Complex Rehabilitation Technology Enabled Physical Activity for Children With Motor Delays Via Telehealth in Natural Environments

Complex Rehabilitation Technology Enabled Physical Activity for Children With Motor Delays Via Telehealth in Natural Environments

The primary goal of CP-MOVES is to evaluate 1) the preliminary efficacy of a telehealth-delivered, parent coaching intervention in the use of adaptive standers, on physical activity, sleep, and endurance in young children with severe motor delays and 2) on physical activity, sedentary time, resting heart rate, and perceived stress in parents.

The main questions the study aims to answer include:

1. Do measures of physiological fitness and sleep in children with severe motor delays (i.e., unable to stand without support) change after a therapist-directed, parent-delivered intervention using telehealth and adaptive standers?
2. Do parents report any changes in their child's endurance, participation, or quality of life OR parent stress following intervention?

Children ages 1-6 years old with severe motor delay and one parent will:

1. Complete three 30 minute sessions of standing in an adapted stander per week for 8 weeks. One session per week will be completed with a physical therapist, delivered through telehealth and two sessions per week will be completed as a home program with the parent and child (no therapist or telehealth).
2. Wear activity tracker sensors on the wrist(s) and waist for one-week before and after treatment.
3. Complete questionnaires about the child's endurance, participation, and quality of life and the parent's stress, before and after treatment.
4. Complete an assessment of postural control before and after treatment.
5. Complete an post-treatment interview

Inclusion Criteria:

• Child age 1-6 years with CP or other severe motor delay (GMFCS IV-V);
• Unable to stand without external support;
• Parent willing and able to participate;
• Internet access for telehealth;
• Live within 50 miles of lab or willing to travel to OSU for pre and post testing and stander provision
• One parent is fluent in English.

Exclusion Criteria:

• Inability to participate in telehealth
• Parent/caregiver unable to participate