Task-Specific Training to Improve Sitting in a Child With Severe Postural Impairments: A Single-Subject Design.

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-07-30 DOI:10.1097/PEP.0000000000001224

Jaya Rachwani, Victor Santamaria

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引用次数: 0

Abstract

Purpose: To evaluate the potential of a task-specific training model to improve sitting through tailored trunk support and incrementally challenging reaching.

Methods: A single-subject AB design with follow-up was conducted with a 20-month-old child with severe postural impairments due to 16p11.2 deletion syndrome and multiple comorbidities. Phase A included 6 baseline assessments during 2 weeks, followed by 15 intervention sessions (Phase B) during 5 weeks, and 4 post-intervention assessments during follow-up. Outcomes included the Segmental Assessment of Trunk Control (SATCo) and the Gross Motor Function Measure (GMFM) sitting dimension. Visual analysis, the 2 standard deviation band method, and C-statistics evaluated change.

Results: SATCo and GMFM scores were stable during baseline but had significant trend changes from baseline to intervention and follow-up phases. Independent sitting skills emerged after the intervention.

Conclusions: Task-specific training tailored to the child's ability by systematically progressing trunk support and reaching practice may promote long-lasting sitting function.

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改善严重姿势障碍儿童坐姿的特定任务训练：单受试者设计。

目的：评估特定任务训练模式的潜力，通过量身定制的躯干支持和增量挑战达到改善坐姿。方法：采用单受试者AB设计并随访1例因16p11.2缺失综合征和多种合并症导致严重姿势障碍的20月龄儿童。A阶段包括在2周内进行6次基线评估，随后在5周内进行15次干预（B阶段），在随访期间进行4次干预后评估。结果包括躯干控制节段性评估（SATCo）和大运动功能测量（GMFM）坐姿维度。目视分析、2标准差带法和c -统计评估变化。结果：SATCo和GMFM评分在基线期间稳定，但从基线到干预和随访阶段有显著的趋势变化。在干预后，独立坐着的技能出现了。结论：根据儿童的能力，通过系统地推进躯干支撑和伸展练习来进行特定任务的训练，可以促进持久的坐姿功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.