Physical & Occupational Therapy in Pediatrics最新文献

筛选
英文 中文
Social Functioning of Pre-School Children With and Without Sensory Modulation Disorder. 有无感觉调节障碍的学龄前儿童的社会功能。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-16 DOI: 10.1080/01942638.2026.2638433
Shahar Zaguri-Vittenberg, Aviva Yochman, Shira Bar, Jennifer R Budman
{"title":"Social Functioning of Pre-School Children With and Without Sensory Modulation Disorder.","authors":"Shahar Zaguri-Vittenberg, Aviva Yochman, Shira Bar, Jennifer R Budman","doi":"10.1080/01942638.2026.2638433","DOIUrl":"https://doi.org/10.1080/01942638.2026.2638433","url":null,"abstract":"<p><strong>Aim: </strong>To compare social functioning components (social skills, behavioral challenges, and social participation) of preschool children with and without sensory modulation disorder (SMD) and to examine whether social skills and behavioral challenges mediate the relationship between sensory processing difficulties and social participation.</p><p><strong>Methods: </strong>Parents of 77 preschool children aged 3-6, with (<i>n</i> = 38) and without (<i>n</i> = 39) SMD, completed questionnaires on their child's Sensory Profile, social skills and behaviors, and social participation.</p><p><strong>Results: </strong>Children with SMD demonstrated lower social skills and social participation and more behavioral challenges compared to typical peers. Both the social skills and behavioral challenges levels mediated the relationship between sensory processing difficulties and social participation.</p><p><strong>Conclusion: </strong>The findings support an indirect association between sensory processing and social participation, occurring through the associations of sensory processing differences with social skills and behavioral challenges. The findings underscore the importance of assessment and intervention of children with SMD during early childhood to identify and mitigate social skills and behavioral difficulties that may limit social participation.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470013","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
Differences in Parents' Beliefs and Practices with Infant Containers Relative to the Beliefs of Pediatric Therapists. 父母对婴儿容器的信念和实践与儿科治疗师信念的差异。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-15 DOI: 10.1080/01942638.2026.2638422
Zainab S Alghamdi, Joseph Corrado, Michele A Lobo
{"title":"Differences in Parents' Beliefs and Practices with Infant Containers Relative to the Beliefs of Pediatric Therapists.","authors":"Zainab S Alghamdi, Joseph Corrado, Michele A Lobo","doi":"10.1080/01942638.2026.2638422","DOIUrl":"https://doi.org/10.1080/01942638.2026.2638422","url":null,"abstract":"<p><strong>Aim: </strong>To contrast parents' and pediatric therapists' beliefs regarding infant container use (e.g. car seats, strollers, swings, and jumpers), compare parents' container use with therapists' recommendations, and understand how therapists educate parents about infant containers.</p><p><strong>Methods: </strong>Two anonymous surveys were distributed to parents of infants younger than 19 months of age and pediatric therapists. Participants rated their beliefs about the developmental impact of 10 types of infant containers, as well as appropriate durations and reasons for using each type of container. Parents also reported their daily use of the containers. Differences between parents' and therapists' beliefs were evaluated.</p><p><strong>Results: </strong>Overall, pediatric therapists (<i>n</i> = 341) held more negative beliefs about containers and recommended shorter durations of use than parents (<i>n</i> = 250). Parents' average daily use of containers was more than double the longest duration recommended by therapists. Parent education regarding containers varied among therapists, with most recommending that parents limit container use to a specific amount of time.</p><p><strong>Conclusion: </strong>Therapists and parents differ in their beliefs regarding the influence of containers on child development, as well as how and why containers should be used. Pediatric therapists should consider each family's beliefs and needs when educating parents about infant containers.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-18"},"PeriodicalIF":1.7,"publicationDate":"2026-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460699","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
Racial and Ethnic Differences in Occupational Therapy Service Access in the Initial Five Years Following Autism Diagnosis. 自闭症诊断后最初五年内职业治疗服务获取的种族差异。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-13 DOI: 10.1080/01942638.2026.2618038
Yu-Lun Chen, Helen M Genova, Claire M Marchetta, Amanda L Botticello
