Physical & Occupational Therapy in Pediatrics最新文献

{"title":"Virtual Reality Rehabilitation Helps to Improve Postural Balance in Children with Autism Spectrum Disorder: A Randomized Control Trial.","authors":"Mohamed A Abdel Ghafar, Osama R Abdelraouf, Eman M Harraz, Mohamed K Seyam, Walaa E Morsy, Wafaa Mahmoud Amin, Hanaa Mohsen Abd-Elfattah","doi":"10.1080/01942638.2025.2466555","DOIUrl":"https://doi.org/10.1080/01942638.2025.2466555","url":null,"abstract":"<p><strong>Background: </strong>Children with autism spectrum disorders (ASD) can have difficulty adapting to environmental changes and motor-tasks demands.</p><p><strong>Objective: </strong>to investigate the effectiveness of non-immersive virtual reality (VR) combined with traditional physiotherapy versus traditional physiotherapy alone on static and functional balance in children with ASD, aged from 7 to 12 years.</p><p><strong>Methods: </strong>Fifty-three children with ASD were randomly assigned to either the VR group, received virtual reality training combined with traditional physical therapy, or the control group, received traditional physical therapy alone. The Biodex balance system and the pediatric balance scale were used to evaluate the balance control before and after the 12-week treatment program.</p><p><strong>Results: </strong>MANOVA results showed significant improvements in the pediatric balance scale scores for both the VR and control groups compared to the pre-intervention, and that the post-intervention results were significantly lower than the pre-intervention in terms of the overall sway index and all Biodex tested conditions (<i>p</i> < 0.05). However, post-intervention between-group comparisons showed that these significant improvements in all outcome measures were in the favor of the VR group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>This study suggests that virtual reality training could be an effective adjunct to traditional physical therapy for improving postural control in children with ASD.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574295","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 Effects of Telerehabilitation Versus Home-based Exercise on Muscle Function, Physical Activity, and Sleep in Children with Cystic Fibrosis: A Randomized Controlled Trial.","authors":"Kubra Kilic, Naciye Vardar-Yagli, Dilber Ademhan-Tural, Birce Sunman, Beste Ozsezen, Deniz Dogru, Melda Saglam, Ebru Calik-Kutukcu, Deniz Inal-Ince, Esra Kutsal Mergen, Nagehan Emiralioglu, Ebru Yalcin, Ugur Ozcelik, Nural Kiper","doi":"10.1080/01942638.2025.2469567","DOIUrl":"https://doi.org/10.1080/01942638.2025.2469567","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the effects of telerehabilitation (TG) compared with an unsupervised home exercise training program (HG) on muscle function, physical activity (PA), and sleep in children with cystic fibrosis (CF).</p><p><strong>Methods: </strong>Thirty children with CF (mean age = 10.2 ± 1.9 years) were randomly allocated to TG or HG. The exercise protocol was applied thrice a week for six weeks in the TG via Skype. The same exercises were sent in an exercise booklet to the HG, and phone contact was made once a week. Muscle function (one-minute sit-to-stand (1-min STS), sit-up, pushup, squat, and plank tests)), PA (Physical Activity Questionnaire for Older Children), and sleep (Epworth Sleepiness Scale (ESS) and Pediatric Sleep Questionnaire (PSQ)) were assessed before and after the 6-week study period.</p><p><strong>Results: </strong>The 1-min STS significantly improved in the TG compared with the HG (<i>p</i> ≤ .001, <i>η</i>_p² = 0.474). The sit-up (<i>p</i> = .005, <i>η</i>_p² = 0.247), pushup (<i>p</i> = .002, <i>η</i>_p² = 0.180), squat (<i>p</i> = .002, <i>η</i>_p² = 0.284), and plank (<i>p</i> < .001, <i>η</i>_p² = 0.360) test scores were significantly improved in the TG compared to the HG. No significant changes between groups were seen for PA (<i>p</i> = .261, <i>η</i>_p² = 0.045), ESS (<i>p</i> = .160, <i>η</i>_p² = 0.069), or PSQ (<i>p</i> = .763, <i>η</i>_p² = 0.003).</p><p><strong>Conclusion: </strong>Children who received TG improved muscle function more than children who received an HG. The effectiveness of longer term TG programs should be investigated in children with CF.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544067","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":"Perceived Activity Competence and Participation in Everyday Activities of Children With and Without Neurodevelopmental Disorders.","authors":"Lin-Ju Kang, Mats Granlund, Karina Huus, Shakila Dada","doi":"10.1080/01942638.2025.2466553","DOIUrl":"https://doi.org/10.1080/01942638.2025.2466553","url":null,"abstract":"<p><strong>Aim: </strong>To compare children with and without neurodevelopmental disorders (NDD) in self-rated activity competence, participation, and the associations between activity competence and participation.</p><p><strong>Methods: </strong>This cross-sectional study included 126 children with NDD and 115 without NDD, aged 6-12 years, who completed interviews with the Perceived Efficacy and Goal Setting System (PEGS) and Picture My Participation (PmP). Independent <i>t</i>-tests or Mann-Whitney U tests examined group differences in the PEGS and PmP scores. Correlation and regression analyses examined associations between the PEGS and PmP scores.