Physical & Occupational Therapy in Pediatrics最新文献

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A Home- and Community-Based Neurorehabilitation Program for Pediatric Brain Injury: A Case Series. 儿童脑损伤的家庭和社区神经康复计划:一个案例系列。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-04-12 DOI: 10.1080/01942638.2026.2654578
Jessica Salley Riccardi, Isabel Berman, Samantha Condon, Christine Martin
{"title":"A Home- and Community-Based Neurorehabilitation Program for Pediatric Brain Injury: A Case Series.","authors":"Jessica Salley Riccardi, Isabel Berman, Samantha Condon, Christine Martin","doi":"10.1080/01942638.2026.2654578","DOIUrl":"https://doi.org/10.1080/01942638.2026.2654578","url":null,"abstract":"<p><strong>Aims: </strong>The purpose of this case series was to explore a home- and community-based neurorehabilitation model for children with acquired brain injury (ABI) by describing services provided and the outcomes of children served in the program.</p><p><strong>Methods: </strong>This was a retrospective, secondary data analysis of eight pediatric participants with ABI who completed a home- and community-based neurorehabilitation pilot program, receiving up to 16 h of interdisciplinary services per week for up to 12 wk. The Mayo-Portland Adaptability Inventory, Fourth Edition (MPAI-4), administered at admission and discharge.</p><p><strong>Results: </strong>All participants 1) reported satisfaction with and recommended the treatment services and 2) demonstrated a clinically important difference and a robust clinically important difference in the MPAI-Ability subscale scores from admission to discharge. For MPAI-Adjustment and MPAI-Total scores, 87.5% of participants demonstrated a robust clinically important difference, while 50% demonstrated this difference in the MPAI-Participation subscale.</p><p><strong>Conclusions: </strong>These preliminary findings, among the first to examine outcomes of a home- and community-based model for pediatric ABI, highlight the potential of this service delivery approach for neurorehabilitation to support functional recovery across daily life domains. While significant improvements were seen across all domains, participation-level outcomes may be the most persistent challenge, warranting further exploration.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678052","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 Self-Help Skills and Adaptive Behavior Are Related to Feeding Challenge Severity in Autistic Children. 自闭症儿童喂养自助技能和适应行为与喂养挑战严重程度相关。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-04-07 DOI: 10.1080/01942638.2026.2652045
Brittany M St John, Hannah Laufenberg, Mary Sommers, Gina Sylvester, Karla K Ausderau
{"title":"Feeding Self-Help Skills and Adaptive Behavior Are Related to Feeding Challenge Severity in Autistic Children.","authors":"Brittany M St John, Hannah Laufenberg, Mary Sommers, Gina Sylvester, Karla K Ausderau","doi":"10.1080/01942638.2026.2652045","DOIUrl":"https://doi.org/10.1080/01942638.2026.2652045","url":null,"abstract":"<p><strong>Aims: </strong>This project aimed to (1) Describe feeding self-help skills in autistic children with feeding challenges and (2) Identify the relationships among feeding self-help skills, feeding challenge severity, family mealtime factors, and adaptive behavior.</p><p><strong>Methods: </strong>This study used data from a cross-sectional national survey of 358 caregivers of autistic children (ages 2-12 years) with feeding challenges, recruited through a national research registry. Data were captured using validated caregiver-report measures. Descriptive statistics were completed to characterize feeding self-help skills and additional variables within the sample. Pearson's R correlations were run to investigate relationships among variables.</p><p><strong>Results: </strong>Feeding self-help skills, feeding challenge severity, and adaptive behavior scores were widely heterogeneous. Overall, children in the study required higher levels of support from caregivers to participate in feeding and had lower adaptive behavior than expected for their age. Significant Pearson r correlations ranging from 0.11 to 0.60 were observed between feeding self-help skills, feeding challenge severity, family mealtime factors, and adaptive behavior.