{"title":"Racial and Ethnic Differences in Occupational Therapy Service Access in the Initial Five Years Following Autism Diagnosis.","authors":"Yu-Lun Chen, Helen M Genova, Claire M Marchetta, Amanda L Botticello","doi":"10.1080/01942638.2026.2618038","DOIUrl":"https://doi.org/10.1080/01942638.2026.2618038","url":null,"abstract":"<p><strong>Aim: </strong>Children diagnosed with autism spectrum disorder (ASD) require timely access to occupational therapy (OT) to support their developmental and functional needs, yet children of minority races and ethnicities may experience barriers to accessing care. This study aimed to assess racial and ethnic differences in OT access during the initial five years post-ASD diagnosis.</p><p><strong>Methods: </strong>This retrospective study utilized electronic health records from a large pediatric health system encompassing 13 outpatient sites in the Northeastern United States. Data on OT access from 2014 to 2019 (the most recent five-year period uninterrupted by the COVID-19 pandemic), comorbid diagnoses, and social determinants of health were collected.</p><p><strong>Results: </strong>The sample comprised 1181 children diagnosed with ASD in 2014 (diagnosis age: <i>M</i> = 5.0 years, SD = 3.2). No differences in odds of OT receipt were found between racial/ethnic groups. However, children of minority race/ethnicity had lower OT intensity, with Hispanic, Black, and Asian and Pacific Islander children receiving 0.6 (95% CI = [0.44, 0.82]), 0.54 [0.36, 0.81], and 0.55 [0.32, 0.96] times the number of OT visits received by non-Hispanic White children over five years post-diagnosis.</p><p><strong>Conclusion: </strong>Children of minority race/ethnicity may receive lower OT intensity, suggesting potential barriers in continued access to therapy following ASD diagnosis.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445804","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
Prevalence and Association of Generalized Joint Hypermobility in Children with Functional Neurological Disorder: A Retrospective Study. 儿童功能性神经障碍中广泛性关节过度活动的患病率及其相关性:一项回顾性研究。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-10 DOI: 10.1080/01942638.2026.2638427
Jana Landa, Karin Mashevich, Etzyona Eisenstein, Sharon Barak
{"title":"Prevalence and Association of Generalized Joint Hypermobility in Children with Functional Neurological Disorder: A Retrospective Study.","authors":"Jana Landa, Karin Mashevich, Etzyona Eisenstein, Sharon Barak","doi":"10.1080/01942638.2026.2638427","DOIUrl":"https://doi.org/10.1080/01942638.2026.2638427","url":null,"abstract":"<p><strong>Aims: </strong>Functional neurological disorder (FND) etiology is multifactorial. This study aimed to examine: (1) generalized joint hypermobility (GJH) prevalence in children diagnosed with FND and (2) the association between GJH and FND severity, activity level, and participation.</p><p><strong>Methods: </strong>Participated in this study 53 children with FND (mean age 14.2 ± 2.7 years; 73.6% female). GJH was assessed using the Beighton score. FND severity was evaluated with the 24-item Children's Somatic Symptoms Inventory (CSSI-24), number of limbs affected, and pain following the six-minute walk test (6MWT).</p><p><strong>Results: </strong>GJH was identified in 43% (Beighton ≥4) and 24% (Beighton ≥6) of participants. Elbow hyperextension was the most common feature (56.6%). The total Beighton score was independently associated with CSSI-24 (<i>R</i><sup>2</sup>=.25, <i>p</i><.01) and with the number of limbs involved (<i>R</i><sup>2</sup>=.15, <i>p</i><.01). A positive association was observed between Beighton score and pain post-6MWT.</p><p><strong>Conclusion: </strong>Regardless of the Beighton cutoff used, GJH prevalence remained high, with at least 1 in 4 participants presenting GJH even at the strictest threshold (≥6). GJH was associated with increased CSSI-24 and motor involvement. These findings suggest that GJH may represent a somatic vulnerability factor within the biopsychosocial model of FND. Routine assessment could help identify meaningful subgroups and guide individualized treatment.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-24"},"PeriodicalIF":1.7,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391505","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
Inpatient Rehabilitation After Multi-Level Orthopedic Surgery in Youth with Cerebral Palsy: Discharge and 18-Month Mobility Outcomes. 青少年脑瘫患者多层次骨科手术后的住院康复:出院和18个月的活动能力结果。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-03-02 DOI: 10.1080/01942638.2026.2632137
Stephanie Butler, Brittany Virgil, Chris Church, Katie Bushong, Laura Owens, M Wade Shrader, Jose J Salazar-Torres, Arianna Trionfo, Nancy Lennon
