Physical & Occupational Therapy in Pediatrics最新文献

A Tele-Rehabilitation Home Exercise Program for Ambulatory Adults with Cerebral Palsy: A Feasibility Study. 脑性瘫痪成人远程康复家庭运动方案的可行性研究。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-30 DOI: 10.1080/01942638.2025.2552137

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":"Aims: 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).Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Physical and Occupational Therapy Utilization After Infant Abdominal Surgery. 婴儿腹部手术后物理和职业治疗的应用。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-29 DOI: 10.1080/01942638.2025.2564224

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":"Aims: 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.Methods: 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.Results: We assessed 210 neonates (92 operative, 118 nonoperative). Operative neonates had lower median [Q1, Q3] gestational age (GA) at birth and birthweight. Operative neonates experienced significantly greater median [Q1, Q3] 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.Conclusion: 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.","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}

引用次数: 0

Neonatal Therapy Interventions Supporting Oral Feeding Skills in Preterm Infants: A Systematic Review. 支持早产儿口腔喂养技能的新生儿治疗干预：一项系统综述。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-29 DOI: 10.1080/01942638.2025.2562931

Kaela Vetter, Christian Fernandes, Tiana T Nguyen

{"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":"Aim: 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.Methods: 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.Results: 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.Conclusion: Neonatal therapy interventions can start early and improve oral feeding outcomes in preterm infants, particularly when using multi-domain approaches.","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}

引用次数: 0

The Relationship Between Lower Limb Muscle Strength and Gross Motor Skills Including Ambulation in Children with Spina Bifida. 脊柱裂患儿下肢肌力与包括行走在内的大动作技能的关系。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-22 DOI: 10.1080/01942638.2025.2560984

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":"Aim: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Exploring Balance and Functional Mobility in Children with Juvenile Myoclonic Epilepsy, Effects of Cognitive and Motor Dual-Tasks: An Exploratory Pilot Study. 探索青少年肌阵挛性癫痫患儿的平衡和功能活动能力，认知和运动双重任务的影响：一项探索性试点研究。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-15 DOI: 10.1080/01942638.2025.2558791

Merve Kurt-Aydin, Dilan Savas-Kalender, Ramil Ahmadov, Tülay Tarsuslu, Aysen Gok, Dondu Ulker Ustebay, Ayse Semra Hız, Uluc Yıs

{"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":"Aims: 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.Methods: 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.Results: No significant differences were found in mCTSIB test between single-task and dual-task conditions (p > 0.05). However, TUG completion time increased under cognitive-motor dual-task conditions (p < 0.05). There was no significant correlation between balance and dual-task performance (p > 0.05).Conclusions: 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.","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}

引用次数: 0

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. 轮椅技能测验和轮椅技能测验问卷的心理测量特征：效度、信度和反应性在脑瘫儿童和青年中的探索性研究。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-08 DOI: 10.1080/01942638.2025.2555273

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":"Purpose: 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).Methods: 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) (n = 4).Results: The WST-Q caregiver proxy showed good concurrent validity with WST total scores (r = 0.623, p < 0.001). No acceptable responsiveness was found for the WST-Q caregiver proxy (R2 = 0.317, p = 0.071). Inter-rater reliability for the WST total scores was good (ICC = 0.864, p < 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 p < 0.001).Conclusions: 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.","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}

引用次数: 0

A National Survey on Oral Feeding Management Practices Across Canadian Neonatal Intensive Care Units. 加拿大新生儿重症监护病房口服喂养管理实践的全国调查。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-08 DOI: 10.1080/01942638.2025.2547372

Alyssa Alguire, Janine Kowalczyk, Hetta Patel, Sandra Fucile

{"title":"A National Survey on Oral Feeding Management Practices Across Canadian Neonatal Intensive Care Units.","authors":"Alyssa Alguire, Janine Kowalczyk, Hetta Patel, Sandra Fucile","doi":"10.1080/01942638.2025.2547372","DOIUrl":"https://doi.org/10.1080/01942638.2025.2547372","url":null,"abstract":"Aim: To explore oral feeding management practices, specifically initiation and advancement of oral feeds, across level II and III neonatal intensive care units (NICUs) in Canada.Methods: A national online survey was conducted across 65 NICUs (34 level II, 31 level III), which included questions on hospital demographics and clinical approaches for initiating, advancing, and managing oral feeds. A descriptive analysis was performed on the responses.Results: Of the 65 NICUs surveyed, 74% (n = 48) completed the survey. Many reported using custom-developed NICU guidelines for initiating and advancing oral feeds (n = 22, 46%), while few used evidence-based protocols (n = 16, 33%) or standardized assessments (n = 1, 2%). The most common clinical factors considered for initiating and advancing oral feeds include, behavioral cues (n = 47, 98%), stable vital signs (n = 47, 98%), gestational age (n = 43, 90%), and suck-swallow-breathe coordination (n = 26, 54%). Most units utilized a multidisciplinary approach (n = 38, 79%) with family involvement (n = 38, 79%). Feeding issues were typically addressed only during hospitalization, with no post-discharge follow-up (n = 31, 65%).Conclusion: This study revealed significant variation in oral feeding management practices across Canadian level II and III NICUs and highlights a shift toward evidence-based clinical factors for oral feeding initiation and advancement. These findings highlight the need for standardized, evidence-based guidelines to ensure consistent and optimal care in NICUs.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016485","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