</p><p><strong>Conclusions: </strong>Feeding self-help skills and adaptive behavior are essential to evaluate in autistic children with feeding challenges. Future research should explore component skills, (e.g. use of utensils) in addition to behavior and sensory components of feeding to inform child-centered evaluation and intervention.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629228","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 Development of a New Pediatric Measure of Instrumental Activities of Daily Living Using the interRAI Child and Youth Mental Health Assessment-to-Intervention System. 使用interRAI儿童和青少年心理健康评估-干预系统开发一种新的儿童日常生活工具活动测量方法。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-04-07 DOI: 10.1080/01942638.2026.2651192
Shannon L Stewart, Sara Ceresia, John N Morris, Danielle Fearon
{"title":"The Development of a New Pediatric Measure of Instrumental Activities of Daily Living Using the interRAI Child and Youth Mental Health Assessment-to-Intervention System.","authors":"Shannon L Stewart, Sara Ceresia, John N Morris, Danielle Fearon","doi":"10.1080/01942638.2026.2651192","DOIUrl":"https://doi.org/10.1080/01942638.2026.2651192","url":null,"abstract":"<p><strong>Aims: </strong>Among pediatric populations, instrumental activities of daily living (IADL) are essential for establishing autonomy. The purpose of this research was to test the plausibility and applicability of developing and validating an additive versus hierarchical IADL scale for children and youth using the interRAI Child and Youth Mental Health (ChYMH) system.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted using interRAI ChYMH and ChYMH - Developmental Disability (ChYMH-DD) assessment data of children and youth (4-18 years). IADL indicator item distributions were assessed using means and standard deviations. Inter-item correlations and reliability testing were completed. Off-diagonal placements based on the Guttman approach were used to explore the plausibility of a hierarchical IADL structure.</p><p><strong>Results: </strong>Children and youth with developmental disabilities required more assistance to complete IADLs than their counterparts. IADL indicators on the ChYMH and ChYMH-DD grouped by age (4-11 years and 12-18 years) showed strong reliability. Analyses identified no hierarchical structure of IADL performance.</p><p><strong>Conclusions: </strong>Two IADL additive summary scales for children and youth were developed to assess their IADL functioning. Widespread implementation of the interRAI child and youth IADL scales offers clinical, policy, and research utility by assessing, monitoring, and understanding IADL functioning across populations, service sectors, and geographic regions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629288","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
Performance Discrimination and Responsiveness of an Integrative Scoring Method for the Jebsen-Taylor Test of Hand Function in Children with Unilateral Cerebral Palsy. 单侧脑瘫儿童手功能Jebsen-Taylor测试综合评分法的表现区分与反应性
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-04-06 DOI: 10.1080/01942638.2026.2651200
Astrid Carton de Tournai, Daniela Ebner-Karestinos, Geoffroy Saussez, Julie Paradis, Emmanuel Segnon Sogbossi, Rodrigo Araneda, Yannick Bleyenheuft
{"title":"Performance Discrimination and Responsiveness of an Integrative Scoring Method for the Jebsen-Taylor Test of Hand Function in Children with Unilateral Cerebral Palsy.","authors":"Astrid Carton de Tournai, Daniela Ebner-Karestinos, Geoffroy Saussez, Julie Paradis, Emmanuel Segnon Sogbossi, Rodrigo Araneda, Yannick Bleyenheuft","doi":"10.1080/01942638.2026.2651200","DOIUrl":"https://doi.org/10.1080/01942638.2026.2651200","url":null,"abstract":"<p><strong>Aims: </strong>The original scoring of the Jebsen-Taylor Test of Hand Function (JTTHF) evaluates only the time required to complete subtests, neglecting accuracy. In this study, we propose a new scoring system, designed to capture the integration of both speed and accuracy. This study aimed to evaluate (1) the ability to discriminate manual dexterity over time using both the original and integrative scores in typically developing children (TDC) for reference and (2) the responsiveness of the integrative score following intensive intervention in children with unilateral cerebral palsy (UCP).