{"title":"Inpatient Rehabilitation After Multi-Level Orthopedic Surgery in Youth with Cerebral Palsy: Discharge and 18-Month Mobility Outcomes.","authors":"Stephanie Butler, Brittany Virgil, Chris Church, Katie Bushong, Laura Owens, M Wade Shrader, Jose J Salazar-Torres, Arianna Trionfo, Nancy Lennon","doi":"10.1080/01942638.2026.2632137","DOIUrl":"https://doi.org/10.1080/01942638.2026.2632137","url":null,"abstract":"<p><strong>Aims: </strong>To describe mobility outcomes for youth with cerebral palsy (CP) who received inpatient rehabilitation (IPR) following multilevel surgery (MLS) and surgical and patient factors associated with mobility outcomes.</p><p><strong>Methods: </strong>Data for 58 youth (mean age 13.5 years; Gross Motor Function Classification System [GMFCS] level II-53%; III-47%) who underwent high-burden MLS were retrospectively reviewed. 81% received IPR following MLS; average length of stay (LOS) was 4.3 wk. The Functional Independence Measure for Children (WeeFIM) was administered at admission and discharge from IPR. The Pediatric Outcomes Data Collection Instrument Transfer and Basic Mobility score (PODCI-TBM), Gait Deviation Index (GDI), and Gross Motor Function Measure Section D (GMFM-D) were administered preoperatively and at 18 months following MLS.</p><p><strong>Results: </strong>Youth made significant gains in acute mobility function (<i>p</i> < 0.0001); for youth classified at GMFCS III, length of stay was significantly longer (<i>p</i> = 0.03). Lower WeeFIM cognitive scores and lower GMFM-D scores preoperatively correlated with fewer mobility gains during IPR (<i>r</i> = 0.48, <i>p</i> = 0.0007). For all patients, at 18 months postoperatively, GDI improved significantly (<i>p</i> < 0.01); GMFM-D and PODCI-TBM did not (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>Youth had improved mobility acutely after MLS that was associated with cognition and preoperative gross motor function. IPR did not influence 18-month mobility improvements.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345554","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
An Intervention Model for Children with Mild Developmental Delay Using Multi-Stakeholder Co-Design Study and Australia-Wide Survey. 基于多利益相关者共同设计研究和澳大利亚调查的轻度发育迟缓儿童干预模型。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-02-23 DOI: 10.1080/01942638.2026.2631557
Laura Brown, Amanda Bacon, Annie Chappell, Verity Pacey, Nicole Pates, Emre Ilhan
{"title":"An Intervention Model for Children with Mild Developmental Delay Using Multi-Stakeholder Co-Design Study and Australia-Wide Survey.","authors":"Laura Brown, Amanda Bacon, Annie Chappell, Verity Pacey, Nicole Pates, Emre Ilhan","doi":"10.1080/01942638.2026.2631557","DOIUrl":"https://doi.org/10.1080/01942638.2026.2631557","url":null,"abstract":"<p><strong>Aims: </strong>To co-design an intervention model for 4-year-old children with mild developmental delay, in particular, mild motor delay, in the childcare setting.</p><p><strong>Methods: </strong>An exploratory sequential mixed-methods design <i>via</i> a three-stage co-design approach was used with qualitative and quantitative methods of data collection and analysis. Stage 1: a rapid literature review and collaborating with educators, parents, and physical therapists, to identify considerations and preferences for an intervention model. Stage 2: a national cross-sectional online survey collected feedback on intervention from a wider national sample of educators, physical therapists and parents/carers. Stage 3: survey feedback allowed development of the final intervention model.</p><p><strong>Results: </strong>Studies evaluating interventions on non-typically developing 4-year-old children with mild motor delay in the childcare setting varied. Seventy stakeholders completed the survey most of whom were physical therapists (<i>n</i> = 57). Stakeholders preferred: a combined treatment approach by multiple professionals within the childcare setting using existing equipment, an intervention to include all children, to alternate between individual and group-based, and to be frequent (30 min, 2-3 times per week, 8-10 weeks long).</p><p><strong>Conclusions: </strong>This co-designed intervention model involves a combined approach, two-to-three 30-min group and individual-based sessions per week over 8-to-10 weeks delivered by health professionals and educators.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272521","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
Comparative Effects of Deep Breathing and Vagus Nerve Stimulation on Psychosocial and Autonomic Outcomes in Mothers of Children with Cerebral Palsy: A Randomized Controlled Trial. 一项随机对照试验:深呼吸和迷走神经刺激对脑瘫患儿母亲的社会心理和自主神经预后的比较影响
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-02-18 DOI: 10.1080/01942638.2026.2628830
Kemal Ozen, Gamze Demircioglu
