OBJECTIVE. This study used a novel device to make video games accessible to children with developmental disabilities (DD) by modifying the training software and interfaces to enhance motor training.

METHOD. In the pretest–posttest design, 20 children (13 boys, 7 girls; mean age = 5.2 yr) with DD received adaptive upper-limb motor rehabilitation consisting of fifteen 30-min individual sessions 3 times per week for 5 wk.

RESULTS. Improvement in Beery–Buktenica Developmental Test of Visual Motor Integration and Peabody Developmental Motor Scales, Second Edition, scores for children with DD indicated significant differences between pretest and posttest.

CONCLUSION. The rehabilitation device modified for the needs of children with DD is effective in improving visual–motor performance of children with DD.

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