Physical & Occupational Therapy in Pediatrics最新文献

{"title":"Reliability of Selected Health-Related Fitness Tests for Children With Developmental Coordination Disorder.","authors":"Isabelle Demers, Hélène Moffet, Désirée B Maltais","doi":"10.1080/01942638.2023.2223280","DOIUrl":"10.1080/01942638.2023.2223280","url":null,"abstract":"<p><p><b>Aim:</b> To quantify test-retest reliability and minimal detectable change for 90 and 95% confidence levels (90MDC, 95MDC) for health-related fitness tests in children with developmental coordination disorder (DCD). <b>Methods:</b> Lower limb muscle strength [hand-held dynamometry (HHD), unilateral heel rise test (UHRT), standing broad jump (SBJ)], muscle endurance [Muscle Power Sprint Test (MPST)] and cardiorespiratory endurance [20-metre Shuttle Run Test (20mSRT)] were evaluated twice (2-7 day interval) in 31 children with DCD (20 males, 9.4 years old ± 2.0). <b>Results:</b> Test-retest reliability was reported as intraclass correlation coefficient (ICC) (2, 1) 95% confidence interval lower bounds. Values were excellent for MPST (peak and mean power: 0.93, 0.95), good for HHD (0.81-0.88), SBJ (0.82), and the 20mSRT (0.87) and moderate for UHRT (0.74). For HHD, the 90MDC and 95MDC were the largest for hip extensors (14.47, 12.14 Nm) and the smallest for ankle dorsiflexors (1.55, 1.30 Nm). For UHRT, SBJ, MPST and the 20mSRT, these MDC values were 11.90, 9.98 repetitions; 25.49, 21.38 cm; 4.70, 3.94 W (mean power), and 6.45, 5.42 W (peak power) and 0.87, 0.73 (number of stages), respectively. <b>Conclusion:</b> These tests yield reliable test-retest results that can be used to evaluate fitness changes in this group.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"216-231"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9699057","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":"Family-Professional Collaboration on Modified Ride-on Car Intervention for Young Children: Two Case Reports.","authors":"Mihee An, Jeonghui Kim","doi":"10.1080/01942638.2023.2223692","DOIUrl":"10.1080/01942638.2023.2223692","url":null,"abstract":"<p><strong>Aims: </strong>The study aimed to describe the implementation of a collaborative ride-on car (ROC) intervention by applying a practice model of family-professional collaboration. The model involves specific strategies for collaboration, \"visualizing a preferred future\" and \"scaling questions.\"</p><p><strong>Methods: </strong>The participants were two young children with mobility limitations and their mothers. The 12-week of ROC intervention involved training sessions with a therapist and home sessions. The outcomes included the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS).</p><p><strong>Results: </strong>The collaborative strategies facilitated parent engagement in goal setting, planning, and evaluation. After the intervention, the mothers' ratings of their children's performance and parent satisfaction on the COPM increased by 6 and 3 points, respectively, and the level of goal attainment exceeded expectations (+1 on GAS) in both families. Prior to the ROC intervention, both families were hesitant to use powered mobility. However, the experience of participating in the ROC intervention process broadened parents' perspectives on self-directed mobility and led them to explore options for their children to move independently.</p><p><strong>Conclusions: </strong>The collaborative ROC intervention can be used as an intervention for early mobility and a bridging step for families reluctant to use a powered wheelchair.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"198-215"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9995584","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":"Age-Related Differences in Muscle Size and Strength between Individuals with Cerebral Palsy and Individuals with Typical Development.","authors":"Mattie E Pontiff, Noelle G Moreau","doi":"10.1080/01942638.2023.2287463","DOIUrl":"10.1080/01942638.2023.2287463","url":null,"abstract":"<p><strong>Aim: </strong>Examine age-related differences in muscle size and strength of the knee extensors in individuals with cerebral palsy (CP) and individuals with typical development (TD).</p><p><strong>Methods: </strong>54 individuals with CP (14.5 ± 4.5 years, GMFCS I-V) and 33 individuals with TD (16.2 ± 5.5 years) were included. Relationships between rectus femoris (RF) and vastus lateralis (VL) muscle volume and isokinetic knee extensor strength with age were examined with linear regression and ANCOVA to test age-related differences between groups.