Maribeth Brinkley, Marial Biard, Isabela Masuoka, Joseph Hagan
{"title":"Evaluation of Occupational Therapy and Music Therapy Co-Treatment in the Neonatal Intensive Care Unit.","authors":"Maribeth Brinkley, Marial Biard, Isabela Masuoka, Joseph Hagan","doi":"10.1080/01942638.2023.2253894","DOIUrl":"10.1080/01942638.2023.2253894","url":null,"abstract":"<p><strong>Aims: </strong>To examine co-treatment with music therapy and occupational therapy with infants in the neonatal intensive care unit (NICU).</p><p><strong>Methods: </strong>A quasi-experimental design was used to study the effect of standard care occupational therapy (SCOT) vs co-treatment with music therapy (Co-Tx) on behavioral state and physiologic measures. 46 participants were enrolled in the study. Interventions were implemented in approximately 20-minute sessions. Physiologic measures, heart rate (HR) and oxygen saturation (SpO2), were collected using Sickbay. Behavioral measures were collected using The Face, Legs, Activity, Cry, and Consolability (FLACC) Pain Assessment Tool.</p><p><strong>Results: </strong>Mean heartrates during Co-Tx (161.3 ± 15.4 BPM) did not differ significantly compared to SCOT (161.8 ± 15.7 BPM). In unadjusted comparisons, mean SpO2 levels were significantly higher during Co-Tx than SCOT (95.48 ± 3.43% vs. 95.12 ± 3.71%, <i>p</i> = 0.046). There was a significant decrease in pre- to post-test FLACC scores for Co-Tx when compared to SCOT (decrease of 0.97 ± 1.96 vs. 0.61 ± 1.65, <i>p</i> = 0.023). In adjusted comparisons, there were no statistically significant differences in physiological outcomes.</p><p><strong>Conclusions: </strong>Co-treatment with music therapy may create a more stable and regulated environment for NICU infants. Further research is recommended on music therapy co-treatment with rehabilitative therapies.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"513-525"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10153033","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":"Impact of Musculoskeletal Pain on Functioning and Disability in Children with Juvenile Idiopathic Arthritis in Iceland.","authors":"Bjorg Gudjonsdottir, Svanhildur Arna Oskarsdottir, Audur Kristjansdottir, Judith Amalia Gudmundsdottir, Solrun W Kamban, Zinajda Alomerovic Licina, Drifa Bjork Gudmundsdottir","doi":"10.1080/01942638.2023.2299028","DOIUrl":"10.1080/01942638.2023.2299028","url":null,"abstract":"<p><strong>Aims: </strong>1) to map questions of pain from a survey to the International Classification of Functioning, Disability and Health (ICF) 2) to compare the impact of musculoskeletal pain on functioning based on the different components of the ICF in children with juvenile idiopathic arthritis (JIA) and age-matched peers.</p><p><strong>Method: </strong>A cross-sectional case-control survey. A total of 28 children with JIA and 36 age-matched children participated. The survey included questions on the child's sex and age, about pain experienced, number of painful body areas, pain frequency and three short forms of Patient-Reported Outcome Measurement Information System (PROMIS) pain questionnaires. Sixteen children with JIA (57%) and 10 peers (28%) reported pain during past seven days. Their responses were used in the description of impact of pain.</p><p><strong>Results: </strong>After the mapping of the questions to ICF, a comparison between the two groups indicated that a higher number of children with JIA described effects of pain on mental function, mobility, general tasks and demands, than their peers. More children with JIA expressed to others that they had pain, non-verbally and verbally.</p><p><strong>Conclusion: </strong>The findings provide important information about the impacts of pain on daily life in children with JIA and about their intervention needs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"554-571"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139098998","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}
Andrea Burgess, Stina Oftedal, Roslyn N Boyd, Sarah Reedman, Stewart G Trost, Robert S Ware, Leanne Sakzewski
{"title":"Construct Validity of the Both Hands Assessment Using Wrist-Worn Accelerometers.","authors":"Andrea Burgess, Stina Oftedal, Roslyn N Boyd, Sarah Reedman, Stewart G Trost, Robert S Ware, Leanne Sakzewski","doi":"10.1080/01942638.2023.2207635","DOIUrl":"10.1080/01942638.2023.2207635","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the construct validity of the Both Hands Assessment (BoHA) using activity of the upper limbs as detected by accelerometry in children with bilateral cerebral palsy (CP).</p><p><strong>Methods: </strong>Observational study of children with CP (<i>n</i> = 44, <i>n</i> = 27 boys, aged 9.1 ± 1.6 years; Manual Ability Classification Scale I: <i>n</i> = 15, II: <i>n</i> = 22, III: <i>n</i> = 7) completing a BoHA assessment while wearing a triaxial accelerometer on each wrist. BoHA Each-Hand sub-scores, BoHA percentage difference between hands, BoHA Units, mean activity for each hand, mean activity asymmetry index and total mean activity were calculated. Linear regressions were used to analyze associations between measures.