</p><p><strong>Results: </strong>Children with NDD perceived lower physical competence than children without NDD, particularly in self-care (<i>d</i> = 0.80) and leisure (<i>d</i> = 0.66). The two groups did not differ in participation. Both groups demonstrated significant correlations between perceived activity competence and attendance (<i>r</i> = 0.21-0.49) and involvement (<i>r</i> = 0.19-0.53); significantly lower correlations were observed in children with NDD than those without (<i>d</i> = 0.22-0.28). Perceived activity competence significantly influenced attendance (<i>β</i> = 0.365) and involvement (<i>β</i> = 0.391).</p><p><strong>Conclusions: </strong>Children with NDD perceived less competency than peers without NDD. Children's perceived activity competence is correlated bi-directionally with perceived participation. Clinicians can support competence to promote participation, or by supporting participation, the competence can be enhanced.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517236","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 Feasibility and Reliability of the Test of Gross Motor Development (TGMD-3) for Children with Disabilities in Regional Australia: A Pragmatic Pilot Study.","authors":"Georgina L Clutterbuck, Caroline Ho, Genevieve M Dwyer","doi":"10.1080/01942638.2025.2463350","DOIUrl":"https://doi.org/10.1080/01942638.2025.2463350","url":null,"abstract":"<p><strong>Aims: </strong>Evaluate feasibility and preliminary inter- and intra-rater reliability of the Test of Gross Motor Development, third edition (TGMD-3) for children with disabilities in regional Australia; comparing \"live\" and videorecorded scoring.</p><p><strong>Methods: </strong>Three physiotherapists (one familiar with TGMD administration, two unfamiliar) completed \"live\" administration and scoring. Five raters (three physiotherapists, two familiar and one unfamiliar, and two unfamiliar student physiotherapists) scored video-recordings at normal and slow speed. Semi-structured interviews explored raters' experiences using the TGMD-3 for children with disabilities in a regional context, and/or scoring via videorecording. Agreement within and among raters were reported using intraclass correlation coefficients.</p><p><strong>Results: </strong>Raters agreed that TGMD-3 was feasible in terms of acceptability (mean 22.5 min scoring, slow-speed assisted accuracy), practicality (minimal resources), demand (addressed client goals), and implementation and integration into practice in regional Australia. Subscale and total scores showed good-to-excellent intra-rater (ICC = 0.73-0.99), and moderate-to-good inter-rater reliability for all but one student rater (ICC = 0.29-0.88). Filming recommendations were developed to enhance scoring.</p><p><strong>Conclusions: </strong>The TGMD-3 is feasible and has acceptable reliability when measuring high-level gross-motor performance for children with disabilities in regional Australia using live or video scoring. Modifications to criterion descriptors and more disability-targeted training, are recommended to optimize scoring consistency for this population.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-22"},"PeriodicalIF":1.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460224","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":"Occupational Experiences and Attributions of Typically Developing Adolescents.","authors":"Jennifer Budman, Shahar Zaguri-Vittenberg, Adina Maeir, Miri Tal-Saban","doi":"10.1080/01942638.2025.2463347","DOIUrl":"https://doi.org/10.1080/01942638.2025.2463347","url":null,"abstract":"<p><strong>Background: </strong>Understanding the occupational experience of typically developing adolescents and their attributions of strengths and difficulties is important for promoting their adaptive occupational participation.</p><p><strong>Objectives: </strong>To explore the psychometric properties of the Self-Perception of Occupational Experiences for Teens (SPOT) interview, occupational experiences, attributions of strengths and difficulties, and strategies for managing challenges among typically developing adolescents.</p><p><strong>Methodology: </strong>83 typically developing adolescents underwent the Self-Perception of Occupational experiences for Teens interview. Descriptive statistics and qualitative content analysis were used to analyze the data.</p><p><strong>Results: </strong>Acceptable to good internal consistency was found across all SPOT domains and scales and moderate correlations among all scales within the four domains. Descriptive analyses showed high ratings across domains, with social activities reported the most enjoyable and activities of daily living the least difficult. Leisure and social domains were the most frequently reported as strengths, while education was the most difficult. Emerged themes from qualitative analyses were internal attributes, external attributes, and motivation. Connecting with others and personal values were rated as most effective strategies for overcoming challenges.</p><p><strong>Conclusions: </strong>Aligning interventions with adolescents' attributions and challenges may enhance their motivation and engagement, promoting adaptive participation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400438","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":"Equitable Access to Sports: Youth Gymnastics Coaches' Perceptions on Promoting Inclusivity for Athletes with Autism Spectrum Disorder.","authors":"Alec Sheaffer, Camille Skubik-Peplaski, Shirley Peganoff O'Brien","doi":"10.1080/01942638.2025.2456733","DOIUrl":"https://doi.org/10.1080/01942638.2025.2456733","url":null,"abstract":"<p><strong>Aims: </strong>The purpose of the study was to explore youth gymnastics coaches' perceptions on inclusive sports participation following an educational module. The study aims to explore implications for occupational therapy professionals' role in inclusive sports.