</p><p><strong>Methods: </strong>This observational study included 169 TDC (one assessment) and 40 children with UCP assessed before and after an intervention.</p><p><strong>Results: </strong>The original score indicated age-related improvements in manual dexterity up to 8-10 years, after which performance tended to plateau. In contrast, the integrative score displayed a continuous age-related improvement. Significant differences were observed post-intervention for both the less and more affected hands in children with UCP for both scoring methods.</p><p><strong>Conclusions: </strong>Our findings support the use of the integrative score for assessing manual dexterity in children with TDC, demonstrating reliable performance discrimination. Both scores showed responsiveness in children with UCP. Therefore, we recommend the integrative score for assessing dexterity with JTTHF.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624461","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 Multiple Case Report of Fetal Alcohol Spectrum Disorders with Focus on Cognitive and Sensory Profiles. 胎儿酒精谱系障碍的多例报告,重点是认知和感觉特征。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-31 DOI: 10.1080/01942638.2026.2646693
Martina Virág Kovács, Louise do Nascimento Marques, Carolina Aguiar de Oliveira Silva, Joana Cramer, Sofia Melo, Mirta S Misailidis, Jesus Landeira-Fernandez, Helenice Charchat-Fichman, Alexandre E Medina, Thomas E Krahe
{"title":"A Multiple Case Report of Fetal Alcohol Spectrum Disorders with Focus on Cognitive and Sensory Profiles.","authors":"Martina Virág Kovács, Louise do Nascimento Marques, Carolina Aguiar de Oliveira Silva, Joana Cramer, Sofia Melo, Mirta S Misailidis, Jesus Landeira-Fernandez, Helenice Charchat-Fichman, Alexandre E Medina, Thomas E Krahe","doi":"10.1080/01942638.2026.2646693","DOIUrl":"https://doi.org/10.1080/01942638.2026.2646693","url":null,"abstract":"<p><strong>Aims: </strong>Prenatal alcohol exposure (PAE) is associated with Fetal Alcohol Spectrum Disorders (FASD), characterized by persistent cognitive, adaptive, and neurosensory impairments. Alcohol disrupts processes of cerebral development underlying multisensory integration and lateralization, which are essential for cognitive and behavioral functioning. This study used the Brief Multisensory Integration Battery (BMIB) and the Global Lateral Preference Inventory (GLPI) to detect FASD-related neurocognitive and sensory features.</p><p><strong>Methods: </strong>Three adolescents with documented PAE were assessed with the BMIB and GLPI, alongside standardized neuropsychological tests and measures of physical development. Analyses focused on patterns of multisensory integration, lateral preference, and broader cognitive functioning as potential markers of FASD.</p><p><strong>Results: </strong>All participants showed deficits in multisensory tasks and atypical lateralization across sensory and motor domains. These impairments aligned with known neurodevelopmental disruptions associated with PAE. The BMIB and GLPI demonstrated sensitivity in capturing clinically relevant dysfunctions.</p><p><strong>Conclusions: </strong>Findings provide preliminary evidence for the clinical utility of these tools in identifying PAE-related deficits. Early detection may improve diagnostic accuracy and guide targeted interventions. Larger studies are needed to confirm their psychometric robustness.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-25"},"PeriodicalIF":1.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595900","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 Need for Clear Descriptions of Interventions Provided to Control/Comparison Groups. 需要明确描述提供给对照组/对照组的干预措施。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-30 DOI: 10.1080/01942638.2026.2648762
Gulce Kallem Seyyar, Oznur Fidan
{"title":"The Need for Clear Descriptions of Interventions Provided to Control/Comparison Groups.","authors":"Gulce Kallem Seyyar, Oznur Fidan","doi":"10.1080/01942638.2026.2648762","DOIUrl":"https://doi.org/10.1080/01942638.2026.2648762","url":null,"abstract":"","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576079","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