{"title":"Comparative Effects of Deep Breathing and Vagus Nerve Stimulation on Psychosocial and Autonomic Outcomes in Mothers of Children with Cerebral Palsy: A Randomized Controlled Trial.","authors":"Kemal Ozen, Gamze Demircioglu","doi":"10.1080/01942638.2026.2628830","DOIUrl":"https://doi.org/10.1080/01942638.2026.2628830","url":null,"abstract":"<p><strong>Background: </strong>This randomized controlled trial examined the effects of deep breathing exercises (DBEs) and transcutaneous auricular vagus nerve stimulation (VNS) on psychosocial and autonomic outcomes in mothers of children with cerebral palsy.</p><p><strong>Methods: </strong>Thirty-nine participants were randomly assigned to the DBE (<i>n</i> = 20) or VNS (<i>n</i> = 19) group and received three sessions per week for three weeks. The outcomes included the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), Zarit Burden Interview (ZBI), Composite Autonomic Symptom Score-31 (COMPASS-31), heart rate variability (HRV), and the Nordic Musculoskeletal Questionnaire-Extended Version (NMQ-E).</p><p><strong>Results: </strong>Both interventions produced significant within-group improvements in sleep quality, depressive symptoms, caregiver burden, and autonomic symptom burden (<i>p</i> < .05). In contrast, the HRV parameters showed no significant within-group changes (<i>p</i> > .05). Between-group analyses indicated a greater reduction in BDI scores in the VNS group (<i>d</i> = 0.74), whereas improvements in the PSQI (<i>d</i> = 0.43), ZBI (<i>d</i> = 0.08), and COMPASS-31 (<i>d</i> = 1.19) scores were comparable between the two groups. NMQ-E pain scores decreased in six regions of the DBE group and seven areas of the VNS group, with small-to-moderate between-group effect sizes across body regions; however, none of these differences reached statistical significance (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Both interventions were effective, with VNS demonstrating more substantial antidepressant effects and broader pain reduction, whereas DBE remains a simple, low-cost, and scalable option for caregiver support.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-19"},"PeriodicalIF":1.7,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214626","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 Discriminative Validity of the Evaluation In Ayres Sensory Integration® (EASI). Ayres感觉统合(EASI)评价的判别效度
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-02-16 DOI: 10.1080/01942638.2026.2623835
Zeynep Ender, Sevda Asqarova, Aymen Balikci, Zoe Mailloux
{"title":"The Discriminative Validity of the Evaluation In Ayres Sensory Integration<sup>®</sup> (EASI).","authors":"Zeynep Ender, Sevda Asqarova, Aymen Balikci, Zoe Mailloux","doi":"10.1080/01942638.2026.2623835","DOIUrl":"https://doi.org/10.1080/01942638.2026.2623835","url":null,"abstract":"<p><strong>Aim: </strong>This study examined the discriminative validity of the Evaluation in Ayres Sensory Integration<sup>®</sup> (EASI), a standardized, performance-based assessment of sensory integration functions that underlie children's participation in daily life.</p><p><strong>Methods: </strong>The sample comprised 120 children aged 6-12 years, including 60 children with known or suspected sensory integration difficulties (SID) and 60 typically developing (TD) peers. All participants were administered the EASI. Group differences were analyzed using chi-square tests, Fisher's exact tests, and independent samples t tests. Receiver Operating Characteristic (ROC) analyses were conducted to evaluate the discriminative validity of individual EASI subtests.</p><p><strong>Results: </strong>Children in the SID group performed significantly below their TD peers across all EASI subtests (<i>p</i> < .001). ROC analyses yielded area under the curve (AUC) values ranging from 0.669 to 0.902, indicating weak to excellent discriminative validity. Subtests assessing praxis and postural control demonstrated the strongest discriminative accuracy, whereas several subtests showed weaker but statistically significant discrimination.</p><p><strong>Conclusions: </strong>These findings support the EASI as an effective assessment for distinguishing children with sensory integration difficulties from typically developing peers. Although discriminative strength varied across subtests, the overall battery demonstrated strong discriminative capacity, supporting profile-based interpretation and clinical utility within the Ayres Sensory Integration<sup>®</sup> framework.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203476","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
Barriers and Facilitators Influencing the Implementation of a New Community-Based Occupational Therapy Service for Preschoolers. 影响学龄前儿童新社区职业治疗服务实施的障碍和促进因素。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-02-02 DOI: 10.1080/01942638.2026.2623841
