Physical & Occupational Therapy in Pediatrics最新文献_第7页

Feasibility of a Child-Friendly 2-Minute Walk Test: A Crossover Randomized Controlled Trial. 儿童友好型 2 分钟步行测试的可行性：交叉随机对照试验。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-01-21 DOI: 10.1080/01942638.2024.2304765

Nicholas A Kanetzke, Jacqueline E Westerdahl, Chris C Cho, Adané N Durham, Victoria A Moerchen

{"title":"Feasibility of a Child-Friendly 2-Minute Walk Test: A Crossover Randomized Controlled Trial.","authors":"Nicholas A Kanetzke, Jacqueline E Westerdahl, Chris C Cho, Adané N Durham, Victoria A Moerchen","doi":"10.1080/01942638.2024.2304765","DOIUrl":"10.1080/01942638.2024.2304765","url":null,"abstract":"Aims: Most studies that use the NIH Toolbox 2-Minute Walk Test with young children, modify the protocol, compromising the generalizability of outcomes. A standardizable protocol is needed. The purpose of this study was to compare the 2MWT performance of children ages 3-6 years on the standard NIH Toolbox protocol and on a modified protocol designed to support young children.Methods: Cross-over randomized controlled trial. Fifteen typically developing children ages 3-6 years were randomly assigned to the performance order of the NIH toolbox 2MWT protocol and the Modified Accessibility Path (MAP) 2MWT protocol. Outcome variables and statistical analyses included test completion (McNemar test), distance walked (Wilcoxon signed-rank test), and accuracy (general estimating equation model with Poisson distribution).Results: All children completed 2 min of walking with the MAP protocol. Only 40% of children completed the NIH Toolbox protocol, with 83% of these NIH completers bolstered by previous exposure to the MAP protocol. Collapsed across the order, children also had significantly fewer errors per lap with the MAP protocol (p < 0.0001), despite walking a significantly greater distance (p = 0.006).Conclusions: These findings lend preliminary support for standardized application of a 2MWT with young children when the protocol is designed to be child-friendly.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"526-541"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514149","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

PedBotLab: A Novel Video Game-Based Robotic Ankle Platform Created for Therapeutic Exercise for Children With Neurological Impairments. PedBotLab：基于视频游戏的新型机器人踝关节平台，专为神经障碍儿童的治疗性锻炼而设计。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-02-28 DOI: 10.1080/01942638.2024.2316163

Justine Belschner, Catherine Coley, Staci Kovelman, Tyler Salvador, Reza Monfaredi, Manon Schladen, Hadi Fooladi Talari, Eduardo A Trujillo Rivera, Kevin Cleary, Sarah Helen Evans

{"title":"PedBotLab: A Novel Video Game-Based Robotic Ankle Platform Created for Therapeutic Exercise for Children With Neurological Impairments.","authors":"Justine Belschner, Catherine Coley, Staci Kovelman, Tyler Salvador, Reza Monfaredi, Manon Schladen, Hadi Fooladi Talari, Eduardo A Trujillo Rivera, Kevin Cleary, Sarah Helen Evans","doi":"10.1080/01942638.2024.2316163","DOIUrl":"10.1080/01942638.2024.2316163","url":null,"abstract":"Aims: Assess the potential benefits of using PedBotLab, a clinic based robotic ankle platform with integrated video game software, to improve ankle active and passive range of motion, strength, selective motor control, gait efficiency, and balance.Methods: Ten participants with static neurological injuries and independent ambulation participated in a 10-week pilot study (Pro00013680) to assess feasibility and efficacy of PedBotLab as a therapeutic device twice weekly. Isometric ankle strength, passive and active ankle range of motion, plantarflexor spasticity, selective motor control of the lower extremity, balance, and gait speed were measured pre- and post-trial.Results: Statistically significant improvements were seen in flexibility, active range of motion, and strength in multiple planes of ankle motion. Ankle dorsiflexion with knee flexion and knee extension demonstrated statistically significant results in all outcome measures. No significant changes were observed in gait speed outcomes.Conclusions: The use of PedbotLab can lead to improvements in ankle strength, flexibility, and active range of motion for children with static neurological injuries. Future studies aim to evaluate the effect on gait quality and work toward developing a home-based device.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"671-689"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991588","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}