</p><p><strong>Methods: </strong>A qualitative descriptive approach was utilized with convenience sampling occurring through online platforms. Nine participants completed an educational module on autism spectrum disorder including strategies to promote inclusion in sports and address sensory and motor issues, prior to completing a semi-structured interview. Interviews were transcribed and coded prior to the determination of themes with triangulation and member checking employed.</p><p><strong>Results: </strong>Thematic analysis resulted in the following themes: (1) occupational engagement in sports benefits both neurodiverse and neurotypical children; (2) sociocultural and physical environments create barriers to autistic youth's participation in sports; and (3) grace and knowledge enhance coaches' ability to promote inclusive occupational participation in sports for autistic youth. Themes were representative of the interconnected occupational components impacting inclusive sports of which occupational therapists are poised to address.</p><p><strong>Conclusion: </strong>Lack of participation in sports for all children and children with disabilities is a complex system of physical, social, psychological, cultural, and environmental elements. Occupational therapists are equipped to educate youth sports providers and demonstrate leadership in advocating for inclusive sports programs to facilitate equitable sports participation, health, and wellness for children.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability of the Alberta Infant Motor Scale (AIMS) When Used via Telehealth for Neurodevelopmentally High-Risk Infants.","authors":"Serena Davies, Barbara R Lucas, Genevieve M Dwyer","doi":"10.1080/01942638.2025.2451406","DOIUrl":"https://doi.org/10.1080/01942638.2025.2451406","url":null,"abstract":"<p><strong>Aims: </strong>To assess the reliability of the Alberta Infant Motor Scale (AIMS) when conducted <i>via</i> recorded telehealth sessions by novice and expert raters.</p><p><strong>Methods: </strong>Ten assessors (six novice, four expert) independently rated recorded telehealth assessments of 23 neurodevelopmentally high-risk infants twice. Inter- and intra-rater reliability of subscale scores, total score and percentile rankings were determined.</p><p><strong>Results: </strong>AIMS total score inter-rater reliability was excellent across all raters (ICC = 0.92-0.96). Inter-rater-reliability across prone, supine and sitting subscale scores was excellent (ICC = 0.90-0.96) but variable for standing subscale (ICC = 0.06-0.65). Novice total score intra-rater reliability was variable (ICC = 0.45-0.94); expert reliability was excellent (ICC = 0.93-1.00). Recording to real-time telehealth assessment had excellent intra-rater reliability (ICC = 0.96). Time taken to complete the assessment was comparable to a face-to-face assessment (mean: 14.9 min). Novices paused/replayed each video more than experts (2.2 compared to 1.0 in Time 1; and 1.0 compared to 0.5 in Time 2).</p><p><strong>Conclusions: </strong>The AIMS assessment is reliable when undertaken <i>via</i> telehealth consultation. Time taken to complete the assessment is comparable to a face-to-face assessment. Novice inter-rater reliability was similar to experts. Training and the ability to pause/review infant motor performance may explain the accuracy achieved.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048433","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":"Effectiveness of Non-Nutritive Sucking on Sucking Performance in Preterm Infants: A Systematic Review.","authors":"Chaonong Lu, Shuang Wang, Shanshan Li, Ruikang Liu, Qiaoling Liu","doi":"10.1080/01942638.2025.2451405","DOIUrl":"https://doi.org/10.1080/01942638.2025.2451405","url":null,"abstract":"<p><strong>Introduction: </strong>Non-nutritive sucking (NNS) is commonly employed to assist in the development of preterm infants facing feeding challenges. The effectiveness of NNS interventions on sucking performance (suction and expression/compression component of sucking) in this population has not yet to be systematically explored.</p><p><strong>Aims: </strong>To review the literature on the effects of NNS on sucking performance in preterm infants.</p><p><strong>Methods: </strong>A comprehensive search was conducted across five databases, encompassing publications from the inception of these databases until July 2024. The studies included only randomized controlled trials (RCTs) involving preterm infants born before 37 wk with feeding problems, who were tube-fed. The experimental group received exclusive NNS intervention, while the control group received routine care or no intervention. Data extraction focused on one primary outcome (sucking performance) and two secondary outcomes (physiological characteristics and weight gain at discharge). The quality of the included studies was assessed using the Physiotherapy Evidence Database (PEDro) scale, while the Cochrane risk-of-bias tool for randomized trials was employed to evaluate the risk of bias. The findings were summarized using a narrative synthesis approach.