Physical & Occupational Therapy in Pediatrics最新文献

{"title":"Combining Premature Infant Oral Motor Intervention and Kinesiotaping to Improve Feeding Performance in Premature Infants: A Single-Blind Randomized Clinical Trial.","authors":"Ehsan Naderifar, Leila Ghelichi, Reza Salehi, Maryam Tarameshlu, Arash Bordbar, Negin Moradi, Brenda Lessen Knoll","doi":"10.1080/01942638.2026.2638426","DOIUrl":"https://doi.org/10.1080/01942638.2026.2638426","url":null,"abstract":"<p><strong>Purpose: </strong>Feeding problems are common among premature infants and can lead to dehydration, malnutrition, and prolonged hospitalization. Effective interventions are needed to improve oral feeding skills. This study aimed to evaluate the effects of a combined intervention-Premature Infant Oral Motor Intervention (PIOMI) and Kinesiotaping (KST)-on feeding performance in premature infants, compared to each intervention administered individually.</p><p><strong>Methods: </strong>A single-blind randomized clinical trial was conducted with 45 premature infants (gestational age 30-34 wk) diagnosed with feeding difficulties. Participants were randomly assigned to three groups (<i>n</i> = 15): combined intervention (PIOMI+KST), PIOMI alone, or KST alone. Interventions were administered daily for seven days. Primary outcome was the Preterm Oral Feeding Readiness Assessment Scale (POFRAS). Secondary outcomes included mean oral intake volume (%MV), weight gain, oral intake improvement, time to achieve full oral feeding, and length of hospital stay.</p><p><strong>Results: </strong>All groups showed significant improvements in feeding outcomes (<i>p</i> < 0.001). The combined intervention group, and also the PIOMI group, demonstrated significantly greater improvements in POFRAS scores, %MV, weight gain, and shorter length of hospital stay compared to the KST group (<i>p</i> < 0.05). Effect sizes were largest in the combined group, indicating a clinically meaningful advantage.</p><p><strong>Conclusions: </strong>The combination of PIOMI with KST significantly enhances feeding performance in premature infants beyond either intervention alone. This synergistic approach may promote earlier achievement of full oral feeding and reduce hospitalization duration, potentially lowering healthcare costs.</p><p><strong>Clinical trial registration: </strong>[IRCT20210905052381N1, 2021-09-20].</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786820","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":"Clinical Integration of a Goal-Specific Virtual-Reality Biofeedback Treadmill Training Program for Children with Cerebral Palsy.","authors":"Gilad Sorek, Itai Schurr, Simon-Henri Schless","doi":"10.1080/01942638.2026.2660354","DOIUrl":"https://doi.org/10.1080/01942638.2026.2660354","url":null,"abstract":"<p><strong>Aims: </strong>To conduct a preliminary evaluation of the effectiveness of a clinical virtual-reality (VR) treadmill-based biofeedback treatment program in children and adolescents with cerebral-palsy (CP).</p><p><strong>Methods: </strong>This study included preliminary retrospective data from 17 children with CP (mean ± SD age 11.3 ± 3.1 years, Gross-Motor-Function-Classification System level I/II = 8/9). All participants were referred to a series of VR treadmill-based biofeedback training in the Gait Real-time Analysis Interactive Lab system (7-12 treatments for 3-6 wk), adhering to a clinical paradigm. One of the treatment aims for all participants was to increase the knee extension angle during initial contact. Outcome measures included spatiotemporal parameters, dimensionless walking speed (DWS), Gait-Profile-Score (GPS), Gait-Variable-Score (GVS), and kinematics waveforms.</p><p><strong>Results: </strong>All but one participant completed all treatments in their series. There was a significant improvement in DWS (<i>p</i> = 0.008), step-length in the more-involved leg (<i>p</i> < 0.001) and reduction in variance in most spatiotemporal parameters (<i>p</i> < 0.05), in addition to small changes in the less-involved leg kinematic waveforms (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Overall reductions in spatiotemporal gait deviations were observed following the VR treadmill-based biofeedback series, with strong participant adherence, although no consistent increase in knee extension angle was found. VR biofeedback may be a promising intervention within a clinical paradigm for individuals with CP.