Physical & Occupational Therapy in Pediatrics最新文献

Active Start Active Future: Feasibility of a Behaviour-Change Intervention to Reduce Sedentary Behaviour and Promote Physical Activity in Young Children with Cerebral Palsy. 积极的开始积极的未来：行为改变干预在脑瘫幼儿中减少久坐行为和促进身体活动的可行性。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-26 DOI: 10.1080/01942638.2025.2506061

Sarah E Reedman, Gaela M Kilgour, Sjaan Gomersall, Leanne Sakzewski, Stewart G Trost, Roslyn N Boyd

{"title":"Active Start Active Future: Feasibility of a Behaviour-Change Intervention to Reduce Sedentary Behaviour and Promote Physical Activity in Young Children with Cerebral Palsy.","authors":"Sarah E Reedman, Gaela M Kilgour, Sjaan Gomersall, Leanne Sakzewski, Stewart G Trost, Roslyn N Boyd","doi":"10.1080/01942638.2025.2506061","DOIUrl":"https://doi.org/10.1080/01942638.2025.2506061","url":null,"abstract":"Aims: Children with cerebral palsy (CP) have low physical activity (PA) and high sedentary behavior. The aim was to trial a participation-focused behavior-change intervention to increase PA and decrease sedentary behavior.Methods: Twelve children with CP were recruited (mean age 5 years 6 months ± 1 year 2 months, Gross Motor Function Classification System [GMFCS] levels I = 1, II = 1, III = 1, IV = 4, V = 5); eight with complete post-intervention data (mean 5 years 10 months ± 1 year 4 months, GMFCS I = 1, III = 1, IV = 4, V = 2). Children received 8 weekly sessions targeting individualized PA participation goals in a pre-post feasibility trial. Outcomes included: implementation, effectiveness (Canadian Occupational Performance Measure [COPM]), device-measured PA, goal confidence, quality of life, and barriers to PA participation. Semi-structured interviews explored acceptability and were analyzed thematically.Results: Implementation was feasible with ≥90% sessions attended and high enjoyment (89.5%). After 8 wk, COPM goal performance (mean difference [MD] = 2.9, 95% CI 0.7, 5.0; p = 0.02), satisfaction with performance (MD = 3.0, 95% CI 1.6, 4.4; p = 0.002), and confidence (MD = 1.4, 95% CI 0.4, 2.5; p = 0.02) significantly increased with no change in other outcomes. All six caregivers interviewed reported the intervention to be acceptable.Conclusions: Active Start Active Future was feasible to conduct, acceptable and showed preliminary evidence to improve PA in young children with CP.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144161","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}

引用次数: 0

Pilot Testing the Youth Engaging Transition: Perspectives of Youth, Parents, and School Physical Therapists. 青年参与过渡的试点测试：青年、家长和学校物理治疗师的观点。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-20 DOI: 10.1080/01942638.2025.2506067

Hilary D Terhune, Lisa A Chiarello, Robert J Palisano, Lorraine Sylvester

{"title":"Pilot Testing the Youth Engaging Transition: Perspectives of Youth, Parents, and School Physical Therapists.","authors":"Hilary D Terhune, Lisa A Chiarello, Robert J Palisano, Lorraine Sylvester","doi":"10.1080/01942638.2025.2506067","DOIUrl":"https://doi.org/10.1080/01942638.2025.2506067","url":null,"abstract":"Aim: To investigate the feasibility, acceptability, and relevance of the Youth Engaging Transition (YET) instrument.Methods: In this observational study, nine youth (16-21 years) with motor disabilities, their parents, and school physical therapists completed the YET, then triad members gave feedback about the experience (n = 27).Results: Parents and PTs agreed that both sections (S1: Future Plans and S2: Self-Assessment and Goal Planning) were feasible. Three triads questioned the youth's understanding of the YET. Parents agreed that S1 and S2 were acceptable. Three PTs disagreed that S2 was an appropriate scope/depth. Five triads questioned the YET's length and repetitiveness. Youth and PTs reported that the YET was relevant. Perhaps due to previous transition planning experience, some parents reported not learning new information by completing the YET. Parents' and PTs' ratings were aligned, suggesting a common experience using the YET.Conclusions: Results of this pilot study suggest that the YET has promise as a feasible, acceptable, and relevant transition planning instrument. Larger studies investigating the validity and reliability of the YET should include modifications to the YET, involve other transition team members, and ascertain the team's previous involvement in the planning process. Future YET iterations will include enhanced cognitive accessibility and shortened length.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112552","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}