</p><p><strong>Results: </strong>Linear regression for muscle volume with age was statistically significant in TD (VL: <i>r</i>² = 0.48, RF: <i>r</i>² = 0.56, <i>p</i> < .05) and those with CP (VL: <i>r</i> = 0.36, RF: <i>r</i>² = 0.27, <i>p</i> < .05) with no differences in regression slopes between groups (<i>p</i> > .05). Age-related strength differences were observed in TD (<i>r</i>² = 0.66, <i>p</i> < .001) and those with CP (<i>r</i>² = 0.096, <i>p</i> = .024), but the slopes were significantly different between CP and TD (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>Age-related linear differences in muscle volume and strength were observed in both groups. The linear slope of the age-related differences in knee extensor muscle strength and strength-to-body mass ratio were significantly lower in individuals with CP compared to individuals with TD, suggesting that strength is insufficient to keep up with gains in body mass during growth.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"572-585"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463914","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":"Examination of Physical Functions, Activity and Participation in Children with Juvenile Idiopathic Arthritis.","authors":"Vesile Yildiz-Kabak, Sinan Buran, Nur Banu Karaca, Orkun Tufekci, Emil Aliyev, Yagmur Bayindir, Songul Atasavun Uysal, Yelda Bilginer, Edibe Unal, Seza Ozen","doi":"10.1080/01942638.2024.2376058","DOIUrl":"10.1080/01942638.2024.2376058","url":null,"abstract":"<p><strong>Aims: </strong>To examine physical functions, activity, and participation level, and associated factors with participation in children with juvenile idiopathic arthritis (JIA) across the International Classification of Functioning Disability and Health-Children and Youth.</p><p><strong>Methods: </strong>49 children (Girl/Boy:28/21) aged between 7 and 18 years (Mean: 13.4 ± 3.3) were included. To evaluate body structure/functioning; pain, fatigue, disease activity, and motor functions were assessed. Childhood Health Assessment Questionnaire and Juvenile Arthritis Biopsychosocial and Clinical Questionnaire were used to determine activity level. Child and Adolescent Scale of Participation was used to assess participation.</p><p><strong>Results: </strong>Mild level of pain (2.0 ± 2.3), disease activity (2.0 ± 2.3), and fatigue (4.1 ± 4.0) were recorded. Decrease in motor functions was determined in 75% of children, while 61% of whom had activity-related disability. There was mild to moderate participation restrictions, and participation was significantly associated with age (<i>r</i> = -0.29), pain severity (<i>r</i> = -0.31), disease activity (<i>r</i> = -0.39), motor functions (<i>r</i> = 0.33), and activity level (<i>r</i> = -0.43), (<i>p</i> ˂ 0.05).</p><p><strong>Conclusions: </strong>Majority of children with JIA have deteriorations in physical functions, activity, and participation. Age, pain, disease activity, motor functions and activity level were associated with participation level. Children with JIA should be regularly evaluated multi-directional and they should be referred to rehabilitation programs to increase functionality and participation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"798-811"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591829","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":"Psychometric Evaluation of the Persian Version of the Functional Mobility Scale: Assessing Validity and Reliability.","authors":"Razieh Sadeghian Afarani, Saeid Fatorehchy, Mehdi Rassafiani, Mohsen Vahedi, Hamidreza Azadi, Nazila Akbarfahimi","doi":"10.1080/01942638.2024.2314489","DOIUrl":"10.1080/01942638.2024.2314489","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to assess the content, concurrent validity, test-retest, and intra-rater reliability of the Persian version of the Functional Mobility Scale (FMS) for evaluating functional mobility in children and adolescents with cerebral palsy (CP).</p><p><strong>Methods: </strong>Following international standards for measurement translation, we developed a Persian version of the FMS. A total of 160 participants took part in this study. Concurrent validity was assessed using Spearman's coefficient to correlate with the Gross Motor Function Classification System (GMFCS). Test-retest (<i>n</i> = 30) and intra-rater (<i>n</i> = 30) reliability of the FMS were also examined by Cohen's weighted kappa coefficient.</p><p><strong>Results: </strong>Concurrent validity ranged from -0.912 to -0.941 for children and -0.912 to -0.936 for adolescents. Test-retest ranged from 0.902 to 1. Intra-rater ranged from 0.933 to 0.987.</p><p><strong>Conclusion: </strong>The Persian version of the FMS demonstrates very strong validity and almost perfect reliability for assessing and classifying functional mobility in children and adolescents with CP. These findings suggest that this tool could be a useful addition to clinical practice and research for the Persian-speaking population.