引用次数: 0

Reliability of the Clinical Measurement of Upper and Lower Extremity Joint Motion in the Pediatric Population: A Systematic Review. 儿科人群上下肢关节活动度临床测量的可靠性：系统回顾

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2023-08-29 DOI: 10.1080/01942638.2023.2247072

Debra A Sala, Lori B Ragni

{"title":"Reliability of the Clinical Measurement of Upper and Lower Extremity Joint Motion in the Pediatric Population: A Systematic Review.","authors":"Debra A Sala, Lori B Ragni","doi":"10.1080/01942638.2023.2247072","DOIUrl":"10.1080/01942638.2023.2247072","url":null,"abstract":"Aim: To examine intraobserver and interobserver reliability of the clinical measurement of pediatric joint motion of upper and lower extremities, based on participant condition and measurement technique.Methods: PubMed, CINAHL, and Web of Science were searched using combinations of children or adolescents, range of motion, and reliability. Reference lists and citations of reviewed studies were searched for additional publications.Results: Thirty-one studies of pediatric samples of developing typically, orthopedic injuries, athletes, cerebral palsy, and other diagnoses were reviewed. For techniques, measurements were made most frequently with a goniometer followed by visual estimation, inclinometer, smartphone apps, and specialized devices. The reliability of hip abduction measurements of participants with cerebral palsy was evaluated most often and varied widely for both intraobserver and interobserver. In general, goniometric results indicated greater reliability for upper than lower extremities and for intraobserver than interobserver. As the other techniques were each utilized in only a few studies, involving different participant conditions, joint motions and statistics, the analysis of their reliability was limited.Conclusions: Intraobserver and interobserver reliability have not been established for pediatric joint motion measurements. Further research should include various joint motion measurements for different pediatric conditions using appropriate statistics. Results would provide important information for making clinical decisions.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"248-276"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112489","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

A Mixed-Methods Feasibility Study of a Gamified Therapy Prescription App for Children with Neurodisability. 针对神经残疾儿童的游戏化治疗处方应用程序的混合方法可行性研究。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2023-10-10 DOI: 10.1080/01942638.2023.2263576

Rowan W Johnson, Becky K White, Noula Gibson, Daniel F Gucciardi, Sîan A Williams

{"title":"A Mixed-Methods Feasibility Study of a Gamified Therapy Prescription App for Children with Neurodisability.","authors":"Rowan W Johnson, Becky K White, Noula Gibson, Daniel F Gucciardi, Sîan A Williams","doi":"10.1080/01942638.2023.2263576","DOIUrl":"10.1080/01942638.2023.2263576","url":null,"abstract":"Aim: Determine the feasibility of a gamified therapy (occupational therapy, physiotherapy, speech pathology) prescription app developed for children with neurodisability for delivering school and home therapy programs (the Zingo app).Method: A mixed-methods feasibility study was conducted with children (and their parents, therapists, and teachers) with neurodisability (n = 8, female= 5) who were prescribed a 4-week individualized therapy program by their usual treating therapist using Zingo. Primary outcome measures were program adherence, engagement, app quality, and user experience, collected with quantitative and qualitative methods.Results: Mean adherence to the program was 58.0% (SD 27.2). Our combined Engagement Index (EI) score was 74.4% (SD 11.7). App quality measured using Mobile Application Rating Scale- User version was 4.6/5 (SD 0.7, n = 6) for parents, 4.6/5 (SD 0.5, n = 5) for teachers, and 4.4/5 (SD 0.6, n = 6) for therapists. Thematic analysis of semi-structured interviews yielded a primary theme of \"app as motivator\" for therapy.Conclusions: Adherence findings were affected by COVID-19 outbreak however remain comparable with other studies in this cohort. EI findings compared favorably with other studies. The findings are supportive of the feasibility of Zingo for delivering home and school therapy programs for children with neurodisability and was found to motivate therapy program completion.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"586-603"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183924","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

