Home Based Adaptive Arm Training for Children
Home Based Adaptive Arm Training for Children
Twenty pediatric patients aged 5-17 years with Acquired Brain Injuries (ABI) will be
 randomized to receive either a bimanual-to-unimanual device home training program (10
 subjects) or a conventional non-device home training program (10 subjects) for a period of 6
 weeks.

 The specific aims of this proposal are to:

 Aim 1: Introduce home-based targeted upper limb training in children with hemiplegia from ABI
 (Acquired Brain Injuries) using a bimanual-to-unimanual training approach It is hypothesized
 that child-friendly home-based upper limb bimanual-to-unimanual training will lead to greater
 compliance and improved motor outcome on the Fugl Myer Scale compared to a conventional home
 training program.

 Aim 2: Improve the understanding of the pattern of recovery of isolated joint movements in
 the pediatric population with hemiplegia following ABI.

 It is hypothesized that individuals receiving device-based bimanual-to-unimanual training
 will show improvement in active range of motion across upper limb joints compared with a
 conventional home training program.
Inclusion Criteria:

 -  Acquired Brain Injury at least 3 months prior to enrollment.

 -  Unilateral hemiparesis

 -  History of compliance with home exercise programs in the past.

 Exclusion Criteria:

 -  Any social or medical problem that precludes compliance with the protocol

 -  Comorbid seizure disorder or other neurological disease

 -  Treatment with botulinum toxin or intrathecal baclofen in the 3 months preceding
 enrollment

 -  Implanted neuromodulatory or electronic device or other complicating illness

 -  Lack of capacity to consent