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For children and youth with neurodevelopmental disabilities, engagement and motivation help deterimine therapeutic success and long-term intervention impact. Families need more interventions that are intrinsically motivating, accessible, and easy to implement for children and families. Over the last 5 years, our group has studied the use of modified, commercially available, joystick-operated ride-on toys to increase spontaneous upper extremity use and promote motor function in children with hemiplegia. Through multiple pilot studies and an iterative design process involving feedback from children, caregivers, and clinicians, we have developed a community-based intervention that can be adapted for use across a variety of children’s natural settings (home, school, playground, park, etc.), by caregivers and clinicians. Families may use ride-on toys as innovative and versatile tools to boost therapy dosing, expand and extend rehabilitation activities beyond conventional clinic/school-based settings, and promote upper extremity function in children with hemiplegia. We will summarize key findings from our past research in this area as well as future directions of our work. Sudha Srinivasan, PT, PhD, is an Assistant Professor in the Physical Therapy program at the University of Connecticut (UConn). She joined UConn in 2019. She is a pediatric physical therapist by training and her interests lie in the fields of motor development, disability, technology for empowering individuals with disabilities, multisystem interventions for children with disabilities, and inclusive design. She studies how infants and children with developmental disabilities explore their physical and social environment compared to typically developing peers, as well as the cascading effects of motor difficulties on a child’s social communication and cognitive development. Her recent work has focused on developing multisystem, engaging, evidence-based, child- and family-centric behavioral interventions and assistive technologies to empower children with developmental disabilities and their families including children with Cerebral Palsy and Autism spectrum Disorder. Specifically, her team at the REINVENT-PT Lab (Rehabilitation INnovations & Emerging Novel Technologies in Physical Therapy Lab) works on developing motivating interventions that harness a child’s intrinsic interests/preferences in positive ways to promote motor learning, function, and bring about sustained behavior change. Register for future events: https://ygsa.org/pedistroke/ Past events: https://ygsa.org/pediatric-stroke-reh...