START-Play (Sitting Together and Reaching to Play) is an early intervention that targets sitting, reaching and motor-based problem-solving to promote development and readiness to learn in infants with motor delays or challenges.
Physical therapists deliver a perceptual-motor program centered on early cognitive constructs. Intervention occurs in infants’ natural environment, with caregiver social support to scaffold infant skills.
START-Play is grounded in current evidence that suggests motor intervention is most effective when it includes:
- Child-initiated movement
- Task specificity
- Environmental modification
- Cognitive constructs blended with motor challenges.
- Opportunities for four critical concepts blended with social support:
- Object permanence
- Means-end understanding
- Body/object affordances
- Joint attention