Evaluation of Informative Content on Cerebral Palsy in the Era of Artificial Intelligence: The Value of ChatGPT. 人工智能时代的脑瘫信息内容评估：ChatGPT 的价值。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-02-15 DOI: 10.1080/01942638.2024.2316178

Ayşe Merve Ata, Berke Aras, Özlem Yılmaz Taşdelen, Canan Çelik, Canan Çulha

{"title":"Evaluation of Informative Content on Cerebral Palsy in the Era of Artificial Intelligence: The Value of ChatGPT.","authors":"Ayşe Merve Ata, Berke Aras, Özlem Yılmaz Taşdelen, Canan Çelik, Canan Çulha","doi":"10.1080/01942638.2024.2316178","DOIUrl":"10.1080/01942638.2024.2316178","url":null,"abstract":"Aims: In addition to the popular search engines on the Internet, ChatGPT may provide accurate and reliable health information. The aim of this study was to examine whether ChatGPT's responses to frequently asked questions concerning cerebral palsy (CP) by families were reliable and useful.Methods: Google trends were used to find the most frequently searched keywords for CP. Five independent physiatrists assessed ChatGPT responses to 10 questions. Seven-point Likert-type scales were used to rate information reliability and usefulness based on whether the answer can be validated and is understandable.Results: The median ratings for reliability of information for each question varied from 2 (very unsafe) to 5 (relatively very reliable). The median rating was 4 (reliable) for four questions. The median ratings for usefulness of information varied from 2 (very little useful) to 5 (moderately useful). The median rating was 4 (partly useful) for seven questions.Conclusion: Although ChatGPT appears promising as an additional tool for informing family members of individuals with CP about medical information, it should be emphasized that both consumers and health care providers should be aware of the limitations of artificial intelligence-generated information.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"605-614"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742447","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

Promoting Cycling Skills and Participation with Two-Wheel Bike Riding for Children with Neurodevelopmental Disorders. 促进神经发育障碍儿童的骑车技能和参与两轮自行车骑行。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI: 10.1080/01942638.2024.2309669

Elizabeth M Cyr, Robert J Palisano, Lisa A Chiarello, Maria Fragala-Pinkham

{"title":"Promoting Cycling Skills and Participation with Two-Wheel Bike Riding for Children with Neurodevelopmental Disorders.","authors":"Elizabeth M Cyr, Robert J Palisano, Lisa A Chiarello, Maria Fragala-Pinkham","doi":"10.1080/01942638.2024.2309669","DOIUrl":"10.1080/01942638.2024.2309669","url":null,"abstract":"Aims: Evaluate changes in two-wheel cycling skills and biking participation goals for children with neurodevelopmental disorders (ND) receiving a home visit and email following iCan Bike camp.Methods: Participants: 11 children with ND, 9-16 years, and one of their parents. A cycling skills checklist, two-wheel riding Goal Attainment Scaling (GAS), and biking participation GAS were completed before camp (T1), at support visit after camp (T2), and three months following camp (T3). Parents completed biking practice logs. Participants received a support visit to provide instruction, coaching, and address questions, and an email to check progress.Results: Significant changes were made in two-wheel riding GAS T1 to T2 (p = 0.01), biking participation GAS T2 to T3 (p = 0.02), and cycling skills T1 to T2 (p = 0.01) and T2 to T3 (p = 0.02). Practice frequency was related to cycling skills (0.72, p = 0.01) and biking participation (0.86, p < 0.001); cycling skills were related to biking participation (0.81, p = 0.003).Conclusion: Children improved cycling skills and biking participation following camp, support visit, and email check-in. Children who practiced more had greater cycling skills and biking participation. Encouraging weekly bicycling and providing support may promote cycling skills and participation following camp.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"690-703"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681810","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

