Ali Tavoosi, Saeed Akbari-Zardkhaneh, Samaneh Karamali Esmaili
{"title":"Test of Playfulness- Persian Version: Psychometric Evaluation in Children with Typical Development and Neurodevelopmental Disorders.","authors":"Ali Tavoosi, Saeed Akbari-Zardkhaneh, Samaneh Karamali Esmaili","doi":"10.1080/01942638.2025.2573955","DOIUrl":"https://doi.org/10.1080/01942638.2025.2573955","url":null,"abstract":"<p><strong>Aims: </strong>Given that play is shaped by cultural contexts, a culturally adapted tool is essential for evaluating playfulness-the essence of play. This study aimed to examine the psychometric properties of the Persian version of the Test of Playfulness (ToP).</p><p><strong>Methods: </strong>Participants included 225 children (146 boys, 79 girls; mean age = 57.3 ± 12.76 months) with typical development, autism spectrum disorder, and attention-deficit/hyperactivity disorder. The full sample was used for factor analysis, internal consistency, item analysis, and concurrent validity. Subsamples were used for rater reliability, discriminant validity, and developmental construct validity.</p><p><strong>Results: </strong>Exploratory factor analysis identified one factor for the extent and intensity scales, and two for the skillfulness scale. Rater reliability was excellent (ICC = 0.80-0.99). Internal consistency was good to excellent (α = 0.80-0.93). High correlations with the Children's Movement Motivation Questionnaire supported concurrent validity (<i>r</i> = 0.72-0.77). All scales significantly differentiated among groups, confirming discriminant validity. Only the skillfulness scale showed significant differences across age groups, supporting developmental validity.</p><p><strong>Conclusion: </strong>The Persian ToP demonstrated acceptable reliability and validity, supporting its potential utility in clinical and research contexts. Limitations included virtual data collection challenges, sampling bias from snowball recruitment, and the narrow age range.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seyed Mohammad Hosseini, Amir Mohammad Faal Papoli
{"title":"Effects of Dual-Task-Based Balance Exercise on Enhancing Single-Limb Static and Dynamic Balance Performance in Children with a Previous Ankle Sprain History.","authors":"Seyed Mohammad Hosseini, Amir Mohammad Faal Papoli","doi":"10.1080/01942638.2025.2552138","DOIUrl":"https://doi.org/10.1080/01942638.2025.2552138","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to estimate the extent to which dual-task-based balance exercise vs. single-task-based balance exercise (I) vs. no training (C) affects single-limb static and dynamic balance performance (O) in children with a history of ankle sprain (P). This study aimed to assess the impact of dual-task-based balance exercises on enhancing single-limb static and dynamic balance performance in children with a previous ankle sprain history.</p><p><strong>Methods: </strong>In this quasi-experimental study, 66 male children (mean age = 9.34 ± 0.88 years) with a history of ankle sprains were recruited from sports clubs and assigned to one of three groups: (1) balance training with a dual task (22 participants; 12 sessions); (2) balance training with a single task (22 participants; 12 sessions); or (3) a control group (no training; 22 participants). Static balance (Stork test) and dynamic balance (Y balance test) were assessed before and after the intervention.</p><p><strong>Results: </strong>Results indicated that static balance in male children during dual-task training outperformed single-task training and the control group (<i>p</i> < .05). Single-task training also surpassed the control group (<i>p</i> < .05). In dynamic balance, both dual-task and single-task balance training groups performed better than the control group (<i>p</i> < .05), with no significant difference between the two training methods (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>These findings suggest that balance exercises, particularly those incorporating cognitive dual tasks, can enhance the balance performance of male children with a previous ankle sprain history. Coaches and physiotherapists working with such male children are encouraged to incorporate the dual-task model into their training regimens.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marina Gardinal, Ana Luiza Dos Santos Fiebrantz, Mylena Oliveira Viana, André Luiz F Rodacki, Silvia Letícia Pavão
