The physical manipulation of objects is a major contributing factor in the develop ment of cognitive and language skills in very young children. Children are active learners, and development is an interac tive process between the child and the environment. Very young children face a critical task in learning to recognize the relationships between their actions and the effects of those actions on the envi ronment (Hanson & Hanline, 1984). In developing these relationships, the young child learns to initiate and exert control over both social and nonsocial aspects of his or her environment. For a child with a severe developmental disability, this im portant learning of cause and effect and the development of a personal orienta tion as an active agent in the environ ment are far more challenging than for children without disabilities. For these reasons, the direct manipu lation of objects with an assistive robotic system that is controlled by a child is a promising area to explore with children with severe manipulation disabilities (Howell & Hay, 1989). The disabling con ditions that are associated with poor con trol, or little or no use, of the upper extremities include cerebral palsy, arthro gryposis, spinal muscular atrophy, mus cular dystrophies, rheumatoid arthritis, multiple sclerosis, poliomyelitis, spinal cord injury, head injury, and locked-in syndrome. The number of people with these conditions who also have severe manipulation disabilities in the United States is estimated to be at least 150,000 (Stanger & Cawley, 1996). As a first step in the process of ex ploring the use of assistive robotics with young children with severe disabilities. Cook and his research team developed a robotic system that incorporated a com mercially available robotic arm (Cook, Hoseit, Liu, Lee, & Zenteno, 1988; Cook, Liu, & Hoseit, 1990; Hoseit, Liu, & Cook, 1986). The primary questions addressed by the initial research were whether a very young child would interact with a robotic arm and whether that interaction would involve the purposeful use of the arm as a tool to accomplish some desired
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