</p><p><strong>Results: </strong>There were significant, positive associations between BoHA Units and total mean activity (<i>B</i> = 0.86, 95%CI: 0.32, 1.40), BoHA Percentage difference between hands and mean activity asymmetry index (<i>B</i> = 0.95, 95%CI: 0.75,1.15), and BoHA Each-Hand sub-score and mean activity for the non-dominant hand (<i>B</i> = 1.71, 95%CI: 1.16, 2.28), but not the dominant hand (<i>B</i> = 0.50, 95%CI: -0.45, 1.45).</p><p><strong>Conclusions: </strong>This study provides further evidence for the construct validity of the BoHA as a measure of upper limb performance. Wearable wrist sensors such as accelerometers capture and quantify gross upper limb movement in children with CP but cannot measure fine finger movements captured by the BoHA.</p><p><strong>Clinical trials registration: </strong>Australian New Zealand Clinical Trials Registry (ACTRN12616001488493 and ACTRN12618000164291).</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"42-55"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9455495","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}
Andrea B Cunha, Julie M Orlando, Zainab S Alghamdi, Michele A Lobo
{"title":"Depth and Quality of Recommendations in Popular Sources About How to Play with Infants: Content Analysis.","authors":"Andrea B Cunha, Julie M Orlando, Zainab S Alghamdi, Michele A Lobo","doi":"10.1080/01942638.2024.2371807","DOIUrl":"10.1080/01942638.2024.2371807","url":null,"abstract":"<p><strong>Aim: </strong>Systematically evaluate the depth and quality of play recommendations provided in popular sources for parents of infants in the first year of life.</p><p><strong>Methods: </strong>This represents the second stage of a larger analysis of educational content available to parents. Two coders (>90% agreement) extracted and coded play activities from popular websites, applications, and books screened from a systematic online search. Depth of instruction variables were extracted. Activity quality was rated based on opportunities for child-initiated movement, problem-solving with objects, and responsive communication.</p><p><strong>Results: </strong>4370 play activities from 214 sources were analyzed. Activities were likely to suggest specific ages for infants and that a caregiver be present. Less than half of the activities incorporated toys or provided guidance about how to position or physically support infants. Activity quality was low; most activities did not explicitly encourage parents to provide opportunities for child-initiated movement, problem-solving with objects, or quality communication.</p><p><strong>Conclusions: </strong>Parents may encounter a large number of play activities in popular sources, but the depth of instruction and quality of those activities could be improved. Provision of higher-quality education to parents may enhance parent-child play interactions to positively impact parent and child outcomes, especially for children at risk for delays.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"874-896"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477783","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":"Participation Outcomes Among Black Children with Disabilities: A Scoping Review.","authors":"Jasmine P Brown-Hollie, Yolanda Suarez-Balcazar","doi":"10.1080/01942638.2023.2212073","DOIUrl":"10.1080/01942638.2023.2212073","url":null,"abstract":"<p><strong>Aim: </strong>Participation disparities among Black children with disabilities are widely documented in a variety of disciplines. Grounded in the Social Model of Disability and Disability Critical Race Theory, the purpose of this scoping review was to examine the extent to which occupational therapy has contributed to the study of participation outcomes among Black children with disabilities.</p><p><strong>Methods: </strong>Empirical studies published from 2010 to 2021 that reported participation outcome data published in nine frequently cited journals were included in this scoping review. Twenty studies were found to meet the criteria.</p><p><strong>Results: </strong>Participation outcomes were reported for six occupations: play, social participation, activities of daily living (ADLs), education, sleep, and health management). The majority of studies reviewed recruited small samples of Black children with disabilities and provided limited to no description of the specific participation differences by racial/ethnic demographics.</p><p><strong>Conclusion: </strong>Occupational therapy has made few contributions to the growing literature on participation disparities for Black children with disabilities. Implications for practice are discussed.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"78-95"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9869487","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}
Marianna Antoniadou, Mats Granlund, Anna Karin Andersson