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"721-732"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693287","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 Plyometric-Based Hydro-Kinesiotherapy on Pain, Muscle Strength, Postural Stability, and Functional Performance in Children with Hemophilic Knee Arthropathy: A Randomized Trial.","authors":"Ragab K Elnaggar, Alshimaa R Azab, Ahmed S Alhowimel, Mazyad A Alotaibi, Mohamed S Abdrabo, Mahmoud S Elfakharany","doi":"10.1080/01942638.2024.2327363","DOIUrl":"10.1080/01942638.2024.2327363","url":null,"abstract":"<p><strong>Aim: </strong>To explore how plyometric-based hydro-kinesiotherapy (Plyo-HKT) would affect pain, muscle strength, postural stability, and functional performance in a convenience sample of children with hemophilic knee arthropathy (HKA).</p><p><strong>Methods: </strong>Forty-eight children with HKA (age: 8-16 years) were randomly allocated to the Plyo-HKT group (<i>n</i> = 24; underwent the Plyo-HKT for 45 min, twice/week over 12 wk in succession) or the comparison group (<i>n</i> = 24; performed the standard exercise rehabilitation at an equivalent frequency and duration). Pain, peak concentric torque of quadriceps and hamstring (produced at two angular velocities: 120 and 180 ^o/sec), dynamic limits of postural stability (DLPS), and functional performance [Functional Independence Score in Hemophilia (FISH) and 6-Minute Walk Test (6-MWT)] were assessed pre- and post-intervention.</p><p><strong>Results: </strong>In contrast with the comparison group, the Plyo-HKT group achieved more favorable pre-to-post changes in pain (<i>p</i> = .028, <i>η</i>²_p = 0.10), peak torque of quadriceps [120°/sec (<i>p</i> = .007, <i>η²</i>_P = 0.15); 180°/sec (<i>p</i> = .011, <i>η²</i>_P = 0.13)] and hamstring [120°/sec (<i>p</i> = .024, <i>η²</i>_P = 0.11); 180°/sec (<i>p</i> = .036, <i>η²</i>_P = 0.09)], DLPS_directional [forward (<i>p</i> = .007, <i>η²</i>_P = 0.15); backward (<i>p</i> = .013, <i>η²</i>_P = 0.12); affected side (<i>p</i> = .008, <i>η²</i>_P = 0.14); non-affected side (<i>p</i> = .002, <i>η²</i>_P = 0.20)], DLPS_overall (<i>p</i> < .001, <i>η²</i>_P = 0.32), and functional performance [FISH (<i>p</i> < .001, <i>η</i>²_p = 0.26); 6-MWT (<i>p</i> = .002, <i>η</i>²_p = 0.19)].</p><p><strong>Conclusion: </strong>Plyo-HKT is likely helpful for reducing pain, improving strength, enhancing postural stability, and boosting functional capabilities in children with HKA. Physical rehabilitation practitioners should, therefore, consider this intervention strategy.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"704-720"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140094958","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":"The Impact of Complex Trauma on Occupations and Daily Functioning in Childhood: A Scoping Review.","authors":"Síomha Walsh-Garcia, Michelle Spirtos, David Mockler, Katie Cremin","doi":"10.1080/01942638.2023.2299272","DOIUrl":"10.1080/01942638.2023.2299272","url":null,"abstract":"<p><strong>Aims: </strong>To explore the impact of complex trauma on occupations and daily functioning in childhood through empirical studies and asses the extent and state of available evidence.</p><p><strong>Methods: </strong>The five-stage scoping review framework by Arksey and O'Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR: Tricco et al.) were followed. EMBASE, MEDLINE, CINAHL, PsychINFO, and Web of Science databases were systematically searched. Included studies were empirical research published in English up to December 2022, reporting on the impact of complex trauma on daily functioning or occupations in children experiencing such trauma, defined as prolonged exposure to interpersonal trauma arising within the primary caregiving system.</p><p><strong>Results: </strong>Eight studies were included. They reported impacts on personal and instrumental activities of daily living, sleep, education, work, play, leisure, and social participation. Some domains lacked comprehensive investigation, and studies lacked descriptions of specific effects on these areas.</p><p><strong>Conclusions: </strong>The review reveals a lack of robust empirical evidence on the impact of complex trauma on occupations and daily functioning in childhood, with limited depth for comprehensive analysis on the extent of children's occupational life impact. Further research is warranted to address identified gaps.