{"title":"Dynamic Postural Control in Children with Autism Spectrum Disorder: A Systematic Review.","authors":"Marina Gardinal, Ana Luiza Dos Santos Fiebrantz, Mylena Oliveira Viana, André Luiz F Rodacki, Silvia Letícia Pavão","doi":"10.1080/01942638.2025.2564233","DOIUrl":"https://doi.org/10.1080/01942638.2025.2564233","url":null,"abstract":"<p><p>Dynamic postural control provides functioning, independence, and quality of life.</p><p><strong>Objective: </strong>to estimate the extent to which dynamic postural control (O) is affected in children with ASD (P/E) in comparison to their typically developing peers (C), summarizing the findings and answering the following research question: How is the postural control of children with ASD affected when facing dynamic tasks?</p><p><strong>Methods: </strong>The search was conducted using the following databases: PubMed, Web of Science, SCOPUS, EMBASE. Studies addressing the postural control involving dynamic stability in children and adolescents with ASD and their typical peers were selected.</p><p><strong>Results: </strong>Thirteen studies, published between 2005 and 2024, eight of which presented good methodological quality and five, fair ones, fulfilled the inclusion/exclusion criteria. We determined that dynamic postural control in ASD is affected by neuromotor deficits, such as reduced postural stability. Increased vulnerability to changes in body alignment and center of pressure results in compensatory movements to maintain posture.</p><p><strong>Conclusion: </strong>Children with ASD present impaired dynamic postural control, reduced stability, greater vulnerability to changes in body alignment, and the use of specific compensatory mechanisms to keep posture and avoid falls. Further studies should address the impact of sensory information, age, cognition, and support level on dynamic postural control.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-32"},"PeriodicalIF":1.7,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Margaret E O'Neil, Mary E Gannotti, Lauren Winterbottom, Jessica Byrnes, Jasmin Russo, Noelle DeMartini, Nicole Shatsky, Elisabeth Bellissimo, Michael Spinner, Heakyung Kim
{"title":"A Tele-Rehabilitation Home Exercise Program for Ambulatory Adults with Cerebral Palsy: A Feasibility Study.","authors":"Margaret E O'Neil, Mary E Gannotti, Lauren Winterbottom, Jessica Byrnes, Jasmin Russo, Noelle DeMartini, Nicole Shatsky, Elisabeth Bellissimo, Michael Spinner, Heakyung Kim","doi":"10.1080/01942638.2025.2552137","DOIUrl":"https://doi.org/10.1080/01942638.2025.2552137","url":null,"abstract":"<p><strong>Aims: </strong>Examine adherence, facilitators and barriers, satisfaction and trends in effectiveness of a telerehabilitation home exercise program (TRHExP) with remote coaching for adults with cerebral palsy (CP).</p><p><strong>Methods: </strong>Six ambulatory adults with CP (range: 21-38 years, mean: 27, SD: 6.9; 4 females), participated in an 8-week TRHExP designed to increase physical activity (PA) to 150 min per week (min/wk). Pre, post, and process measures included functional mobility tests, patient reported measures, semi-structured interviews, and exercise observation. Individualized programs were based on clinical guidelines and personal goals. Weekly coaching sessions reviewed adherence, performance, and progression.</p><p><strong>Results: </strong>Four of six participants completed the 8-week program; two dropped out midway through due to life circumstances. PA frequency was a median of 4 ×/wk and a median of 150 min/wk. TRHExP was the primary contributor to PA. Participant time and energy were barriers. Completing activity logs and perceived improvement were facilitators. Personal goal performance increased to 75% and satisfaction to 100%. Changes to self-report measures and functional tests were equivocal.</p><p><strong>Conclusion: </strong>Ambulatory adults with CP may benefit from individualized TRHExP with weekly remote coaching to increase PA. Tailored telerehabilitation PA programs with remote coaches may foster health promotion for adults with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-21"},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sindhu V Mannava, Eamaan Turk, Attie Vogler, Angela Crook, Mackenzie McQuay, Troy A Markel