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786830","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":"Establishing Brazilian Age Norms and Cross-Cultural Differences in Infant Motor Development Using the Test of Infant Motor Performance (TIMP).","authors":"Nadia Cristina Valentini, Eloá Maria Chiquetti, Glauber Carvalho Nobre","doi":"10.1080/01942638.2026.2654567","DOIUrl":"https://doi.org/10.1080/01942638.2026.2654567","url":null,"abstract":"<p><strong>Aims: </strong>(1) to compare the motor development trajectories of infants from Brazil (BR) and the U.S.; (2) to propose normative cutoffs scores for BR infants and examine similarities and differences in motor performance relative to U.S. cutoff scores; (3) to investigate variations in TIMP motor performance among Brazilian infants according to medical risk.</p><p><strong>Methods: </strong>A total of 724 BR infants from diverse geographic regions were assessed using the TIMP and classified into low-, moderate-, and high-risk groups on medical history. Bayesian linear regression and discriminative power analysis were conducted.</p><p><strong>Results: </strong>U.S. infants demonstrated higher performance during the early age ranges (34-35 week postmenstrual age to 6-7 week post-term corrected age), whereas BR infants showed higher performance from 10 week post-term corrected-age onward. The use of U.S. cutoff scores overestimated motor delays. Brazilian norms were sensitive to differentiated risk groups.</p><p><strong>Conclusions: </strong>Brazilian norms improved screening, accuracy, and referral decisions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786773","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":"Infographic Utilization Among School-Based Occupational and Physical Therapists: A Survey of Current Practices, Barriers, and Training Needs.","authors":"L A Hintz, S M Cahill, R Hulla, M Street, C Singleton","doi":"10.1080/01942638.2026.2654569","DOIUrl":"https://doi.org/10.1080/01942638.2026.2654569","url":null,"abstract":"<p><p>Infographics are powerful visual communication tools that simplify complex information; however, their application in school-based therapy remains largely unexplored.</p><p><strong>Aims: </strong>This study investigated utilization patterns, knowledge, and perceptions of infographics among school-based occupational and physical therapists across the United States.</p><p><strong>Methods: </strong>A cross-sectional descriptive study employed an online survey distributed through professional networks from May to August 2025. The 34-item survey assessed familiarity, usage frequency, perceived effectiveness, barriers, and training needs. Descriptive statistics and non-parametric tests analyzed quantitative data, while content analysis examined qualitative responses.</p><p><strong>Results: </strong>Of 176 participants, 89.4% were familiar with infographics, yet only 72% used them in practice. Among users, 41% employed infographics monthly, with 86.5% rating them moderately to extremely effective in enhancing teacher understanding. Primary barriers included time constraints (54.1%), limited software access (44.0%), and unfamiliarity with creation processes (22.0%). Despite barriers, over 80% expressed interest in training and guidance. School district size significantly influenced perceptions about time-saving benefits and training needs.</p><p><strong>Conclusions: </strong>A significant awareness-to-implementation gap exists in infographic utilization among school-based therapists. While practitioners recognize their value, systemic barriers prevent regular implementation. Targeted professional development, infrastructure support, and collaborative resource development could enhance visual communication and knowledge translation in school-based practice.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724475","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":"Effects of Kinesiotaping in Patients with Legg-Calvé-Perthes Disease: A Randomized, Double Blind, Placebo-Controlled Trial.","authors":"Sezen Karaborklu Argut, Nur Aydinli, Nazif Ekin Akalan, Fuat Bilgili","doi":"10.1080/01942638.2026.2660349","DOIUrl":"10.1080/01942638.2026.2660349","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to evaluate the immediate clinical effect of kinesiotaping in treatment of children with Legg-Calvé-Perthes Disease (LCPD).</p><p><strong>Methods: </strong>A randomized, double-blind, placebo-controlled clinical trial was conducted with 30 participants, ages 6 to 15, who were randomly assigned to either the kinesiotaping or sham taping group. All participants were assessed before and 30 min after the intervention. Primary outcomes included activity-related hip pain measured by a visual analogue scale, pain-limited goniometric range of motion of the affected hip, and maximal isometric force of gluteus medius muscle. Secondary outcomes encompassed functional performance (10-meter walking test and 10-step climbing test durations) and balance (one-leg stance and tandem walk test durations).