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"489-512"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378553","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":"A Feasibility Study of a Physical and Occupational Therapy-Led and Parent-Administered Program to Improve Parent Mental Health and Infant Development.","authors":"Dana B McCarty, Stacey C Dusing, Deborah Thorpe, Morris Weinberger, Susan Pusek, Alana Gilbert, Tianyi Liu, Kerry Blazek, Sara Hammond, T Michael O'Shea","doi":"10.1080/01942638.2023.2271102","DOIUrl":"10.1080/01942638.2023.2271102","url":null,"abstract":"<p><strong>Aims: </strong>Extremely premature birth puts infants at high risk for developmental delay and results in parent anxiety and depression. The primary objective of this study was to characterize feasibility and acceptability of a therapist-led, parent-administered therapy and massage program designed to support parent mental health and infant development.</p><p><strong>Methods: </strong>A single cohort of 25 dyads - parents (24 mothers, 1 father) and extremely preterm (<28 wk gestation) infants - participated in the intervention. During hospitalization, parents attended weekly hands-on education sessions with a primary therapist. Parents received bi-weekly developmental support emails for 12 months post-discharge and were scheduled for 2 outpatient follow up visits. We collected measures of parent anxiety, depression, and competence at baseline, hospital discharge, and <4 and 12 months post-discharge.</p><p><strong>Results: </strong>All feasibility targets were met or exceeded at baseline and discharge (≥70%). Dyads participated in an average of 11 therapy sessions (range, 5-20) during hospitalization. Lower rates of data collection adherence were observed over successive follow ups (range, 40-76%). Parent-rated feasibility and acceptability scores were high at all time points.</p><p><strong>Conclusions: </strong>Results support parent-rated feasibility and acceptability of the TEMPO intervention for extremely preterm infants and their parents in the Neonatal Intensive Care Unit.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"316-335"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693282","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}

{"title":"Clocks Are Ticking! Early Diagnosis, Early Interventions: A Commentary on Detecting Asymmetry of Upper Limb Activity with Accelerometry in Infants at Risk for Unilateral Spastic Cerebral Palsy","authors":"Isabelle Poitras","doi":"10.1080/01942638.2024.2284071","DOIUrl":"https://doi.org/10.1080/01942638.2024.2284071","url":null,"abstract":"Published in Physical & Occupational Therapy In Pediatrics (Ahead of Print, 2023)","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"75 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138574410","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":"Therapists' Use of Instructions and Feedback in Motor Learning Interventions in Children with Developmental Coordination Disorder: A Video Observation Study.","authors":"Ingrid P A van der Veer,&nbsp;Caroline H G Bastiaenen,&nbsp;Mieke Goetschalckx,&nbsp;Nathalie N F van der Wielen-Heezius,&nbsp;Eugene A A Rameckers,&nbsp;Katrijn Klingels","doi":"10.1080/01942638.2023.2194408","DOIUrl":"10.1080/01942638.2023.2194408","url":null,"abstract":"<p><strong>Aim: </strong>This qualitative study explored therapists' use of instructions and feedback when teaching motor tasks to children with developmental coordination disorder (DCD) as a first step in developing practical recommendations.</p><p><strong>Methods: </strong>A conventional content analysis approach was used to analyze videotaped treatment sessions of physical therapists using a newly developed analysis plan. Inductive coding was used to code purposively selected video segments. The codes were sorted into categories to identify key themes. Analyses were performed independently by two researchers until data saturation was reached.</p><p><strong>Results: </strong>Ten video-taped sessions were analyzed and 61 segments were coded. Three key themes were identified: (1) <i>therapists' intention with the instructions and feedback</i> was to motivate or to provide information; (2) the preferred <i>therapists' teaching style</i> was either direct or indirect; and (3) <i>parameters to shape specific instructions and feedback</i> were the focus of attention, modality, information content, timing and frequency.</p><p><strong>Conclusion: </strong>Therapists used numerous instructions and feedback with different information content, often shaped by multiple focuses and/or modalities to motivate children or to provide specific information about task performance. Although therapists adapted instructions and feedback to child and task, future research should explore how characteristics of child and task can guide therapists' clinical decision-making.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"678-696"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9611657","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}