Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven
{"title":"Feasibility of a Yoga Intervention for Children and Adolescents Undergoing Hematopoietic Cell Transplant.","authors":"Tricia Easley, Ann Haight, Tara Hall, Kim Palmer, Jessica Konter, Rebecca Hayes, Jennifer L Nelson, Brooke Cherven","doi":"10.1080/01942638.2025.2489999","DOIUrl":"https://doi.org/10.1080/01942638.2025.2489999","url":null,"abstract":"<p><strong>Aims: </strong>Interventions to support function and quality of life among pediatric patients undergoing hematopoietic cell transplant (HCT) are a priority. The purpose of this study was to evaluate the feasibility of a structured, individualized yoga intervention for children/adolescents undergoing HCT.</p><p><strong>Methods: </strong>Patients ages 8-17 years hospitalized for HCT participated in either phase one (standard of care [SOC] group) or phase two (yoga group) of the study. Feasibility outcomes included recruitment rates, number/intensity of yoga sessions completed, and patient satisfaction. Participants in both groups completed functional outcome and quality of life (QOL) measures.</p><p><strong>Results: </strong>All participants approached for the study agreed to participate, with 22 in the SOC group and 8 in the yoga group. On average, yoga participants completed 5.3 ± 2.8 sessions, the majority of moderate intensity. Most yoga participants reported the overall program, breathing, and relaxation strategies as helpful (83.3%) and supported their ability to move (66.7%). There were functional gain trends noted from baseline to time point 3 among the yoga group not observed in the SOC group.</p><p><strong>Conclusions: </strong>Yoga is feasible as a therapeutic intervention for hospitalized pediatric patients undergoing HCT. Functional assessment data, if streamlined, may be a relevant outcome for future yoga interventions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton
{"title":"Development of the Applied Coaching Tool for Pediatric Rehabilitation Therapists: A Practice Support Tool for Therapists Coaching Parents of Young Children.","authors":"Debra Teitelbaum, Lewis Gitelman, Zoe Daviault, Laura Brunton","doi":"10.1080/01942638.2025.2486119","DOIUrl":"https://doi.org/10.1080/01942638.2025.2486119","url":null,"abstract":"<p><strong>Aim: </strong>Describes the development and implementation of the Applied Coaching Tool (ACT), and training protocol, to build coaching competency in therapists supporting parents of young children.</p><p><strong>Methods: </strong>The ACT was developed using literature review, draft tool creation, expert review and refinement. A training protocol for therapists to learn how to coach was developed using principles of adult learning, coaching and instructional design to increase learner competence and confidence.</p><p><strong>Results: </strong>The ACT framework includes five coaching events to support therapists to implement coaching practices including self-directed goals, learner-focused interventions with meaningful reflection, practice and feedback. Within the ACT, behaviors associated with coaching events were defined as overt therapist actions and elaborations - examples of interactional behaviors. The training plan for therapists consisted of a workshop, intentional practice with coaching feedback over a period of five months, and assessment of competence. Pilot implementation demonstrated evidence of acceptability, appropriateness, adoption and fidelity of the ACT.</p><p><strong>Conclusion: </strong>Use of the ACT, and the training plan, provides practical clinical behaviors for therapists to coach families to be active participants in rehabilitation which may contribute to improvements in self-efficacy and motivation in therapy. Furthermore, it provides a reliable standard amongst therapists coaching in pediatric rehabilitation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mickaelly Aisha Dos Santos, Francine Andrade, Marinna Cruz de Souza, Laís Rodrigues Gerzson, Karoline Kobus-Bianchini, André Luís Ferreira Meireles
{"title":"Analysis of Commercial Instagram Content on Pediatric Neurological Physiotherapy Interventions and Products in Brazil.","authors":"Mickaelly Aisha Dos Santos, Francine Andrade, Marinna Cruz de Souza, Laís Rodrigues Gerzson, Karoline Kobus-Bianchini, André Luís Ferreira Meireles","doi":"10.1080/01942638.2025.2486111","DOIUrl":"https://doi.org/10.1080/01942638.2025.2486111","url":null,"abstract":"<p><strong>Aims: </strong>To describe the content of commercial pediatric neurological physical therapy posts on Instagram and report the main interventions and products featured.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using five pediatric neurological physical therapy hashtags on Brazilian commercial Instagram profiles, on three different days. The initial 50 posts for each hashtag were extracted by two independent reviewers. Data included the source of the posts, content characteristics, target populations, interventions featured in the posts and on the Instagram profiles, as well as the products promoted in the posts.