</p><p><strong>Results: </strong>Both groups demonstrated significant within-group improvements in activity-related pain, pain-limited range of motion, maximal isometric force, tandem walking test, and 10-meter walking performance (<i>p</i> < 0.05). Improvement in the 10-step climbing test was observed only in the kinesiotaping group. However, no statistically significant between-group differences were detected for any outcome (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Kinesiotaping did not demonstrate superiority over sham taping in children with LCPD. The observed improvements are therefore likely attributable to placebo or nonspecific contextual effects rather than to the taping itself.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724527","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":"Health-Related Quality of Life and Associated Factors in Children with Developmental Coordination Disorder (DCD), Probable DCD, and Typical Development: A Cross-Sectional Study.","authors":"Meyene Duque Weber, Jorge Lopes Cavalcante Neto, Eloisa Tudella","doi":"10.1080/01942638.2026.2657940","DOIUrl":"https://doi.org/10.1080/01942638.2026.2657940","url":null,"abstract":"<p><strong>Aims: </strong>To assess the health-related quality of life (HRQoL) in children with Developmental Coordination Disorder (DCD), probable DCD, and typical development, and its relation to biological and environmental factors.</p><p><strong>Methods: </strong>A total of 694 children participated (50.8% girls, 8.03 ± 1.43 years old) in this cross-sectional study. Caregivers completed the caregiver version of the PedsQL 4.0, the DCD Questionnaire, and a sociodemographic questionnaire. Children were assessed using the Movement ABC - 2 and completed the child version of the PedsQL 4.0. Children were divided into three groups: children with DCD, probable DCD, and typical development.</p><p><strong>Results: </strong>In the caregivers' perception, there was a significant difference between groups for all HRQoL domains (physical, emotional, social, and school) and the total score (<i>p</i> < 0.001). In the child's self-perception, there was a significant difference between groups in the physical (<i>p</i> = 0.011), school (<i>p</i> < 0.001), and total score (<i>p</i> = 0.004) domains. Biological and environmental negative factors, when interacting with the groups, were associated with HRQoL.</p><p><strong>Conclusion: </strong>Children with DCD show significantly lower HRQoL than children with typical development and with probable DCD. Biological and environmental negative factors, especially environmental, were associated with HRQoL when interacting with the groups.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.7,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700656","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":"Reliability and Validity of the European Portuguese Version of the Multisensory Amplification Scale in Adolescents.","authors":"Rosa Andias, Cidália Nunes, Sofia Leão, Laura Frey-Law, Ana Balula, Anabela Gonçalves Silva","doi":"10.1080/01942638.2026.2654617","DOIUrl":"https://doi.org/10.1080/01942638.2026.2654617","url":null,"abstract":"<p><strong>Aim: </strong>To translate the Multisensory Amplification Scale (MSAS) into European Portuguese and assess its validity and reliability in adolescents.</p><p><strong>Methods: </strong>The MSAS was completed by 252 adolescents, who also responded online to the questionnaires: Nordic Musculoskeletal Questionnaire, Functional Disability Inventory, Depression, Anxiety and Stress Scale, Basic Scale on Insomnia Complaints and Quality of Sleep, and Central Sensitization Inventory. To assess test-rest reliability and measurement error, a subsample of 114 adolescents completed the MSAS twice. Structural validity and hypotheses testing were explored to assess construct validity.</p><p><strong>Results: </strong>Test-retest reliability was good in adolescents with (<i>n</i> = 134; ICC  =  0.84) and without (<i>n</i> = 118; ICC = 0.76) chronic pain. The SEM and MDC were 3.08 and 8.54 in adolescents with pain, respectively, and 3.28 and 9.09 in adolescents without pain. Cronbach's alpha showed good internal consistency in adolescents with (α = 0.80) and without (α = 0.74) pain. The factor analysis suggested a three-and four-factor solution for adolescents with and without pain, respectively. Positive correlations were found between MSAS and disability(<i>r_s</i> = 0.30), depression, anxiety and stress(<i>r_s</i> = 0.37), symptoms of nervous system sensitization(<i>r</i> = 0.47), sleep impairments(<i>r_s</i> = 0.24) and number of painful body sites(<i>r</i> = 0.24) in adolescents with chronic pain.