引用次数: 0

Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study. 脑性麻痹儿童坐位与伸手对照试验的反应性初步研究。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-19 DOI: 10.1080/01942638.2025.2498356

Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott

{"title":"Responsiveness of the Seated Postural & Reaching Control Test in Children with Cerebral Palsy: A Preliminary Study.","authors":"Victor Santamaria, Jaya Rachwani, Madeline Irmen, Wajiha Khatri, Jazmin Stepchuk, Geoffroy Saussez, Yannick Bleyenheuft, Andrew M Gordon, Marjorie Woollacott","doi":"10.1080/01942638.2025.2498356","DOIUrl":"https://doi.org/10.1080/01942638.2025.2498356","url":null,"abstract":"Aims: To examine the responsiveness of the Seated Postural & Reaching Control (SP&R-co) test in children with cerebral palsy (CP) classified at levels III to V on the Gross Motor Function Classification System (GMFCS).Methods: Eleven children received a motor learning-based intervention. Expert and blinded raters scored pre- and post-intervention SP&R-co test videos. Responsiveness was measured with paired t-tests, and effect sizes with Cohen's d. Minimum Clinically Important Differences (MCIDs) were estimated for SP&R-co overall and dimension scores.Results: The SP&R-co test was responsive to group improvement in sitting-related postural and reaching control (SP&R-co overall = 48.9 points, p < 0.001). It captured increases in the active (change = 2.4 points, p = 0.040), proactive: bimanual (change = 10.5 points, p = 0.001), proactive: unimanual (change = 19.8 points, p < 0.001), and reactive (change = 15.3 points, p = 0.016) dimensions. Most children showed overall score improvements exceeding the MCID value, whereas clinical improvements in dimension scores varied across children with different GMFCS levels.Conclusions: This preliminary study shows that the SP&R-co test is responsive to clinical changes in postural and reaching control strategies in children with CP who can follow test directions and are classified as GMFCS levels III-V.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095561","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}

引用次数: 0

Interventions to Promote Bimanual Activities and Participation in Daily Life Activities in Children with Cerebral Palsy: A Scoping Review. 促进脑瘫儿童双手活动和日常生活活动参与的干预措施：范围综述。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-08 DOI: 10.1080/01942638.2025.2493118

Anne Claire David, Laura Fournier-Poisson, Maxime T Robert, Marika Demers

{"title":"Interventions to Promote Bimanual Activities and Participation in Daily Life Activities in Children with Cerebral Palsy: A Scoping Review.","authors":"Anne Claire David, Laura Fournier-Poisson, Maxime T Robert, Marika Demers","doi":"10.1080/01942638.2025.2493118","DOIUrl":"https://doi.org/10.1080/01942638.2025.2493118","url":null,"abstract":"Aims: To identify rehabilitation interventions and outcome measures that target bimanual activities and autonomy in activities of daily living (ADLs) in children with cerebral palsy.Methods: This scoping review followed the Arksey and O'Malley framework. The literature search was conducted in five medical databases. Inclusion criteria were studies of children with cerebral palsy that delivered rehabilitation interventions targeting upper limb function and used valid outcome measures assessing bimanual activities or ADLs. The exclusion criteria were pharmacological or surgical interventions, reviews, expert opinions, protocols and qualitative studies. Two independent researchers screened titles/abstracts and full texts. Data related to the study participants, interventions, outcome measures and results were extracted.Results: Eighty-nine publications were included in this review. Out of the 17 interventions identified, the most frequent were constraint-induced movement therapy (n = 29), virtual reality (n = 22), hand-arm bimanual intensive training (n = 12), bimanual intensive training (n = 11) and action observation (n = 6). All five interventions showed significant improvements on bimanual function, whereas all but action observation showed improvements in autonomy in ADLs. We identified 15 outcome measures capturing bimanual activities and 6 capturing autonomy in ADLs.Conclusion: This scoping review provides essential information for the improvement of rehabilitation interventions for children with cerebral palsy.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036272","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}

