Occupational Therapy International最新文献

{"title":"Asian American Occupational Therapy Practitioners' Perspectives on Supporting the Mental Health of Asian American Caregivers for Older Adults.","authors":"Arianna Bayangos, Rawan AlHeresh, Hadeel R Bakhsh, Diane Smith","doi":"10.1155/oti/2063352","DOIUrl":"10.1155/oti/2063352","url":null,"abstract":"<p><p><b>Objective:</b> Asian American (AA) caregivers have unique cultural values that influence their mental health during caregiving. Occupational therapy practitioners (OTPs) are positioned to serve this population because of their holistic lens and their relationship with care recipients and caregivers. The objective of this study was to examine AA OTPs' perspectives on barriers, facilitators, and interventions to support the mental health of AA caregivers in older adults with chronic conditions. <b>Design:</b> This study used a qualitative phenomenological design. Data were collected through virtual interviews (<i>n</i> = 10) and focus groups (<i>n</i> = 2) and analyzed using thematic analysis. <b>Results:</b> Twelve AA OTPs (<i>n</i> = 12) participated in this study, all were occupational therapists (<i>n</i> = 12); most were female (<i>n</i> = 10) and had a Doctor of Occupational Therapy degree (<i>n</i> = 9). Two domains were found during this study: (1) barriers and facilitators to support the mental health of AA caregivers and (2) OTP strategies to support the mental health of AA caregivers. Barriers and facilitators include AA cultural beliefs, provider identity, and access. OTPs can support this population by utilizing their soft skills, assessment and clinical reasoning skills and through interventions, including caregiver education and social support. <b>Conclusion:</b> This study addressed the literature gap on supporting AA caregivers' mental health through an OTP perspective. OTPs can enhance support by understanding AA culture, examining biases, and refining strategies for caregivers' mental health. Healthcare providers can prioritize caregiver support, boost AA representation in healthcare, improve service accessibility, and involve OTPs in caregivers' mental health support.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"2063352"},"PeriodicalIF":0.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754949","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":"Assessing Participation Among Stroke Survivors: A Systematic Review of Patient-Reported Outcome Measures.","authors":"Benyamin Hamid, Mahnaz Hejazi Shirmard, Seyedeh Maryam Shafighi Kuzani, Marzieh Pashmdarfard","doi":"10.1155/oti/4928745","DOIUrl":"10.1155/oti/4928745","url":null,"abstract":"<p><p><b>Introduction:</b> Stroke significantly impacts survivors' lives, affecting their physical, cognitive, and emotional well-being. Understanding how these individuals participate in daily activities and societal roles is crucial for optimal rehabilitation and support. Patient-reported outcome measures (PROMs) offer valuable insights into stroke survivors' experiences and perceptions regarding their participation in various life aspects. This systematic review focuses on PROMs specifically designed to evaluate participation following stroke, based on the International Classification of Functioning, Disability and Health (ICF). By analyzing existing measures, this review is aimed at identifying gaps, strengths, and opportunities for enhancing participation assessment in stroke rehabilitation. <b>Method:</b> A comprehensive search of keywords related to stroke, participation, and assessment was conducted across multiple databases, including Scopus, Embase, Medline, Cochrane Library, PEDro, and OTseeker. The review process was conducted based on the PRISMA-Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines. The COSMIN checklist was utilized to investigate the psychometric properties of the studies, and the results were synthesized narratively. <b>Results:</b> Thirty-seven studies were ultimately included in the review after the full-text evaluation. The review identified 10 PROMs, including the Functional Behavior Profile, Meaningful Activities Participation Assessment, Nottingham Extensive Activities of Daily Living Scale, Rivermead Mobility Index, Reintegration to Normal Living Index, The Subjective Index for Physical and Social Outcome, and Stroke Impact Scales. While these tools are developed with appropriate psychometric properties and focus on varying dimensions of survivors' participation, significant gaps remain in fully addressing their comprehensive needs. Specifically, the tools often overlook contextual differences and fail to adequately assess satisfaction in daily activities. <b>Conclusion:</b> The identified gaps illustrate the need for more comprehensive measures that accurately capture stroke survivors' diverse experiences. Improving these assessments is essential for informing clinical practice and rehabilitation strategies, ultimately enhancing patient engagement, satisfaction, and quality of life and improving rehabilitation outcomes for stroke survivors.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"4928745"},"PeriodicalIF":0.