</p><p><strong>Results: </strong>A total of 449 Instagram posts from 190 profiles were analyzed. Most posts were in video format (<i>n</i> = 278; 61.9%), categorized as service reports (<i>n</i> = 203; 45.2%), and posted by autonomous physical therapists (<i>n</i> = 195; 43.4%). The most frequent interventions were Suit therapy (<i>n</i> = 60; 15.9%) and mobility training (<i>n</i> = 59; 15.6%). Cerebral palsy (<i>n</i> = 90; 20%) and Down syndrome (<i>n</i> = 35; 7.7%) were the most frequently represented health conditions.</p><p><strong>Conclusions: </strong>Instagram offers various interventions and products for pediatric neurological rehabilitation. Excess information may cause indecision and adherence to ineffective treatments by families. Future research should assess the evidence behind services on social media and their impact on parents' decision-making.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Animals in Pediatric Occupational Therapy Telehealth Interventions: A Survey of Therapist Perspectives.","authors":"Macy Burr, Catherine Le","doi":"10.1080/01942638.2025.2486116","DOIUrl":"10.1080/01942638.2025.2486116","url":null,"abstract":"<p><strong>Aims: </strong>Animal-assisted interventions (AAI) incorporate animals in health, education, or human services to improve participant health and well-being. AAI can decrease stress, increase happiness, and improve motor skills. During the COVID-19 pandemic, virtual AAI programs became more common. Telehealth also became more prevalent in occupational therapy. This study explored the perceptions of occupational therapy (OT) practitioners regarding including animals in telehealth OT pediatric interventions.</p><p><strong>Methods: </strong>Survey responses were collected from 18 occupational therapists who have included animals in OT pediatric telehealth interventions.</p><p><strong>Results: </strong>Most participants agreed that incorporating animals into telehealth enhanced the therapeutic experience for their clients, as they perceived the intervention to decrease stress levels, improve mood, and increase social interaction skills. Additionally, three themes emerged from participants' open-ended responses: virtual AAI is versatile, virtual AAI can enhance the telehealth experience, and there are different challenges associated with virtual AAI.</p><p><strong>Conclusions: </strong>The findings provide clear support for the role of animals in pediatric OT telehealth interventions.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Youngsub Hwang, Won-Ho Shin, Sung-Eun Kim, Jeong-Yi Kwon
{"title":"Home-Based Telerehabilitation to Prevent Post-Modified Constraint-Induced Movement Therapy Regression in Unilateral Cerebral Palsy: A Randomized Controlled Trial.","authors":"Youngsub Hwang, Won-Ho Shin, Sung-Eun Kim, Jeong-Yi Kwon","doi":"10.1080/01942638.2025.2482257","DOIUrl":"https://doi.org/10.1080/01942638.2025.2482257","url":null,"abstract":"<p><strong>Aims: </strong>To determine the potential of low-end high-intensity home-based hand-arm bimanual intensive therapy (H-HABIT) in mitigating post-modified constraint-induced movement therapy (mCIMT) regression in children with unilateral cerebral palsy (UCP).</p><p><strong>Methods: </strong>Twenty-two children (aged 4-12 years) with UCP were assigned to either the experimental (<i>n</i> = 12) or control group (<i>n</i> = 10). Both groups completed 30 h of mCIMT for three weeks, followed by 30 h of H-HABIT for five weeks in the experimental group and none in the control group. Assessments, including the assisting hand assessment (AHA) and other standardized measures, were performed at baseline, post-mCIMT, and post-H-HABIT. Triaxial accelerometers were worn on both wrists during each phase to monitor the activity.</p><p><strong>Results: </strong>The experimental group showed AHA scores from baseline to post-H-HABIT, with a significant time × group interaction (<i>p</i> = 0.001, ƞ<sup>2</sup> = 0.29) indicating distinct trajectories from the control. In contrast, actigraphy-based measures of the upper limb remained stable over time. Caregiver feedback for H-HABIT showed that 83.33% found the guidelines easy to follow, and 91.67% rated therapist interactions as helpful.</p><p><strong>Conclusions: </strong>H-HABIT may help prevent post-mCIMT regression. Further research should refine task selection and explore advanced assessment methods to better capture real-world function.