引用次数: 0

Systematic Review and Meta-Analysis of the Effect of Motor Intervention on Cognition, Communication, and Social Interaction in Children with Autism Spectrum Disorder. 运动干预对自闭症谱系障碍儿童认知、沟通和社会互动影响的系统回顾和meta分析。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-05-04 DOI: 10.1080/01942638.2025.2498357

Marcelo R Rosales, Christiana Dodd Butera, Rujuta B Wilson, Judy Zhou, Elizabeth Maus, Hongyang Zhao, Jason C Chow, Annie Dao, Julia Freeman, Stacey C Dusing

{"title":"Systematic Review and Meta-Analysis of the Effect of Motor Intervention on Cognition, Communication, and Social Interaction in Children with Autism Spectrum Disorder.","authors":"Marcelo R Rosales, Christiana Dodd Butera, Rujuta B Wilson, Judy Zhou, Elizabeth Maus, Hongyang Zhao, Jason C Chow, Annie Dao, Julia Freeman, Stacey C Dusing","doi":"10.1080/01942638.2025.2498357","DOIUrl":"https://doi.org/10.1080/01942638.2025.2498357","url":null,"abstract":"Aims: Conduct a systematic review and meta-analysis on the effects of motor intervention on social, communication, and cognitive skills in individuals (0-21 years) with autism spectrum disorder (ASD).Methods: Seven databases were used to search for randomized control trials (RCT) implementing a motor intervention for children with ASD; and measured social, communication, and cognitive outcomes. Twenty-three RCTs were selected with 66 outcomes and 636 participants (range of mean age: 4.3 - 12.3 years).Results: Motor interventions had a significant, positive effect on (1) all outcomes combined (i.e. social, communication, and cognitive) (SSMD: 0.41, p = .01), (2) social (SSMD: 0.46, p = .012) and (3) combined social/communication (SSMD: 0.47, p = .01) domains, but not for the motor domain (SSMD: 0.45, p = .25) or cognitive domain alone (SSMD: 0.22, p = .18). In children above age nine, a 1-year increase in age corresponded to a 0.29 decrease in SSMD (less effective).Conclusions: Motor interventions have a positive impact and should be considered when planning interventions for children with ASD.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-23"},"PeriodicalIF":1.5,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046858","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}

引用次数: 0

Feasibility of a Yoga Intervention for Children and Adolescents Undergoing Hematopoietic Cell Transplant. 瑜伽干预对接受造血细胞移植的儿童和青少年的可行性。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-04-24 DOI: 10.1080/01942638.2025.2489999

Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven

{"title":"Feasibility of a Yoga Intervention for Children and Adolescents Undergoing Hematopoietic Cell Transplant.","authors":"Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven","doi":"10.1080/01942638.2025.2489999","DOIUrl":"https://doi.org/10.1080/01942638.2025.2489999","url":null,"abstract":"Aims: Interventions to support function and quality of life among pediatric patients undergoing hematopoietic cell transplant (HCT) are a priority. The purpose of this study was to evaluate the feasibility of a structured, individualized yoga intervention for children/adolescents undergoing HCT.Methods: Patients ages 8-17 years hospitalized for HCT participated in either phase one (standard of care [SOC] group) or phase two (yoga group) of the study. Feasibility outcomes included recruitment rates, number/intensity of yoga sessions completed, and patient satisfaction. Participants in both groups completed functional outcome and quality of life (QOL) measures.Results: All participants approached for the study agreed to participate, with 22 in the SOC group and 8 in the yoga group. On average, yoga participants completed 5.3 ± 2.8 sessions, the majority of moderate intensity. Most yoga participants reported the overall program, breathing, and relaxation strategies as helpful (83.3%) and supported their ability to move (66.7%). There were functional gain trends noted from baseline to time point 3 among the yoga group not observed in the SOC group.Conclusions: Yoga is feasible as a therapeutic intervention for hospitalized pediatric patients undergoing HCT. Functional assessment data, if streamlined, may be a relevant outcome for future yoga interventions.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058342","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}