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709668","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":"Current Practice of Occupational Therapy for Common Disorders Seen in Rehabilitation Clinics in Saudi Arabia.","authors":"Alaa M Arafah, Samar Altherwy, Seham Alzahrani, Ghadeer Alghamdi, Roaa Alghamdi, Mannar Haddad","doi":"10.1155/oti/5192064","DOIUrl":"10.1155/oti/5192064","url":null,"abstract":"<p><p><b>Background:</b> The role of occupational therapy is to provide management for various conditions including neurological, musculoskeletal, and psychological disorders, with the aim of maximizing function and independency in daily occupations. According to the World Federation of Occupational Therapists (WFOT), occupational therapy is a client-centered health profession concerned with promoting health and well-being through occupation. In Saudi Arabia, there are escalating rates of chronic conditions, which create an increasing demand for occupational therapy services. Yet, occupational therapy practice frameworks, as well as areas of assessment and intervention, are not well explored within the context of Saudi Arabia. <b>Purpose:</b> The aim of this research is to identify the most common disorders that occupational therapists work with within Saudi Arabia and the approaches used for managing these disorders. <b>Methods:</b> This was a cross-sectional study. An electronic survey was distributed to 230 occupational therapists working in Saudi Arabia. The survey consisted of two sections; the first was on educational backgrounds, and the second section was about the common conditions encountered in a clinical setting and the treatment approaches applied. The interventions nominated by participants were mapped to the person-environment-occupation model and to the occupational therapy practice framework. <b>Results:</b> The overall response rate was 57%. Analysis of data of 131 participants revealed that neurological diseases (e.g., stroke, multiple sclerosis, and Parkinson's disease) were the most common conditions managed by occupational therapists (64.3%), while respiratory diseases had the lowest percentage (4.7%). With regard to intervention approaches, \"therapeutic exercise\" was the most commonly applied approach as was reported by 77.1% of the therapists, while \"functional electrical stimulation\" was the lowest chosen approach as it was applied by 19.8% of the therapists. <b>Conclusion:</b> Occupational therapists in Saudi Arabia manage a variety of conditions and apply a wide range of rehabilitation approaches, yet gaps still exist in providing a holistic approach. The study emphasizes the importance of redirecting the focus of occupational therapists to core concepts of maximizing functioning and occupational performance and using occupation as a mean and as an outcome of rehabilitation.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"5192064"},"PeriodicalIF":1.3,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692112","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":"A Standardised Car Seat Transfer Test: Reliability and Concurrent Validity.","authors":"Tarcisio F de Campos, Mitchell Wolden, Marie K March, Deshitha Hewawasam, Brandon Boumelhem, Jessica J Spurr, James M Khoury, Nick Vertzyas, Steven G Faux, Gregory C Gass, Sean F Mungovan","doi":"10.1155/oti/7306142","DOIUrl":"10.1155/oti/7306142","url":null,"abstract":"<p><p><b>Introduction:</b> Transferring effectively into and out of a vehicle seat is required for functional mobility and social participation. Reliable and valid vehicle and simulator car seat transfer tests are limited. The aim of this study was to assess the reliability and concurrent validity of a car seat transfer test for application with a vehicle and a simulator car seat. <b>Methods:</b> A cross-sectional study was conducted and reported according to the Guidelines for Reporting Reliability and Agreement Studies (GRRAS), the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statements and the National Statement on Ethical Conduct in Human Research 2007. Consecutive healthy adults who expressed interest and met the inclusion criteria were recruited for our study. A standardised vehicle and simulator car seat transfer test was undertaken on two visits, 7 days apart. WOMAC, hip and knee active range of motion assessment, self-selected gait speed measurement and the five-repetition sit-to-stand test were undertaken on the first visit. <b>Results:</b> Complete data collection was performed with 42 healthy adults. There was good interrater (ICC = 0.99; 95% CI 0.99, 1.00), intrarater (ICC = 0.79; 95% CI 0.62, 0.89 to ICC = 0.91; 95% CI 0.76, 0.96) and test-retest reliability (ICC = 0.87; 95% CI 0.77, 0.93 to ICC = 0.94; 95% CI 0.89, 0.96) for car seat transfer test times for getting into and out of the vehicle and the simulator car seat. There were strong and significant correlations (<i>r</i> = 0.84-0.89) between the vehicle and simulator car seat test times; these times correlated significantly with measures of physical function including self-selected gait speed and five-repetition sit-to-stand test results (<i>p</i> < 0.001). <b>Conclusion:</b> A standardised car seat transfer test is reliable and valid for testing car seat transfer ability in a vehicle and a simulator car seat.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"7306142"},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683530","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":"Occupational Therapy Acute Care Self-Efficacy Scale (OTACSES): Development, Test-Retest Reliability, and Precision.","authors":"Corey McGee, Hannah Oldenburg","doi":"10.1155/oti/8848379","DOIUrl":"10.1155/oti/8848379","url":null,"abstract":"<p><p><b>Introduction:</b> Delivering occupational therapy services in the acute care setting requires certain skills and abilities to ensure safety and effectiveness among a variety of medically complex populations. Presently, no standardized tool exists to assess OT students' self-efficacy in this context. In this study, we developed the O<i>ccupational Therapy Acute Care Self-Efficacy Scale</i> (<i>OTACSES</i>) to assess OT student self-efficacy in acute care contexts and tested its test-retest reliability and precision in first-year OT students. <b>Materials and Methods:</b> Researchers developed the scale items based on literature, expert interviews, and a student population. The OTACSES was then administered to 47 OT students to assess the internal consistency of \"abilities\" and \"knowledge\" subscales. Following the process of item reduction, the scale was readministered a week later after a no \"intervention\" control period. Student test and retest data were analyzed to assess reliability and precision. <b>Results:</b> The finalized knowledge and abilities subscales demonstrated excellent internal consistency. Further, the total and subscale scores demonstrated excellent test-retest reliability and acceptable precision. Finally, changes of five, three, and seven points in the abilities, knowledge, and total scores, respectively, can be assumed to be \"meaningful.