</p><p><strong>Conclusion: </strong>The MSAS European Portuguese version appears to be valid and reliable in adolescents with and without chronic pain.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-20"},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693221","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":"Mastery Motivation and Maternal Stress in Typically Developing Children and Children With Neurodevelopmental Disorders.","authors":"Tal Mazor-Karsenty, Noam Aharon, Rena Chamudot, Danit Langer","doi":"10.1080/01942638.2026.2654566","DOIUrl":"10.1080/01942638.2026.2654566","url":null,"abstract":"<p><strong>Aims: </strong>To examine (1) differences in mastery motivation (MM) between children with neurodevelopmental disorders (NDD) and children with typical development (TD), (2) group differences in maternal stress, and (3) explore the association between maternal stress and MM.</p><p><strong>Methods: </strong>In this cross-sectional study, mothers of TD (<i>n</i> = 89) and NDD children (<i>n</i> = 38) completed the <i>Dimensions of Mastery Questionnaire</i> (assessing instrumental and expressive MM and General Competence) and the <i>Parenting Stress Index-Short Form</i> (measuring multiple stress domains).</p><p><strong>Results: </strong>Mothers of children with NDD reported significantly higher stress and their children's lower instrumental MM and General Competence, while expressive MM did not differ between groups. In the TD group, higher stress correlated with lower social and cognitive persistence. In the NDD group, stress was associated with reduced motor and cognitive persistence, and General Competence showed negative correlations with all stress subscales. Expressive MM showed weak correlations in the TD group.</p><p><strong>Conclusions: </strong>Maternal stress is linked to lower child persistence and perceived competence, particularly in children with NDD. These findings highlight the need for interventions addressing both child motivation and parental stress to promote optimal development.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678011","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":"Commentary: Immediate Effect of Digital Game Use and Verbal Encouragement on Lower Limb Activity and Psychological Enjoyment During Motor Task in Children with Motor Disorders.","authors":"Ahana Sah, Amit Kumar","doi":"10.1080/01942638.2026.2633197","DOIUrl":"https://doi.org/10.1080/01942638.2026.2633197","url":null,"abstract":"","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-3"},"PeriodicalIF":1.7,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678029","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":"Prognostic Factors for Relapse of Idiopathic Clubfoot: A Cohort Study.","authors":"Isabelle Wang, Stephanie Manning, Wendy Poulsen, Leanne Johnston","doi":"10.1080/01942638.2026.2627273","DOIUrl":"https://doi.org/10.1080/01942638.2026.2627273","url":null,"abstract":"<p><strong>Aims: </strong>The aim of our observational study was to investigate if initial severity of deformity, residual deformity post-casting, and age of cessation of bracing were predictive of clubfoot relapse.</p><p><strong>Methods: </strong>Children with idiopathic clubfoot, treated at our institution from 2014 to 2022, were recruited. Initial and post-casting Pirani scores and range of motion, and age of cessation of bracing were compared between relapse and no relapse groups. Logistic regression analyses were performed to identify predictive factors.</p><p><strong>Results: </strong>Of 93 clubfoot (in 62 children), 40 feet had at least one relapse before the age of five. The mean follow-up duration was 79.52 months. The relapse group had significantly higher initial Pirani scores-empty heel (<i>p</i> = 0.005), medial crease (<i>p</i> < 0.001), lateral head of talus (<i>p</i> = 0.015), and total Pirani score (<i>p</i> = 0.002). Initial medial crease score (<i>p</i> = 0.018) and post-casting empty heel score (<i>p</i> = 0.021) significantly predicted relapses. Study limitations are discussed in the full text.</p><p><strong>Conclusion: </strong>Greater initial medial crease score and residual empty heel score were associated with higher relapse rates. Physiotherapy follow-up for at least five years is recommended. Findings may inform targeted follow-up strategies for high-risk children.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677981","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}