A Novel Program Using Ride-on Toys to Improve Upper Extremity Function in Children With Hemiplegia

The purpose of this study is to assess the feasibility and utility of 2 types of play-based training programs co-delivered by researchers and caregivers within home/community settings to promote arm function among 3-to-8-year-old children with hemiplegia. Specifically, investigators will assess the feasibility of implementation and acceptance/satisfaction associated with a researcher-caregiver co-delivered community-based training program involving either joystick-operated powered ride-on toys (SPEED training) or creative upper extremity training (CRAFT training). The investigators will also compare the effects of these 2 types of training programs on children's arm motor function and spontaneous use of their affected arm during daily activities.

Inclusion Criteria: * Boys and girls between the ages of 3 - 8 years * Diagnosed with hemiplegia by a medical doctor with clear asymmetry in upper extremity strength and control (i.e., one upper limb is clearly weaker than the other) * Can maintain a supported sitting position for at least 15 minutes Exclusion Criteria: * Only lower limb involvement * Recent history (within past 6 months) of trauma or surgery or Botox * Uncorrected blindness/profound visual impairment * Fixed deformities at wrist or hand * No active control in affected UE * Inability to follow 2-step directions * Weight \> 150 lbs.