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dual Task Training Interventions and Mobility-Based Outcomes in Children with Cerebral Palsy: A Scoping Review.","authors":"Meaghan Rubsam, Gay L Girolami, Tanvi Bhatt","doi":"10.1080/01942638.2025.2477792","DOIUrl":"https://doi.org/10.1080/01942638.2025.2477792","url":null,"abstract":"<p><strong>Purpose: </strong>Children with cerebral palsy (CP) struggle in dual task (DT) situations, where interference may decrease performance when executing two simultaneous tasks. Dual task training (DTT) improves primary motor performance in individuals with typical development and neurological conditions, and emerging research also suggests benefits for DT performance. Its potential in children with CP, however, remains unexplored. This scoping review aims to (1) identify; (2) describe; and (3) synthesize the current evidence for DTT interventions in children with CP, and (4) evaluating its effects on mobility-based impairment, activity, and participation level outcomes.</p><p><strong>Methods: </strong>Five electronic databases were searched. Studies were included if they were in English, included children with CP, used a motor-motor or motor-cognitive DTT intervention, detailed the intervention, and reported results.</p><p><strong>Results: </strong>The six studies included 117 children with CP (F: 50, M: 67) and used motor-motor (<i>n</i> = 2) and motor-cognitive (<i>n</i> = 4) DTT paradigms. Training ranged from 480 to 1800 min, and all studies showed improved primary motor task performance.</p><p><strong>Conclusion: </strong>Despite the study heterogeneity, the results provide early, yet promising, evidence that DTT may enhance primary motor task performance in children with CP. Robust and rigorous research is needed to explore the effects of exercise prescription, training regimens, and optimal dosing on motor and cognitive outcomes.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-20"},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701794","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":"Physiotherapists Identify Movement Difficulties in Autistic Children Using Subjective and Objective Measures: An Observational Study.","authors":"Lisa Truscott, Kate Simpson, Stephanie A Malone","doi":"10.1080/01942638.2025.2477183","DOIUrl":"https://doi.org/10.1080/01942638.2025.2477183","url":null,"abstract":"<p><strong>Objective: </strong>To explore the assessment practices and identification of movement difficulties in autistic children aged 12 months to 6 years by physiotherapists in Australia.</p><p><strong>Methods: </strong>Registered physiotherapists providing services to autistic children ages 12 months - 6 years completed a survey. The survey was distributed <i>via</i> closed physiotherapy social media (Facebook) pages in Australia from March to June 2022. The survey included 8 items on strategies/approaches to assessment, 47 items on measurement, and 23 items on movement difficulties.</p><p><strong>Results: </strong>85 physiotherapists completed the survey. Findings indicated that parent reports, observations, and movement analyses were the most commonly used assessment strategies employed 100% of time, followed by musculoskeletal assessments (80%) and standardized assessments (50%). Of standardized assessments used, Alberta Infant Motor Scale (AIMS) was used most, by over 69% of physiotherapists, with multiple versions of five other standardized assessments used by over 52% of physiotherapists, namely Movement Assessment Battery for Children, Neurological Sensory Motor Developmental Assessment, Bruininks-Oseretsky Test of Motor Proficiency, Developmental Coordination Disorder Questionnaire and Test of Gross Motor Development. A range of movement difficulties were frequently identified in developmental delays (86% of time), gross motor (85%), coordination (82%), motor planning (81%), and hypotonia (80%).</p><p><strong>Conclusions: </strong>Physiotherapists in Australia use a variety of methods to examine movement difficulties in young autistic children, suggesting that this frequently occurs prior to autism diagnosis.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671690","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":"Spanish Version of the Measure of Processes of Care-Service Providers (MPOC-SP): Reliability and Validity.","authors":"Manuel Pacheco-Molero, Catalina Patricia Morales-Murillo, Irene León-Estrada, Roberto Hernández-Soto, Mónica Gutiérrez-Ortega","doi":"10.1080/01942638.2025.2475961","DOIUrl":"https://doi.org/10.1080/01942638.2025.2475961","url":null,"abstract":"<p><strong>Aims: </strong>The most used assessment tool to measure family-centered care and the perception of the care process is the Measure of Processes of Care questionnaire. This study aimed to evaluate the psychometric properties of the Spanish version of the MPOC-SP, specifically by assessing the reliability of its item scores, testing whether its factor structure aligns with the original version, and examining differences in scores across professional profiles.</p><p><strong>Methods: </strong>The Spanish-adapted MPOC-SP questionnaire was completed by 278 early childhood service professionals across Spain. Analyses assessed internal consistency, construct validity through confirmatory factor analysis, and differences in scores across professional profiles.