Motivation, Social Influence, and Game-Based Motor Learning: A Response to the Commentary. 动机、社会影响和基于游戏的运动学习:对评论的回应。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-26 DOI: 10.1080/01942638.2026.2644420
Daiki Asano, Satoko Ohmatsu
{"title":"Motivation, Social Influence, and Game-Based Motor Learning: A Response to the Commentary.","authors":"Daiki Asano, Satoko Ohmatsu","doi":"10.1080/01942638.2026.2644420","DOIUrl":"https://doi.org/10.1080/01942638.2026.2644420","url":null,"abstract":"<p><p>This reply addresses the commentary on our study examining the effects of digital game use and social facilitation on lower-limb motor activity in children with motor disorders. We clarify methodological decisions, discuss limitations such as task order and sample size, and outline directions for future research on motivational influences in pediatric rehabilitation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516159","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
Vietnamese Version of the Pediatric Evaluation of Disability Inventory (vPEDI): A Rasch Model Application. 越南版儿童残疾评估量表(vPEDI): Rasch模型的应用。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-23 DOI: 10.1080/01942638.2026.2648039
Thi-Quynh-Nhu Do, Emerson Hart, Hanh Thi Bich Tran, Ngoc-Minh Nguyen, Patty Coker-Bolt, Craig A Velozo
{"title":"Vietnamese Version of the Pediatric Evaluation of Disability Inventory (vPEDI): A Rasch Model Application.","authors":"Thi-Quynh-Nhu Do, Emerson Hart, Hanh Thi Bich Tran, Ngoc-Minh Nguyen, Patty Coker-Bolt, Craig A Velozo","doi":"10.1080/01942638.2026.2648039","DOIUrl":"https://doi.org/10.1080/01942638.2026.2648039","url":null,"abstract":"<p><strong>Aims: </strong>To explore the psychometric properties of the Vietnamese Pediatric Evaluation of Disability Inventory (vPEDI) using Rasch analysis.</p><p><strong>Methods: </strong>403 Vietnamese children aged 0.5 to 7.5 years with typical development were evaluated by the vPEDI. The Andrich Rating Scale model (RSM) using WINSTEPS was utilized to analyze the construct validity, internal consistency, and precision of the vPEDI, particularly the Functional Skills Scale (FSS) and Caregiver Assistance Scale (CAS) subscales. A keyform ability map was generated to illustrate an example of the item-level hierarchy of the self-care domain in the FSS.</p><p><strong>Results: </strong>The vPEDI showed strong item-level psychometric properties for both the FSS and CAS under RSM. Ninety-five to 98.5% of items fit the three domains in the FSS, and 87.5 to 100% of items fit the three domains in the CAS. A keyform ability map for a child with a middle self-care ability in the FSS showed a clear pattern, where the child's transition between capable and unable items represented their ability level.</p><p><strong>Conclusion: </strong>The vPEDI provided a valid, reliable, and precise measure of the functional capacity and performance for typically developing children in Vietnam, with few misfitting items.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505338","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
Associations Between the Alberta Infant Motor Scale and Motor and Gait Outcomes at 4-5 Years in Children Born Very Preterm: A Prospective Cohort Study. 艾伯塔省婴儿运动量表与4-5岁早产儿运动和步态结果之间的关系:一项前瞻性队列研究。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-18 DOI: 10.1080/01942638.2026.2636908
Reem A Albesher, Jennifer L McGinley, Fiona L Dobson, Tara L FitzGerald, Kate L Cameron, Benjamin F Mentiplay, Diana Zannino, Jeanie L Y Cheong, Alicia J Spittle