A Pilot Survey of Pediatric Occupational and Physical Therapy Providers' Confidence, Attitudes, Barriers, and Education Regarding Trauma-Informed Care. 儿科职业和物理治疗师对创伤知情护理的信心、态度、障碍和教育试点调查。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-06-07 DOI: 10.1080/01942638.2024.2360457

Jessica Barreca, Ashley Wagner

{"title":"A Pilot Survey of Pediatric Occupational and Physical Therapy Providers' Confidence, Attitudes, Barriers, and Education Regarding Trauma-Informed Care.","authors":"Jessica Barreca, Ashley Wagner","doi":"10.1080/01942638.2024.2360457","DOIUrl":"10.1080/01942638.2024.2360457","url":null,"abstract":"Aim: Trauma-informed care (TIC) is a strengths-based organizational approach which recognizes the prevalence and impact of trauma on an individual's neurological, sensorimotor, and emotional responses and development. There is limited research on pediatric occupational therapy providers' (OTPs) and physical therapy providers' (PTPs) perceptions on incorporating TIC into their practice. This pilot study aims to describe the confidence, attitudes, barriers, and education of pediatric OTPs and PTPs regarding TIC.Method: OTPs and PTPs (n = 87) working in pediatric settings in the U.S. completed an electronic survey regarding their perceptions of TIC.Results: OTPs reported higher confidence in TIC compared to PTPs. Most participants reported favorable attitudes toward TIC, yet no statistical significance was identified between the two professions' overall attitudes toward TIC. Collectively, participants reported lack of time and training as barriers. There was a statistically significant difference between how the two professions rated competency, training, and concern over clients' retraumatization. There was significant association between years of professional experience and TIC education.Conclusion: Preliminary findings indicate an overall agreement of OTPs and PTPs with principles of TIC and common barriers to TIC practice. There are implications to further integrate opportunities for TIC training into foundational education and professional practice.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"765-782"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285099","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

Interventions to Enhance Achievement to Independent Oral Feeds in Premature Infants: A Scoping Review. 提高早产儿独立口服喂养成就的干预措施：范围界定综述。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2023-10-22 DOI: 10.1080/01942638.2023.2271064

Samiira Omar Sheikh-Mohamed, Hillary Wilson, Sandra Fucile

{"title":"Interventions to Enhance Achievement to Independent Oral Feeds in Premature Infants: A Scoping Review.","authors":"Samiira Omar Sheikh-Mohamed, Hillary Wilson, Sandra Fucile","doi":"10.1080/01942638.2023.2271064","DOIUrl":"10.1080/01942638.2023.2271064","url":null,"abstract":"Aim: To assess the effectiveness of interventions aimed at facilitating the transition from full tube to independent oral feeds in premature infants.Methods: Scoping review methodology using the Preferred Reporting items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA_ScR). A search of six databases (EMBASE, MEDLINE, CINAHL, Web of Science, COCHRANE, and OT Seeker), using keywords related to oral feeding and premature infants retrieved 11,870 articles. Full-text screening was completed for 36 articles, and 21 articles were included in this review.Results: Review of the 21 articles revealed five intervention types: oral stimulation (n = 14), swallow/gustatory stimulation (n = 3), olfactory stimulation (n = 2), tactile/kinesthetic stimulation (n = 1), and auditory stimulation (n = 1). Oral stimulation had the most studies with consistent evidence supporting its beneficial effect to facilitate achievement to independent oral feeds, swallow/gustatory stimulation appeared to have some benefit, but evidence for olfactory, tactile/kinesthetic, and auditory stimulation was sparse.Conclusion: Oral stimulation has the most studies with consistent evidence, and thus is suggested as a suitable early intervention strategy that can be used by health providers to facilitate the achievement to independent oral feeds in premature infants. The alternate forms of stimulation have limited evidence and necessitate further studies to confirm their benefits.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"295-315"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693324","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

