

• Diagnosis of cerebral palsy
• Demonstrates significantly less functional use of one arm and hand
• Can get on and off the a ride-on toy with minimal assistance from the researchers
• Can maintain a sitting position on the a ride-on toy
• Has sufficient functional vision to safely maneuver the a ride-on toy
• Has their own bicycle helmet that fits them well and is in good working condition

Критерии исключения

• Hand or arm surgery within the past 6 months
• Their weight exceeds device limits (more than 120 pounds)
• They do not demonstrate sufficient balance and control in sitting to safely use the ride-on toy
• If they cannot safely participate in arm- and hand-use focused power mobility training activities.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Grand Valley State University — Grand Rapids

Публикации

• Srinivasan SM, Kataria K, Yorns W Jr, Moore TE, Yoo C, Kumavor PD, Morgan K, Friel K. A novel program including ride-on toys to improve upper extremity function in children with hemiplegia: a randomized controlled trial. Disabil Rehabil Assist Technol. 2026 Jan;21(1):173-186. doi: 10.1080/17483107.2025.2534436. Epub 2025 Jul 21. PMID 40689868
• Srinivasan S, Shahane V, Kumavor P, Morgan K, Friel K. Joystick-Operated Ride-On Toys as a Therapy Adjunct for a Child With Hemiplegia: A Case Report. Pediatr Phys Ther. 2025 Jul 1;37(3):371-379. doi: 10.1097/PEP.0000000000001209. Epub 2025 Jun 27. PMID 40587602
• Amonkar N, Kumavor P, Morgan K, Bubela D, Srinivasan S. Feasibility of Using Joystick-Operated Ride-on-Toys to Promote Upper Extremity Function in Children With Cerebral Palsy: A Pilot Study. Pediatr Phys Ther. 2022 Oct 1;34(4):508-517. doi: 10.1097/PEP.0000000000000944. Epub 2022 Aug 30. PMID 36044637

Идентификаторы

NCT: NCT07342348 · 26-065-H

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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