Physical & Occupational Therapy in Pediatrics最新文献

{"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}

{"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":"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":"453-467"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","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":"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":1.7,"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":"Occupational Therapists Enhance Comprehensive Health Assessments for Children in Foster Care.","authors":"Kristine Fortin, Teniola Egbe, Nicole Briskin, Anne-Ashley Field, Jordan Wentz, Judith Dawson, Susan Friedman, M Katherine Henry","doi":"10.1080/01942638.2024.2447022","DOIUrl":"10.1080/01942638.2024.2447022","url":null,"abstract":"<p><strong>Aims: </strong>Children in foster care (CFC) have prevalent developmental health needs. Comprehensive health assessments (CHA) that include development evaluation are recommended for CFC. The impact of adding occupational therapy (OT) to multidisciplinary CHA teams is unknown. We aimed to describe findings from OT evaluations performed as part of CHA for CFC and determine if OT evaluation influences developmental health recommendations.</p><p><strong>Methods: </strong>Retrospective study at a clinic for CFC that included 335 children with OT evaluation during their CHA and 217 without OT evaluation due to limited availability. OTs performed developmental components of CHA using observation and standardized testing. We used descriptive statistics, and chi-square and Fisher's exact tests to compare developmental health recommendations between patients with and without OT assessment.</p><p><strong>Results: </strong>Median age was 8.3 years (range 0, 19). At least one aspect of development was delayed in 230/335 (69%) children evaluated by OT. OTs provided strategies to strengthen development to 74% of evaluated youth. Children seen by OT received significantly more developmental referrals compared to controls (38% versus 58%, <i>p</i><.001).</p><p><strong>Conclusions: </strong>Our findings suggest rehabilitation specialists such as OTs can enhance detection of developmental needs and provide strategies to strengthen development when included in CHA for CFC.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"389-400"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"517-540"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","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":"Interpretability and Clinical Utility of the Pediatric Evaluation of Disability Inventory - Patient Reported Outcome (PEDI-PRO) Score Report.","authors":"Ariel Schwartz, Fiorella Guerrero Calle, Elizabeth Barbour, Andrew Persch, Beth Pfeiffer, Daniel K Davies, Erik J Mugele, Jessica Kramer","doi":"10.1080/01942638.2024.2378064","DOIUrl":"10.1080/01942638.2024.2378064","url":null,"abstract":"<p><strong>Aims: </strong>Well-designed score reports can support therapists to accurately interpret assessments. We piloted a score report for the Pediatric Evaluation Disability Inventory-Patient Reported Outcome (PEDI-PRO) and evaluated: 1) To what extent can occupational and physical therapists (OT, PT) accurately interpret item-response theory (IRT)-based PEDI-PRO assessment results? 2) What is the perceived clinical utility of the pilot score report?</p><p><strong>Methods: </strong>Exploratory, sequential mixed methods design. Focus groups with OT and PTs (<i>n</i> = 20) informed the development of the final score report; revisions were made in response to feedback. Next, OTs and PTs (<i>n</i> = 33) reviewed score reports from two fictional clients and answered survey questions about the interpretation of the PEDI-PRO results. Additional questions evaluated clinical utility.</p><p><strong>Results: </strong>Focus groups: Visual cues supported score interpretation, but therapists requested additional explanations for advanced IRT measurement concepts. Survey: Therapists accurately interpreted foundational IRT concepts (e.g. identifying most/least difficult items, highest scores), but were less accurate when interpreting advanced concepts (e.g. fit, unexpected responses). Therapists anticipated sharing different components of the score report with family members, clinicians, and payers to support their clinical practice.</p><p><strong>Conclusions: </strong>The pilot PEDI-PRO score report was highly endorsed by therapists, but therapists may need additional training to interpret advanced IRT concepts.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"22-40"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"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":"423-436"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","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":"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":"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":"558-571"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","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":"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":"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":"468-482"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","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":"Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study.","authors":"Grace-Anne M Herard, Ya-Ching Hung, Marina B Brandao, Andrew M Gordon","doi":"10.1080/01942638.2024.2376062","DOIUrl":"10.1080/01942638.2024.2376062","url":null,"abstract":"<p><strong>Aim: </strong>To compare bimanual coordination in children with bilateral cerebral palsy (BCP) with that of children with typical development (TD) and correlate bimanual coordination with clinical measures of hand function.</p><p><strong>Methods: </strong>3-D kinematic data were collected from 14 children with BCP (mean age 13 years 1 month; range 7.3-17.2 years, 5 females) and 14 age-matched children with TD (mean age 13 years 1 month, range 7.0-16.0 years, 7 females) as they opened a drawer with one hand and activated a switch inside it with the other hand at self-paced and as-fast-as-possible speeds. Hand roles varied in each condition. Participants' hand function levels were classified using the Manual Ability Classification System. Unimanual dexterity and bimanual performance were evaluated using the Box and Blocks Test and Both Hands Assessment respectively.</p><p><strong>Results: </strong>Participants with BCP performed the bimanual task more slowly (<i>p</i> < 0.001) and sequentially, as evidenced by greater time differences between the two hands achieving the end goal (<i>p</i> = 0.01). Faster speeds, particularly when the less affected hand opened the drawer, facilitated time-related measures of bimanual coordination (<i>p</i> < 0.05). Bimanual coordination correlated with all clinical measures of hand function (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>For children with BCP, speed and hand used for each subcomponent of the task influence bimanual coordination. Better bimanual coordination is associated with less impairment of both hands.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"68-83"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617479","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}