PEERS® Curriculum for Children with Autism Spectrum Disorder: A Scoping Review. 针对自闭症谱系障碍儿童的 PEERS® 课程：范围审查。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-05-23 DOI: 10.1080/01942638.2024.2356808

Sydney Rants, Kaci Bradish, Hannah Conlin, Nikki Crandall, Natalia Kirby, Richelle M Williams

{"title":"PEERS® Curriculum for Children with Autism Spectrum Disorder: A Scoping Review.","authors":"Sydney Rants, Kaci Bradish, Hannah Conlin, Nikki Crandall, Natalia Kirby, Richelle M Williams","doi":"10.1080/01942638.2024.2356808","DOIUrl":"10.1080/01942638.2024.2356808","url":null,"abstract":"Aims: The Program for the Education and Enrichment of Relational Skills (PEERS®), designed to enhance social skills and relationships for individuals with autism spectrum disorder (ASD) and their caregivers, has primarily been implemented with older children and adolescents ages 11-19, leaving a gap in research on its effectiveness in young children. This scoping review assesses evidence of the effectiveness of the PEERS® program for children with ASD.Methods: A literature search was conducted, resulting in 97 articles. Following the implementation of inclusion and exclusion criteria, four articles of Level III and IV evidence based on CEBM guidelines were included in this review.Results: All studies demonstrated positive findings regarding social skills development with one study revealing statistically significant results in increasing social skills and decreasing problem behaviors after participation in the PEERS® program.Conclusions: This scoping review found improvements in the PEERS® programs for social skills in young children (ages 4-7) with ASD. However, further research is warranted, emphasizing larger sample sizes, consideration of external factors, and implementation of randomization and blinding in future studies.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"865-873"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089207","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

Fast and Fun: A Pilot Feasibility Study Using Dual Joystick-Operated Ride-on Toys for Upper Extremity Rehabilitation in Children with Hemiplegia. 快而有趣：使用双操纵杆操作的乘骑玩具进行偏瘫儿童上肢康复的试点可行性研究》。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2024-06-11 DOI: 10.1080/01942638.2024.2360462

Vaishnavi Shahane, Patrick D Kumavor, Kristin Morgan, Sudha Srinivasan

{"title":"Fast and Fun: A Pilot Feasibility Study Using Dual Joystick-Operated Ride-on Toys for Upper Extremity Rehabilitation in Children with Hemiplegia.","authors":"Vaishnavi Shahane, Patrick D Kumavor, Kristin Morgan, Sudha Srinivasan","doi":"10.1080/01942638.2024.2360462","DOIUrl":"10.1080/01942638.2024.2360462","url":null,"abstract":"Aim: Our study investigates the feasibility and utility of implementing a dual joystick-operated ride-on-toy navigation training (RNT) program within a 3-week intensive camp based on principles of modified constraint-induced movement therapy and bimanual training, to improve upper extremity (UE) function in children with unilateral cerebral palsy (UCP).Methods: We employed a single-group pretest posttest, mixed methods study design. Eleven 4-to-10-year-old children with UCP received RNT as part of camp activities. Sessions required children to use both arms together for navigation and completing gross and fine motor UE challenges. We collected exit questionnaires from children, caregivers, and clinicians to assess the feasibility, acceptance, enjoyment, and perceived efficacy of RNT. Videos of training sessions were coded using Datavyu behavioral coding software to assess children's facial expressions and affective states, indicative of their level of engagement during intervention sessions.Results: We found high levels of child engagement during RNT sessions based on video data and stakeholder feedback. The RNT program was smoothly integrated into the camp. Stakeholders acknowledged the highly motivating nature of RNT. When combined with other camp activities, the program led to stakeholder-reported improvements in bimanual skills and spontaneous daily use of the affected UE.Conclusions: Our pilot study provides promising evidence for using joystick-operated ride-on toys as engaging therapy adjuncts. Our findings call for future studies to systematically assess the efficacy of these devices in improving UE function among children with UCP.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"844-864"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307243","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