{"title":"Strategies Used by Professionals in Pediatric Rehabilitation to Engage the Child in the Intervention Process: A Scoping Review.","authors":"Marianna Antoniadou, Mats Granlund, Anna Karin Andersson","doi":"10.1080/01942638.2023.2290038","DOIUrl":"10.1080/01942638.2023.2290038","url":null,"abstract":"<p><strong>Aim: </strong>To investigate strategies used by professionals in pediatric rehabilitation to engage children in every step of the intervention process, including assessment, goal setting, planning and implementation of the intervention, and results evaluation.</p><p><strong>Methods: </strong>A scoping literature review was conducted, and seven databases were searched, including CINAHL and MEDLINE, ProQuest Central, PsycINFO, Social Science Premium Collection, PubMed, and Web of Science. A citation search of included articles was completed. Predetermined criteria, quality standards, and PIO framework guided the selection process. Results were presented in relation to Self-Determination Theory (SDT) and the contextual model of therapeutic change.</p><p><strong>Results: </strong>In total, 20 studies were included in the review. Pediatric professionals reported that therapeutic use of self and their own engagement in the intervention facilitated the establishment of a supportive relationship. Providing clear explanations about their role and therapy rationale developed positive expectations. By making the child feel successful within-session and outside-session activities, professionals enhanced child mastery. Professionals' strategies were abstractly described.</p><p><strong>Conclusions: </strong>Further research is needed to investigate strategies that are effective in the different steps of the intervention. More observational, longitudinal studies are required to capture fluctuations in in-session engagement.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"461-488"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139425824","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}
Kari S Kretch, Natalie A Koziol, Emily C Marcinowski, Lin-Ya Hsu, Regina T Harbourne, Michele A Lobo, Sarah W McCoy, Sandra L Willett, Stacey C Dusing
{"title":"Sitting Capacity and Performance in Infants with Typical Development and Infants with Motor Delay.","authors":"Kari S Kretch, Natalie A Koziol, Emily C Marcinowski, Lin-Ya Hsu, Regina T Harbourne, Michele A Lobo, Sarah W McCoy, Sandra L Willett, Stacey C Dusing","doi":"10.1080/01942638.2023.2241537","DOIUrl":"10.1080/01942638.2023.2241537","url":null,"abstract":"<p><strong>Aims: </strong>Infants with neuromotor disorders demonstrate delays in sitting skills (decreased capacity) and are less likely to maintain independent sitting during play than their peers with typical development (decreased performance). This study aimed to quantify developmental trajectories of sitting capacity and sitting performance in infants with typical development and infants with significant motor delay and to assess whether the relationship between capacity and performance differs between the groups.</p><p><strong>Methods: </strong>Typically developing infants (<i>n</i> = 35) and infants with significant motor delay (<i>n</i> = 31) were assessed longitudinally over a year following early sitting readiness. The Gross Motor Function Measure (GMFM) Sitting Dimension was used to assess sitting capacity, and a 5-min free play observation was used to assess sitting performance.</p><p><strong>Results: </strong>Both capacity and performance increased at a faster rate initially, with more deceleration across time, in infants with typical development compared to infants with motor delay. At lower GMFM scores, changes in GMFM sitting were associated with larger changes in independent sitting for infants with typical development, and the association between GMFM sitting and independent sitting varied more across GMFM scores for typically developing infants.</p><p><strong>Conclusions: </strong>Intervention and assessment for infants with motor delay should target both sitting capacity and sitting performance.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"164-179"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9956881","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}
Elena Muñoz-Gómez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó, Marta Aguilar-Rodríguez
{"title":"Effects of an Oral Stimulation Program on Feeding Outcomes in Preterm Infants: A Systematic Review and Meta-Analysis.","authors":"Elena Muñoz-Gómez, Marta Inglés, Sara Mollà-Casanova, Núria Sempere-Rubio, Pilar Serra-Añó, Marta Aguilar-Rodríguez","doi":"10.1080/01942638.2023.2212767","DOIUrl":"10.1080/01942638.2023.2212767","url":null,"abstract":"<p><strong>Aims: </strong>To review the literature on the effects of unimodal sensorimotor stimulation protocols on feeding outcomes in very preterm and moderate to late preterm infants (PIs).</p><p><strong>Methods: </strong>Five databases were searched up to April 2022. Studies comparing unimodal sensorimotor stimulation protocols based on the combination of manual oral stimulation with NNS against usual care in PIs, on-time transition to full oral feeding (FOF), feeding efficacy, length of hospital stay, and/or body weight gain.