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}
Merve Sarıipek, Ali İmran Yalçın, Semra Topuz, Tüzün Fırat
{"title":"Investigation of Center of Pressure Displacement During Upper Limb Movements in Children with Neonatal Brachial Plexus Palsy.","authors":"Merve Sarıipek, Ali İmran Yalçın, Semra Topuz, Tüzün Fırat","doi":"10.1080/01942638.2025.2475953","DOIUrl":"https://doi.org/10.1080/01942638.2025.2475953","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine the amount of displacement of the Center of Pressure (CoP) during movement of the affected limb in children with Neonatal Brachial Plexus Palsy (NBPP) and to compare it with the unaffected side.</p><p><strong>Method: </strong>Forty-six children (6.63 ± 1.97 years) with NBPP who met the inclusion criteria were enrolled in this cross-sectional descriptive study. The amount of CoP displacement was measured using the Bertec BP5046 force plate while performing Modified Mallet Movement Scale (MMMS) subtests.</p><p><strong>Results: </strong>When performing the MMMS subtests, maximum CoP displacements were greater for movements performed with the affected side (<i>p</i> < 0,05). The CoP displacements at the end of the movement were also greater for the affected side movements for global external rotation, hand to spine, hand to mouth and internal rotation (<i>p</i> < 0,05).</p><p><strong>Conclusions: </strong>In children with NBPP, the difference in the amount of CoP displacement during the affected and unaffected side movements does not necessarily indicate pathology. It may instead reflect a specific postural control strategy. However, since the difference in the amount of trunk perturbation caused by limb movements can result in an asymmetric loading, it is crucial to include trunk control in rehabilitation protocols.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587798","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}
Náguia Letícia de Medeiros, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz, Hiane Aparecida Silva, Mihee An, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos
{"title":"Family-Professional Collaborative Physical Therapy Intervention via Telehealth for Children with Developmental Disabilities: A Mixed-Method Feasibility Study.","authors":"Náguia Letícia de Medeiros, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz, Hiane Aparecida Silva, Mihee An, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos","doi":"10.1080/01942638.2024.2447024","DOIUrl":"10.1080/01942638.2024.2447024","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate attendance rates, daily therapy engagement, parents' perceptions regarding feasibility, acceptability, family-centeredness, and individualized outcomes of a collaborative telehealth-based physical therapy intervention for children with disabilities.</p><p><strong>Method: </strong>Mixed-method design involving 15 families and 17 children with disabilities (range age 4-90 months). Parents recorded time spent on home activities. Family-centeredness was assessed using the Measure of Processes of Care-20-item (MPOC-20). The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were used to measure individualized outcomes. Interviews were conducted on families' perceptions of the telehealth service.</p><p><strong>Results: </strong>Parents attended an average of 8.29 out of 9 scheduled telehealth sessions and spent an average of 1.32 (±0.58) hours per day on therapy activities. Parents rated the services as family-centered \"to a fairly great extent\" or \"to a great extent\". On average, children achieved individualized goals. Parents identified therapists' collaborative behaviors and information sharing as facilitators, beliefs about their abilities and technical issues as barriers, and empowerment and active engagement as benefits of the telehealth sessions.</p><p><strong>Conclusion: </strong>The family-professional collaborative telehealth physical therapy was perceived by parents as acceptable and feasible to address their children needs. Children achieved individualized goals and participating families actively engaged in the intervention process.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"375-388"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933020","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 Big Thank You to Annette Majnemer and Welcome to Tatiana Ogourtsova, Coeditor.","authors":"Robert J Palisano","doi":"10.1080/01942638.2025.2449731","DOIUrl":"10.1080/01942638.2025.2449731","url":null,"abstract":"","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"117-118"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957615","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}