Gabrielle Pratte, Marilyn Gagnon, Myriam Guertin, Mélanie Couture, Chantal Camden, Audrée Jeanne Beaudoin
{"title":"Barriers and Facilitators Influencing the Implementation of a New Community-Based Occupational Therapy Service for Preschoolers.","authors":"Gabrielle Pratte, Marilyn Gagnon, Myriam Guertin, Mélanie Couture, Chantal Camden, Audrée Jeanne Beaudoin","doi":"10.1080/01942638.2026.2623841","DOIUrl":"https://doi.org/10.1080/01942638.2026.2623841","url":null,"abstract":"<p><strong>Aims: </strong>Timely access to occupational therapy (OT) services for preschoolers remains a challenge, contributing to social health inequities. This study explored the implementation of an OT service co-developed with community organizations and childcare settings and grounded in proportionate universalism and public health principle's.</p><p><strong>Methods: </strong>A descriptive interpretative qualitative approach was used to document the first year of implementation of a pilot community-based OT service for preschoolers. Findings from interviews with partners, including pedagogical coordinator in childcare centers and community organizations (<i>n</i> = 6), educators (<i>n</i> = 3), parents (<i>n</i> = 3), and the occupational therapist involved in the project (<i>n</i> = 1), were analyzed using the Strengths-Weaknesses-Opportunities-Threats (SWOT) framework and interpreted through the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>Key facilitators included strong collaborations, open-mindedness, knowledge and interpersonal skills, tiered organizational model, and personalized services tailored to each partner's needs. Barriers reported were limited follow-up by the OT, shortage of human resources, and limited availability of staff, which negatively influenced the ability to meet regularly and implement strategies.</p><p><strong>Conclusions: </strong>Findings highlight the value of multi-tiered services and intersectoral partnership for improving access to early childhood rehabilitation services. More studies would help to have a better understanding of the effects of collaborative and multi-tiered services in preschool settings.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-17"},"PeriodicalIF":1.7,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108063","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
Immediate Effect of Digital Game Use and Verbal Encouragement on Lower Limb Activity and Psychological Enjoyment During Motor Task in Children with Motor Disorders. 数字游戏使用和语言鼓励对运动障碍儿童运动任务中下肢活动和心理享受的直接影响。
IF 1.7 4区 医学
Physical & Occupational Therapy in Pediatrics Pub Date : 2026-01-22 DOI: 10.1080/01942638.2026.2618035
Daiki Asano, Hikaru Sakai, Haruka Monden, Yusuke Shimazaki, Kanako Nakamura, Satoko Ohmatsu
{"title":"Immediate Effect of Digital Game Use and Verbal Encouragement on Lower Limb Activity and Psychological Enjoyment During Motor Task in Children with Motor Disorders.","authors":"Daiki Asano, Hikaru Sakai, Haruka Monden, Yusuke Shimazaki, Kanako Nakamura, Satoko Ohmatsu","doi":"10.1080/01942638.2026.2618035","DOIUrl":"https://doi.org/10.1080/01942638.2026.2618035","url":null,"abstract":"<p><strong>Aims: </strong>The effects of interventions using digital games in the rehabilitation of children with motor disorders have been well-documented. This study examined the immediate effects of games and verbal encouragement from others on lower limb activity and psychological enjoyment during lower limb motor tasks in children with motor disorders.</p><p><strong>Methods: </strong>Participants's sample included 14 children, aged 4-13 years, with motor disorders, including cerebral palsy and developmental coordination disorder. The motor task was a 30-s foot-stomping activity. Participants first completed the task under a baseline condition with no stimuli, followed by a game condition in which they performed foot-stomping while engaging in a game. Finally, a game plus verbal encouragement condition was introduced.</p><p><strong>Results: </strong>The results revealed that game use increased lower limb activity and enhanced enjoyment levels. The additional effect of verbal encouragement was observed only in the enjoyment levels. The percentage increase in lower limb activity due to game use was negatively correlated with age and positively correlated with the level of motor impairment.</p><p><strong>Conclusions: </strong>In the rehabilitation of children with motor disorders, incorporating digital games into motor tasks and adding positive engagement from others can increase lower limb activity and enjoyment during challenging motor tasks.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-16"},"PeriodicalIF":1.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031452","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书