The goal of this clinical trial is to assess changes in functional and psychosocial outcomes following a 12-week adaptive rock-climbing program for children with congenital upper limb differences. The main questions it aims to answer are * Assess functional outcomes following a 12-week adaptive rock-climbing program. * Assess psychosocial outcomes following a 12-week adaptive rock climbing program. * Assess barriers to participation in adaptive sports. Participants will complete 12-week adaptive rock climbing program.
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Change from Baseline in Range of Motion at 12 Weeks
Timeframe: Baseline and 12 weeks
Change from Baseline in KINDL Scores at 12 Weeks
Timeframe: Baseline and 12 weeks
Change from Baseline in Muscle Testing at 12 Weeks.
Timeframe: Baseline and 12 weeks
Change from Baseline in PROMIS Life Satisfaction Scores at 12 Weeks.
Timeframe: Baseline and 12 weeks
Change from Baseline in PROMIS Pediatric Global Health Scores at 12 Weeks
Timeframe: Baseline and 12 weeks