{"title":"Associations Between the Alberta Infant Motor Scale and Motor and Gait Outcomes at 4-5 Years in Children Born Very Preterm: A Prospective Cohort Study.","authors":"Reem A Albesher, Jennifer L McGinley, Fiona L Dobson, Tara L FitzGerald, Kate L Cameron, Benjamin F Mentiplay, Diana Zannino, Jeanie L Y Cheong, Alicia J Spittle","doi":"10.1080/01942638.2026.2636908","DOIUrl":"https://doi.org/10.1080/01942638.2026.2636908","url":null,"abstract":"<p><strong>Background: </strong>Despite advances in neonatal care, preterm birth remains associated with high rates of subsequent motor impairment. Preschool-age children born very preterm show poorer motor outcomes and face various motor challenges compared with their term peers.</p><p><strong>Aim: </strong>To examine associations between the Alberta Infant Motor Scale (AIMS) at 12 months and motor and gait outcomes at 4-5 years in children born <30 weeks' gestation.</p><p><strong>Methods: </strong>Prospective cohort study of 149 infants born at <30 weeks' gestation, assessed at 12 months using the AIMS. Assessments at 4-5 years included the Movement Assessment Battery for Children, second edition (MABC-2), and the GAITRite system.</p><p><strong>Results: </strong>Lower AIMS total scores were associated with lower balance skills on the MABC-2 (coefficient 0.14 score, 95% confidence interval (CI) 0.07, 0.22), a wider base of support in tandem gait (coefficient -0.05 cm, 95% CI -0.09, -0.001), and higher rates of motor impairment (odds ratio 2.51, 95% CI 2.36, 2.69) at 4-5 years. AIMS scores at or below the 5th centile were associated with lower balance skills (mean difference -1.34 score; 95% CI -2.27, -0.41) and shorter double support in tandem (mean difference -1.93%; 95% CI -3.77%, -0.08).</p><p><strong>Conclusion: </strong>AIMS at 12 months may help identify infants at risk of poorer balance and gait challenges, enabling early interventions in children born preterm.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482250","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
Constraint-Induced Movement Therapy in Obstetrical Brachial Plexus Palsy: A Single-Blind Pilot Randomized Controlled Trial. 约束诱导运动治疗产科臂丛神经麻痹:一项单盲先导随机对照试验。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-18 DOI: 10.1080/01942638.2026.2642693
Ana Carolina Rodrigues da Silva, Rafael Santos Ferreira da Silva, Heli de Oliveira Rodrigues, Lina Silva Borges Santos, Gabriela da Silva Matuti, Juliana Firmo Dos Santos, Andréa Vancetto Maglione
{"title":"Constraint-Induced Movement Therapy in Obstetrical Brachial Plexus Palsy: A Single-Blind Pilot Randomized Controlled Trial.","authors":"Ana Carolina Rodrigues da Silva, Rafael Santos Ferreira da Silva, Heli de Oliveira Rodrigues, Lina Silva Borges Santos, Gabriela da Silva Matuti, Juliana Firmo Dos Santos, Andréa Vancetto Maglione","doi":"10.1080/01942638.2026.2642693","DOIUrl":"https://doi.org/10.1080/01942638.2026.2642693","url":null,"abstract":"<p><strong>Aim: </strong>To estimate the effectiveness of Constraint-Induced Movement Therapy (CIMT) vs. conventional therapy in improving the frequency, quality, and spontaneity of the affected arm usage and acquiring new motor programs in children with Obstetrical Brachial Plexus Palsy (OBPP).</p><p><strong>Methods: </strong>Pilot, randomized, and controlled clinical trial with a blind evaluator. Twenty (<i>N</i> = 20) children with OBPP diagnoses were divided into Intervention Group (CIMT protocol, 5x/week, 3h/day, 3 wk) and Control Group (conventional Physiotherapy/Occupational Therapy 2x/week, 40 min/day, 3 wk). Pediatric Mal Activity Log - Revised (PMAL-R) was used for quality and frequency measures; Pediatric Arm Function Test (PAFT) was used to measure the spontaneous use of the affected upper limb; Inventory of New Motor Activities and Programs (INMAP) was used for the acquisition of new motor programs. All the evaluations were applied pre and post treatment.</p><p><strong>Results: </strong>CIMT was superior compared to control in terms of frequency (mean change= 1.58; 95% CI 0.83 to 2.33; <i>p</i> < 0.001) and quality of movement (mean change= 1.53; 95% CI 0.78 to 2.28; <i>p</i> < 0.001), in spontaneity of use in unimanual tasks in PAFT (mean change= 2.9; 95% CI 1.29 to 4.5; <i>p</i> = 0.022) and in the INMAP (mean change= 1.4; 95% CI 0.70-2.10; <i>p</i> < 0.001). All the effect sizes for the differences were large, and MCID showed large effects for PMAL-R and PAFT.</p><p><strong>Conclusion: </strong>CIMT is favored over standard care, with gains in terms of quality and frequency of movement, spontaneity of use, and acquisition of motor programs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147475966","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
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