Addressing Rehabilitation Needs in Pediatric Palliative Care: The Role of Occupational Therapy. 解决儿童姑息治疗中的康复需求：职业治疗的作用。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-08 DOI: 10.1080/01942638.2025.2555988

Gözde Önal, Sena Acar, Ganime Ayar

{"title":"Addressing Rehabilitation Needs in Pediatric Palliative Care: The Role of Occupational Therapy.","authors":"Gözde Önal, Sena Acar, Ganime Ayar","doi":"10.1080/01942638.2025.2555988","DOIUrl":"https://doi.org/10.1080/01942638.2025.2555988","url":null,"abstract":"Aims: Children with life-limiting illnesses face physical, cognitive, and emotional challenges that restrict their activities of daily living. Although these needs require a holistic approach, rehabilitation services, particularly occupational therapy, are often limited in pediatric palliative care. This study aimed to evaluate the unmet rehabilitation needs of children receiving pediatric palliative care in Turkey based on the Person-Environment-Occupation model.Methods: A sequential explanatory mixed-methods design was used. Quantitative data on self-care, mobility, and caregiver burden were collected through standardized assessments. Qualitative data were gathered from semi-structured interviews with parents and analyzed using Directed Content Analysis.Results: Quantitative findings revealed considerable impairments in mobility, self-care, and cognition, resulting in high caregiver burden. Qualitative findings contextualized these limitations, revealing themes of loss of independence, emotional distress, environmental barriers, and lack of professional and social support. Limited access to occupational therapy may impact quality of life.Conclusion: The findings suggest that occupational therapy may support children's participation in activities of daily living and ease caregiver burden in pediatric palliative care. Interventions focusing on physical, cognitive, and emotional challenges, as well as environmental adaptation, appear promising. Further research is needed to examine the long-term effects of occupational therapy in different care settings.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-21"},"PeriodicalIF":1.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016439","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 Qualitative Experiences of Youth With Disorders of Visual Efficiency. 青少年视觉效率障碍的定性经验。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-03 DOI: 10.1080/01942638.2025.2555276

Sharon B Marcy, Fern Silverman

{"title":"The Qualitative Experiences of Youth With Disorders of Visual Efficiency.","authors":"Sharon B Marcy, Fern Silverman","doi":"10.1080/01942638.2025.2555276","DOIUrl":"10.1080/01942638.2025.2555276","url":null,"abstract":"Aim: Disorders of visual efficiency present with symptoms that can impact a young person's occupational engagement. Often these disorders result from concussion, but may also present idiopathically. Literature is available on the ocular implications of concussion and the symptoms of visual efficiency disorders, regardless of cause. Lacking is an understanding of the lived experience of diagnosed youth. Patient-reported experiences on life with disorders of visual efficiency can inform client-centered evaluation and treatment. The aim of this study was to describe the lived experience of youth with visual efficiency disorders resulting from concussion or unknown etiology.Methodology: Retrospective descriptive qualitative study of anonymized verbatim transcripts from semi-structured individual interviews (n = 4) and coed focus groups (n = 20).Results: Disorders of visual efficiency influence participation across occupational domains, affect social-emotional well-being, and are often managed through environmental and activity adaptations. Participants described experiences of occupational alienation, family and peer challenges, and variability in supports at school.Conclusions: Similarities exist in occupational, social-emotional and adaptive needs of youth with disorders of visual efficiency resulting from either concussion or unknown etiology. These self-described experiences can assist caregivers, educators, and therapists in evaluation, intervention, and implementation of supports to improve engagement in valuable life roles.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975964","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

Feeding Therapy and its Relationship to Timing of Independent Oral Feeding for Preterm Infants in the Neonatal Intensive Care Unit. 新生儿重症监护室早产儿喂养疗法及其与独立口服喂养时机的关系。

IF 1.7 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-09-03 DOI: 10.1080/01942638.2025.2552136

Tiana T Nguyen, Roberta Pineda, Stacey Reynolds, Elizabeth E Rogers, Audrey E Kane

{"title":"Feeding Therapy and its Relationship to Timing of Independent Oral Feeding for Preterm Infants in the Neonatal Intensive Care Unit.","authors":"Tiana T Nguyen, Roberta Pineda, Stacey Reynolds, Elizabeth E Rogers, Audrey E Kane","doi":"10.1080/01942638.2025.2552136","DOIUrl":"10.1080/01942638.2025.2552136","url":null,"abstract":"Aim: To examine the relationship between feeding therapy and the timing of independent oral feeding (IOF) in preterm infants in the neonatal intensive care unit (NICU).Study design: A retrospective analysis of 536 preterm infants (<37 wk gestation) admitted to a level IV NICU between January 2017 and December 2019 was conducted. Clinical and therapy data were extracted from the electronic health record to examine associations between feeding therapy utilization and feeding outcomes.Results: Medically complex infants were more likely to receive a feeding therapy referral (p = .001), and infants who received feeding therapy achieved IOF an average of 1.5 wk later than those who did not (p < .001). Among infants receiving therapy, earlier initiation was beneficial as each additional week of delay in therapy initiation corresponded to a 0.02-week delay in achieving IOF after adjusting for medical factors (p = .023). No association was found between feeding therapy frequency and postmenstrual age at IOF.Conclusion: Early initiation of feeding therapy may help expedite IOF. Timely referrals can support oral motor development and improve feeding outcomes in preterm infants. The lack of association with frequency may reflect staffing limitations that impacted consistent therapy delivery rather than a true absence of benefit.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-13"},"PeriodicalIF":1.7,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0