{"title":"Physical and Occupational Therapy Utilization After Infant Abdominal Surgery.","authors":"Sindhu V Mannava, Eamaan Turk, Attie Vogler, Angela Crook, Mackenzie McQuay, Troy A Markel","doi":"10.1080/01942638.2025.2564224","DOIUrl":"https://doi.org/10.1080/01942638.2025.2564224","url":null,"abstract":"<p><strong>Aims: </strong>Postoperative mobilization in neonates is a critical component of the enhanced recovery pathway. We aimed to explore physical therapy (PT) and occupational therapy (OT) utilization in neonatal intensive care unit (NICU) patients and hypothesized that neonates with major abdominal surgery will experience increased barriers to receiving therapies compared to nonoperative neonates.</p><p><strong>Methods: </strong>We retrospectively analyzed neonates admitted to our institution from January 2020 to December 2021. We compared therapy type/timing and clinical outcomes between operative and nonoperative neonates.</p><p><strong>Results: </strong>We assessed 210 neonates (92 operative, 118 nonoperative). Operative neonates had lower median [<i>Q</i>1, <i>Q</i>3] gestational age (GA) at birth and birthweight. Operative neonates experienced significantly greater median [<i>Q</i>1, <i>Q</i>3] time from admission to first PT/OT session. Time from index operation to first therapy session was 25 days for PT and 22 days for OT. Number of active and missed PT/OT sessions were not significantly different between groups after accounting for length of stay (LOS). Operative neonates more frequently missed PT/OT sessions due to out-of-unit procedures or imaging.</p><p><strong>Conclusion: </strong>Our data highlight a need for mitigation of barriers to mobilization among operative neonates, particularly in the first few weeks after surgery. Prospective studies are needed to explore the impact of earlier postoperative therapy among operative neonates.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neonatal Therapy Interventions Supporting Oral Feeding Skills in Preterm Infants: A Systematic Review.","authors":"Kaela Vetter, Christian Fernandes, Tiana T Nguyen","doi":"10.1080/01942638.2025.2562931","DOIUrl":"10.1080/01942638.2025.2562931","url":null,"abstract":"<p><strong>Aim: </strong>To synthesize the existing literature on neonatal therapy interventions and evaluate their impact on oral feeding outcomes among preterm infants in the neonatal intensive care unit.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, and Physiotherapy Evidence Database (PEDro) databases for studies published from 2014 to 2023. Included studies were clinical trials evaluating neonatal therapy interventions delivered by neonatal therapists or caregivers trained by therapists, focusing on oral feeding outcomes for infants born at <37 week gestation. Primary outcomes were time to full oral feeding (FOF) and feeding quality. Secondary outcomes were weight gain and length of stay (LOS). Risk of bias was assessed using the Cochrane Risk of Bias 2 tool.</p><p><strong>Results: </strong>Fourteen studies were included, identifying three categories of neonatal therapy interventions: oral motor stimulation, swallowing exercises, and sensory-based interventions. Most interventions began between 27 and 33 week postmenstrual age. Interventions generally resulted in improved oral feeding outcomes, notably faster achievement of FOF and improved feeding quality. Results for LOS and weight gain varied. Multidomain interventions demonstrated superior outcomes compared to single-domain approaches.</p><p><strong>Conclusion: </strong>Neonatal therapy interventions can start early and improve oral feeding outcomes in preterm infants, particularly when using multi-domain approaches.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole M Thomas, Joanne M George, Robert S Ware, Ashleigh Gehrig, Ripley Beck, Leanne M Johnston
{"title":"The Relationship Between Lower Limb Muscle Strength and Gross Motor Skills Including Ambulation in Children with Spina Bifida.","authors":"Nicole M Thomas, Joanne M George, Robert S Ware, Ashleigh Gehrig, Ripley Beck, Leanne M Johnston","doi":"10.1080/01942638.2025.2560984","DOIUrl":"https://doi.org/10.1080/01942638.2025.2560984","url":null,"abstract":"<p><strong>Aim: </strong>Children with spina bifida demonstrate impairments in walking; however, little is known about gross motor skill development and its association with lower limb muscle strength. This study aims to investigate the relationship between lower limb strength and gross motor skills in children with spina bifida.</p><p><strong>Methods: </strong>Lower limb strength and level of lesion were determined by manual muscle test (MMT). Eighteen key gross motor skill items from the Gross Motor Function Measure (GMFM) were assessed, and level of ambulation classified according to a modified Hoffer's classification. Spearman's correlations were used to establish a relationship between muscle strength, level of lesion and gross motor skills.</p><p><strong>Results: </strong>Participants included 42 children with spina bifida aged 4-16 years (median 8.1 years). Strong positive correlations were demonstrated between lower limb muscles and key gross motor items. While quadriceps strength demonstrates a relationship with supported weight bearing activities, hip extension, and abduction strength demonstrate strong relationships with independent standing, walking, and more complex gross motor skills.