</p><p><strong>Results: </strong>Eleven studies were included. Compared to usual care, unimodal sensorimotor stimulation protocols based on manual oral stimulation combined with NNS demonstrated to be more effective in decreasing time transition to FOF (standardized mean difference [95%CI] - 1.08 [-1.74, -0.41]), improving feeding efficacy (2.15 [1.18, 3.13]) and shortening length of hospital stay (-0.35 [-0.68, -0.03]). However, the proposed intervention was not effective in improving weight gain (0.27 [-0.40, 0.95]). There were no significant differences according to gestational age (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>Based on fair-to-high quality evidence, unimodal sensorimotor stimulation protocols combined with NNS reduce time transition to FOF, improve feeding efficacy, and shorten the length of hospital stay; yet the proposed intervention yielded no significant effects on body weight gain when compared to usual care in PIs.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"110-127"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9487510","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}
Cornelia H Verhage, Jan Willem Gorter, Tim Takken, Manon J N L Benders, Linda S de Vries, Niek E van der Aa, Nienke Wagenaar
{"title":"Detecting Asymmetry of Upper Limb Activity with Accelerometry in Infants at Risk for Unilateral Spastic Cerebral Palsy.","authors":"Cornelia H Verhage, Jan Willem Gorter, Tim Takken, Manon J N L Benders, Linda S de Vries, Niek E van der Aa, Nienke Wagenaar","doi":"10.1080/01942638.2023.2218478","DOIUrl":"10.1080/01942638.2023.2218478","url":null,"abstract":"<p><strong>Aims: </strong>To examine whether accelerometry can quantitate asymmetry of upper limb activity in infants aged 3-12 months at risk for developing unilateral spastic cerebral palsy (USCP).</p><p><strong>Method: </strong>A prospective study was performed in 50 infants with unilateral perinatal brain injury at high risk of developing USCP. Triaxial accelerometers were worn on the ipsilateral and contralesional upper limb during the Hand Assessment for Infants (HAI). Infants were grouped in three age intervals (3-5 months, 5-7.5 months and 7.5 until 12 months). Each age interval group was divided in a group with and without asymmetrical hand function based on HAI cutoff values suggestive of USCP.</p><p><strong>Results: </strong>In a total of 82 assessments, the asymmetry index for mean upper limb activity was higher in infants with asymmetrical hand function compared to infants with symmetrical hand function in all three age groups (ranging from 41 to 51% versus - 2-6%, <i>p</i> < 0.01), while the total activity of both upper limbs did not differ.</p><p><strong>Conclusions: </strong>Upper limb accelerometry can identify asymmetrical hand function in the upper limbs in infants with unilateral perinatal brain injury from 3 months onwards and is complementary to the Hand Assessment for Infants.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-15"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9632804","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":"Participation Patterns of Israeli Children with and without Autism, and the Impact of Environment.","authors":"Anat Golos, Shira Vidislavski, Dana Anaby","doi":"10.1080/01942638.2023.2230269","DOIUrl":"10.1080/01942638.2023.2230269","url":null,"abstract":"<p><strong>Aims: </strong>Participation is vital to children's quality of life, yet it is often limited for those with autism spectrum disorder (ASD). An improved understanding of the factors that may support or hinder their participation is important. This study aims to explore the participation patterns of children with and without ASD in the home, school, and community settings, as well as to explore the impact of environmental factors on the participation of children with ASD.</p><p><strong>Methods: </strong>78 parents of children aged 6-12, attending mainstream educational settings (30 with ASD; 48 without ASD) completed the Participation and Environment Measure for Children and Youth and a demographic questionnaire.</p><p><strong>Results: </strong>Children with ASD were rated significantly lower than children without ASD in participation, and their parents expressed a greater desire to change their participation while reporting lower overall environmental support. Among the ASD group, significant differences in participation were found across the three settings, with the highest participation scores at home. Environmental factors that support or limit children's participation were identified.</p><p><strong>Conclusions: </strong>The results highlight the importance of environmental factors in children's participation. It is essential to evaluate different environmental settings; identifying the supportive and limiting environmental factors will enhance interventions for children with ASD.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"143-160"},"PeriodicalIF":1.5,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9761718","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}