引用次数: 0

Development of the Applied Coaching Tool for Pediatric Rehabilitation Therapists: A Practice Support Tool for Therapists Coaching Parents of Young Children. 儿童康复治疗师应用辅导工具的开发：治疗师辅导幼儿父母的实践支持工具。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-04-14 DOI: 10.1080/01942638.2025.2486119

Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton

{"title":"Development of the Applied Coaching Tool for Pediatric Rehabilitation Therapists: A Practice Support Tool for Therapists Coaching Parents of Young Children.","authors":"Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton","doi":"10.1080/01942638.2025.2486119","DOIUrl":"https://doi.org/10.1080/01942638.2025.2486119","url":null,"abstract":"Aim: Describes the development and implementation of the Applied Coaching Tool (ACT), and training protocol, to build coaching competency in therapists supporting parents of young children.Methods: The ACT was developed using literature review, draft tool creation, expert review and refinement. A training protocol for therapists to learn how to coach was developed using principles of adult learning, coaching and instructional design to increase learner competence and confidence.Results: The ACT framework includes five coaching events to support therapists to implement coaching practices including self-directed goals, learner-focused interventions with meaningful reflection, practice and feedback. Within the ACT, behaviors associated with coaching events were defined as overt therapist actions and elaborations - examples of interactional behaviors. The training plan for therapists consisted of a workshop, intentional practice with coaching feedback over a period of five months, and assessment of competence. Pilot implementation demonstrated evidence of acceptability, appropriateness, adoption and fidelity of the ACT.Conclusion: Use of the ACT, and the training plan, provides practical clinical behaviors for therapists to coach families to be active participants in rehabilitation which may contribute to improvements in self-efficacy and motivation in therapy. Furthermore, it provides a reliable standard amongst therapists coaching in pediatric rehabilitation.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062694","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}

引用次数: 0

Analysis of Commercial Instagram Content on Pediatric Neurological Physiotherapy Interventions and Products in Brazil. 巴西儿童神经物理治疗干预措施和产品Instagram商业内容分析

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-04-10 DOI: 10.1080/01942638.2025.2486111

Mickaelly Aisha Dos Santos, Francine Andrade, Marinna Cruz de Souza, Laís Rodrigues Gerzson, Karoline Kobus-Bianchini, André Luís Ferreira Meireles

{"title":"Analysis of Commercial Instagram Content on Pediatric Neurological Physiotherapy Interventions and Products in Brazil.","authors":"Mickaelly Aisha Dos Santos, Francine Andrade, Marinna Cruz de Souza, Laís Rodrigues Gerzson, Karoline Kobus-Bianchini, André Luís Ferreira Meireles","doi":"10.1080/01942638.2025.2486111","DOIUrl":"https://doi.org/10.1080/01942638.2025.2486111","url":null,"abstract":"Aims: To describe the content of commercial pediatric neurological physical therapy posts on Instagram and report the main interventions and products featured.Methods: A cross-sectional study was conducted using five pediatric neurological physical therapy hashtags on Brazilian commercial Instagram profiles, on three different days. The initial 50 posts for each hashtag were extracted by two independent reviewers. Data included the source of the posts, content characteristics, target populations, interventions featured in the posts and on the Instagram profiles, as well as the products promoted in the posts.Results: A total of 449 Instagram posts from 190 profiles were analyzed. Most posts were in video format (n = 278; 61.9%), categorized as service reports (n = 203; 45.2%), and posted by autonomous physical therapists (n = 195; 43.4%). The most frequent interventions were Suit therapy (n = 60; 15.9%) and mobility training (n = 59; 15.6%). Cerebral palsy (n = 90; 20%) and Down syndrome (n = 35; 7.7%) were the most frequently represented health conditions.Conclusions: Instagram offers various interventions and products for pediatric neurological rehabilitation. Excess information may cause indecision and adherence to ineffective treatments by families. Future research should assess the evidence behind services on social media and their impact on parents' decision-making.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065098","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}