</p><p><strong>Conclusion: </strong>Understanding the relationship between lower limb strength and motor skill attainment may assist in educating parents on functional potential and guiding goal setting for physiotherapy interventions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring Balance and Functional Mobility in Children with Juvenile Myoclonic Epilepsy, Effects of Cognitive and Motor Dual-Tasks: An Exploratory Pilot Study.","authors":"Merve Kurt-Aydin, Dilan Savas-Kalender, Ramil Ahmadov, Tülay Tarsuslu, Aysen Gok, Dondu Ulker Ustebay, Ayse Semra Hız, Uluc Yıs","doi":"10.1080/01942638.2025.2558791","DOIUrl":"https://doi.org/10.1080/01942638.2025.2558791","url":null,"abstract":"<p><strong>Aims: </strong>This pilot study aimed to assess the dual-task performance and balance ability in children and adolescents with Juvenile Myoclonic Epilepsy (JME). Additionally, it sought to investigate the impact of dual-task conditions on functional performance and explore relationship between balance ability and dual-task performance.</p><p><strong>Methods: </strong>Ten children and adolescents with JME (mean age 16.90 ± 1.20 years) were evaluated. Static and dynamic balance were assessed using the Balance Master System, with modified Clinical Test of Sensory Interaction on Balance (mCTSIB) and Limit of Stability tests measuring static and dynamic balance, respectively. The mCTSIB and TUG tests were performed under single- and dual-task (motor-motor, cognitive-motor) conditions.</p><p><strong>Results: </strong>No significant differences were found in mCTSIB test between single-task and dual-task conditions (<i>p</i> > 0.05). However, TUG completion time increased under cognitive-motor dual-task conditions (<i>p</i> < 0.05). There was no significant correlation between balance and dual-task performance (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>This exploratory pilot study, conducted without a control group, suggests that children with JME may face difficulties with tasks requiring both cognitive and motor functions, as cognitive-motor dual tasks significantly increased task completion time. Lower scores in certain balance measures suggest a potential risk of balance impairment. These findings underscore the importance of integrating both cognitive-motor dual-task and balance assessments into rehabilitation programs for children with JME.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mari Naaris, Marco Konings, Inti Vanmechelen, Douwe Ravers, Els Ortibus, Elegast Monbaliu
{"title":"Psychometric Properties of the Wheelchair Skills Test and the Wheelchair Skills Test-Questionnaire: Validity, Reliability, and Responsiveness in Children and Young Adults With Cerebral Palsy-Exploratory Study.","authors":"Mari Naaris, Marco Konings, Inti Vanmechelen, Douwe Ravers, Els Ortibus, Elegast Monbaliu","doi":"10.1080/01942638.2025.2555273","DOIUrl":"https://doi.org/10.1080/01942638.2025.2555273","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the concurrent validity and responsiveness of the Wheelchair Skills Test-Questionnaire (WST-Q) caregiver proxy, and the inter- and intra-rater reliability of the Wheelchair Skills Test (WST) in children and young adults with cerebral palsy (CP).</p><p><strong>Methods: </strong>Concurrent validity and responsiveness of the WST-Q caregiver proxy were assessed in 12 participants with CP (mean age 15 years; SD: 3 years 6 months); power wheelchair users. Concurrent validity of the WST-Q was determined using Pearson's correlation coefficients, and responsiveness with linear regression. Inter- and intra-rater reliability of the WST were assessed with intraclass correlation coefficients (ICC) (<i>n</i> = 4).</p><p><strong>Results: </strong>The WST-Q caregiver proxy showed good concurrent validity with WST total scores (<i>r</i> = 0.623, <i>p</i> < 0.001). No acceptable responsiveness was found for the WST-Q caregiver proxy (<i>R</i><sup>2</sup> = 0.317, <i>p</i> = 0.071). Inter-rater reliability for the WST total scores was good (ICC = 0.864, <i>p</i> < 0.001); and intra-rater reliability ranged from good to excellent (Rater 1 ICC = 0.857; Rater 2 ICC = 0.904; Rater 3 ICC = 0.923, all <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The WST-Q caregiver proxy appears to be valid for assessing levels of wheelchair skills in children and young adults with CP, however, it lacks suitability to measure intervention effects due to its poor responsiveness. The WST appears reliable for measuring wheelchair skills in young adults with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}