</p><p><strong>Results: </strong>The Spanish MPOC-SP demonstrated strong psychometric properties, with Cronbach's Alpha values above 0.70 for total and dimensional scores. Confirmatory factor analysis supported the alignment of the data with the specified model. No significant differences in scores were found across professional profiles, indicating consistency in its application.</p><p><strong>Conclusion: </strong>The Spanish version of the MPOC-SP is a reliable and valid instrument for assessing family-centered care. It provides valuable insights for evaluating and improving family-centered practices in early childhood services, thereby contributing to the enhancement of care quality.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606817","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}
Anat Golos, Rana Tartir, Maria Fadwa Abo-Halka, Esti Tekuzener
{"title":"Quality of Early Intervention Program Services in Mother-Child Health Care Centers for At-Risk Population: Multiple Perspectives.","authors":"Anat Golos, Rana Tartir, Maria Fadwa Abo-Halka, Esti Tekuzener","doi":"10.1080/01942638.2025.2473934","DOIUrl":"https://doi.org/10.1080/01942638.2025.2473934","url":null,"abstract":"<p><strong>Aims: </strong>Mother-Child Health Centers in Israel offer comprehensive health-care services, including unique screening programs that serve as important preventive services for families of lower socioeconomic status. This study aimed to explore the service quality regarding family-centered care and professionalism from the perspectives of parents, providers, and observers.</p><p><strong>Methods: </strong>Eighty-nine Arabic-speaking parents of children (<i>M</i> = 17.4, <i>SD</i> = 11.7) from East Jerusalem completed socio-demographic, self-efficacy, care, and child development questionnaires. Five providers completed demographic-professional and care questionnaires; two occupational therapists completed observation forms.</p><p><strong>Results: </strong>Most parents reported moderate self-efficacy, and half of the children had suspected/detected developmental delays. Parents rated enabling, partnership and respectful care highly, with low scores for providing information. Observations indicated higher scores for professional referrals and listening to parents, but lower scores for providing adapted-written information. Content analysis revealed two main categories knowledge provision and parent-provider interaction with sub-categories.</p><p><strong>Conclusion: </strong>This study highlights the value of assessing early intervention services from multiple perspectives, confirming that high-quality interaction between recipients and providers is essential for successful family-centered services, while emphasizing the need for socio-cultural adjustments. Further research involving large samples of providers and diverse at-risk populations, and long-term assessment is recommended to refine and enhance these services.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587802","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}
Victoria G Marchese, Emily McCarthy, Simon Ho, Linda Horn, Kelly Rock
{"title":"Exploring Posturography in Children with Sickle Cell Disease.","authors":"Victoria G Marchese, Emily McCarthy, Simon Ho, Linda Horn, Kelly Rock","doi":"10.1080/01942638.2025.2463346","DOIUrl":"10.1080/01942638.2025.2463346","url":null,"abstract":"<p><strong>Introduction: </strong>Sickle cell disease (SCD) affects 1 in every 350 newborns in the United States. Children with SCD are at risk for impaired postural control. The purpose of this study was to explore if children with SCD have impaired postural control as compared to age- and sex-matched controls.</p><p><strong>Methods: </strong>Twenty-eight children between the ages of 6 and 17 years were recruited for the study including children with SCD and age- and sex-matched controls. Posturography measures included Limits of Stability (LOS) and Modified Clinical Test of Sensory Interaction in Balance (mCTSIB) testing and balance was measured using the Bruininks-Oseretsky Test of Motor Proficiency, 2nd Edition (BOT-2).</p><p><strong>Results: </strong>There were no between-group differences in posturography measures. Children with SCD had significantly poorer BOT-2 balance performance as compared to age- and sex-matched controls (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>This sample of children with SCD does not demonstrate impairments in posturography as measured by limits of stability and sensory integration despite having significantly impaired balance compared to peers. Additional research is necessary to determine why children with SCD demonstrate gross balance impairments without concurrent impairments in postural control.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587793","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}