引用次数: 0

The Role of Animals in Pediatric Occupational Therapy Telehealth Interventions: A Survey of Therapist Perspectives. 动物在儿童职业治疗远程医疗干预中的作用：治疗师观点的调查。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-04-08 DOI: 10.1080/01942638.2025.2486116

Macy Burr, Catherine Le

{"title":"The Role of Animals in Pediatric Occupational Therapy Telehealth Interventions: A Survey of Therapist Perspectives.","authors":"Macy Burr, Catherine Le","doi":"10.1080/01942638.2025.2486116","DOIUrl":"10.1080/01942638.2025.2486116","url":null,"abstract":"Aims: Animal-assisted interventions (AAI) incorporate animals in health, education, or human services to improve participant health and well-being. AAI can decrease stress, increase happiness, and improve motor skills. During the COVID-19 pandemic, virtual AAI programs became more common. Telehealth also became more prevalent in occupational therapy. This study explored the perceptions of occupational therapy (OT) practitioners regarding including animals in telehealth OT pediatric interventions.Methods: Survey responses were collected from 18 occupational therapists who have included animals in OT pediatric telehealth interventions.Results: Most participants agreed that incorporating animals into telehealth enhanced the therapeutic experience for their clients, as they perceived the intervention to decrease stress levels, improve mood, and increase social interaction skills. Additionally, three themes emerged from participants' open-ended responses: virtual AAI is versatile, virtual AAI can enhance the telehealth experience, and there are different challenges associated with virtual AAI.Conclusions: The findings provide clear support for the role of animals in pediatric OT telehealth interventions.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804491","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}

引用次数: 0

Home-Based Telerehabilitation to Prevent Post-Modified Constraint-Induced Movement Therapy Regression in Unilateral Cerebral Palsy: A Randomized Controlled Trial. 以家庭为基础的远程康复预防单侧脑瘫患者改良后约束诱导的运动治疗倒退：一项随机对照试验。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-04-03 DOI: 10.1080/01942638.2025.2482257

Youngsub Hwang, Won-Ho Shin, Sung-Eun Kim, Jeong-Yi Kwon

{"title":"Home-Based Telerehabilitation to Prevent Post-Modified Constraint-Induced Movement Therapy Regression in Unilateral Cerebral Palsy: A Randomized Controlled Trial.","authors":"Youngsub Hwang, Won-Ho Shin, Sung-Eun Kim, Jeong-Yi Kwon","doi":"10.1080/01942638.2025.2482257","DOIUrl":"https://doi.org/10.1080/01942638.2025.2482257","url":null,"abstract":"Aims: To determine the potential of low-end high-intensity home-based hand-arm bimanual intensive therapy (H-HABIT) in mitigating post-modified constraint-induced movement therapy (mCIMT) regression in children with unilateral cerebral palsy (UCP).Methods: Twenty-two children (aged 4-12 years) with UCP were assigned to either the experimental (n = 12) or control group (n = 10). Both groups completed 30 h of mCIMT for three weeks, followed by 30 h of H-HABIT for five weeks in the experimental group and none in the control group. Assessments, including the assisting hand assessment (AHA) and other standardized measures, were performed at baseline, post-mCIMT, and post-H-HABIT. Triaxial accelerometers were worn on both wrists during each phase to monitor the activity.Results: The experimental group showed AHA scores from baseline to post-H-HABIT, with a significant time × group interaction (p = 0.001, ƞ2 = 0.29) indicating distinct trajectories from the control. In contrast, actigraphy-based measures of the upper limb remained stable over time. Caregiver feedback for H-HABIT showed that 83.33% found the guidelines easy to follow, and 91.67% rated therapist interactions as helpful.Conclusions: H-HABIT may help prevent post-mCIMT regression. Further research should refine task selection and explore advanced assessment methods to better capture real-world function.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774658","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}

引用次数: 0