</p><p><strong>Results: </strong>Nine RCTs involving a total of 575 preterm infants were incorporated. The methodological quality scores of the included studies ranged from 5 to 8. Compared to standard care, the use of NNS had positive influences on the Lower Anchors and Tethers for Children (LATCH) scale, aspects of sucking parameters (the percentage of milk taken and number of sucks per burst), and physiological characteristics. However, NNS produced variable results on the Preterm Infant Breastfeeding Behavior Scale (PIBBS), weight gain at discharge, and four sucking parameters-volume of milk intake at the first 5 min, rate of milk transfer, overall milk intake, and feeding time. Notably, insignificant association was found between NNS and other sucking parameters, including overall frequency, suction amplitude, and expression amplitude.</p><p><strong>Conclusions: </strong>The effectiveness of NNS intervention on sucking performance, weight at discharge yielded inconsistent results. However, the existing evidence that elucidated the impact mechanism of NNS and its effects on sucking performance was constrained. Additional trials characterized by robust methodological quality should be employed to further elucidate and clarify the potential impact mechanism of NNS on sucking performance.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-24"},"PeriodicalIF":1.5,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014340","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":"Effect of Family-Centered Care Interventions on Motor and Neurobehavior Development of Very Preterm Infants: A Systematic Review and Meta-Analysis.","authors":"Manasa Kolibylu Raghupathy, Shradha S Parsekar, Shubha R Nayak, Kalesh M Karun, Sonia Khurana, Alicia J Spittle, Leslie Edward S Lewis, Bhamini Krishna Rao","doi":"10.1080/01942638.2024.2449387","DOIUrl":"10.1080/01942638.2024.2449387","url":null,"abstract":"<p><strong>Aim: </strong>To assess the effectiveness of family-centered care (FCC) interventions on motor and neurobehavior development of very preterm infants.</p><p><strong>Method: </strong>Randomized and quasi-randomized trials assessing the effect of FCC on motor and neurobehavioral outcomes in very preterm infants (28-32 wk gestation) were included. Five electronic databases and grey literature were searched from January 2010 to August 2022. Two reviewers independently screened the titles/abstracts and full texts, assessed the risk of bias, and extracted data. The Cochrane Risk of Bias 2.0 Tool and GRADE were used for risk and evidence certainty assessments. Meta-analysis or narrative synthesis was performed based on data availability and heterogeneity.</p><p><strong>Results: </strong>Seventeen trials with 21 publications were included. GRADE showed low to moderate evidence. At 24 months, FCC interventions improved motor development (Mean Difference (MD):5.00, 95% CI: 2.58-7.42), cognitive development (MD: 3.64, 95% CI: 1.15-6.12), and behavior development (MD: -2.40, 95% CI: -4.32, -0.48) compared to control groups. Further, the FCC showed minimal or inconclusive effects on language, communication, and personal social development measured anytime between newborn and 24 months of age.</p><p><strong>Conclusions: </strong>Early initiated FCC interventions can be a promising approach to improve motor, cognition, and behavioral development in very preterm infants.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"257-286"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014773","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":"Development and Validation of the Participation Questionnaire for Preschoolers with Autism Spectrum Disorder: Structural Validity, Internal Consistency, and Construct Validity.","authors":"Takuto Nakamura, Hirofumi Nagayama, Satoshi Sasada","doi":"10.1080/01942638.2024.2421856","DOIUrl":"10.1080/01942638.2024.2421856","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to develop the Participation Questionnaire for Preschoolers (PQP) and validate its psychometric properties as a disability-specific tool designed to assess participation in preschool-aged children with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>This cross-sectional study recruited caregivers of 412 children, including those diagnosed with ASD and those at risk for neurodevelopmental disorders. Participants were recruited from child development facilities, medical institutions, and developmental support websites across Japan. Data from 287 children diagnosed with ASD were analyzed for item reduction, followed by exploratory factor analysis and the calculation of Cronbach's alpha to evaluate internal consistency. Five hypotheses were tested to assess construct validity.</p><p><strong>Results: </strong>Item reduction resulted in the removal of seven items and the identification of four factors: Friendship and Education, Family Satisfaction, Daily Living and Independence, and Leisure and Community Life. Cronbach's alpha values for these factors ranged from 0.74 to 0.88, indicating acceptable internal consistency. Three of the five hypotheses related to construct validity were supported, aligning with expectations.</p><p><strong>Conclusion: </strong>The PQP exhibited structural validity, internal consistency, and construct validity. However, further longitudinal studies are needed to validate its measurement properties over time.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"302-317"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570116","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}