\" <b>Discussion:</b> The OTACSES is a reliable and precise tool for measuring students' self-efficacy in the acute care setting. We present preliminary data on clinically meaningful change. Further research focusing on the tool as an outcome measure of the efficacy of acute care-relevant OT education and its appropriateness for use among practitioners is needed.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"8848379"},"PeriodicalIF":1.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676271","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":"Clinical Tools for Assessing One-Handed Skills in Children With Cerebral Palsy: An Umbrella Review.","authors":"Samira Boroumand, Marzieh Pashmdarfard, Dorsa Hamedi, Afsoon Hassani Mehraban","doi":"10.1155/oti/8847527","DOIUrl":"10.1155/oti/8847527","url":null,"abstract":"<p><p><b>Introduction:</b> This study is aimed at identifying suitable tools capable of evaluating one-handed skills in children with cerebral palsy (CP). <b>Methods:</b> In this article, the systematic reviews on upper extremity assessment tools for children with CP from 2000 to 2024 were identified in databases, including Google Scholar, PubMed, Web of Knowledge, and Scopus. Then, the obtained tools were evaluated, among which only those capable of assessing one-handed skills in children aged 3 years and older in accordance with the activity level of the International Classification of Functioning, Disability, and Health were selected to evaluate the quality of evidence and psychometric properties in children with CP using CanChild Outcome Measure Rating Form. <b>Results:</b> A total of 13 systematic reviews were selected for further analysis. Subsequently, 149 tools were identified for initial evaluation, of which 18 were capable of assessing one-handed skills in children with CP. Among these, COPM, ACHES, and PMAL_R demonstrated excellent evidence for overall clinical utility. <b>Conclusion:</b> This study showed that among the numerous tools available for assessing one-handed skills in children with CP, only a limited number have excellent evidence for overall clinical utility. These findings can serve as a basis for selecting more precise, evidence-based tools in the assessment, and rehabilitation interventions for these children.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"8847527"},"PeriodicalIF":0.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530696","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 Sound-Based Interventions for Improving Functional Outcomes in Children: A Systematic Review of the Evidence.","authors":"Vanessa Vincent, Gemma Skaczkowski, Donna Hughes-Barton, Kate M Gunn","doi":"10.1155/oti/1693722","DOIUrl":"10.1155/oti/1693722","url":null,"abstract":"<p><p><b>Introduction:</b> The aim of this review was to examine the evidence for sound-based interventions in decreasing auditory hypersensitivity and improving behavioural and emotional regulation among children. <b>Methods:</b> A systematic review was conducted of primary research examining the use of sound-based interventions to reduce auditory hypersensitivity and regulate emotion or behaviour. Studies were eligible if they were published in English in a peer-reviewed journal, from January 2010 to March 2023. Studies of any design were included. <b>Results:</b> A total of 4741 titles were identified in the search. Eight papers were eligible, covering six different sound-based interventions. Preliminary evidence highlights improvements in depression and anxiety symptomatology and improved behavioural outcomes including language, listening, and social behaviours. Heterogeneity was high across studies; they varied widely in sample size, population type, study design, and outcomes measured. <b>Conclusions:</b> There is preliminary evidence for the effectiveness of sound-based interventions in improving auditory sensitivity and emotional and behavioural outcomes. However, there is a need for higher quality studies, including randomised controlled trials, and consistency in outcomes across studies to enable a clearer assessment of the evidence.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"1693722"},"PeriodicalIF":0.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303412","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":"Identifying Issues in Effective Motor Imagery Training Practice in Children With Developmental Coordination Disorder: A Scoping Review.","authors":"Akira Nakashima, Takuya Higasionnna, Yuto Iwanaga, Ryohei Okamura, Kengo Fujiwara, Toshio Higashi, Ryoichiro Iwanaga","doi":"10.1155/oti/9997678","DOIUrl":"10.1155/oti/9997678","url":null,"abstract":"<p><p><b>Introduction:</b> Motor imagery training (MIT) has gained attention as an occupational therapy tool for children with developmental coordination disorder (DCD). Although MIT has shown some effectiveness in children with DCD, intervention methods for DCD can still be improved. Further, occupational therapists should update their knowledge of motor imagery (MI) and MIT for children with DCD and understand their application. <b>Objective:</b> The objective of this study is to survey the existing evidence on MI and MIT in children with DCD and comprehensively identify what is known and the problems that have been identified. <b>Methods:</b> We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Review and American Occupational Therapy Association guidelines for data collection and quality assessment. We searched for articles that included the words \"developmental coordination disorder\" and \"motor imagery, motor imagery training (mental practice).\" We searched the PubMed, Scopus, Medline, and the Cochrane Library databases; the search end date was March 12, 2024. <b>Findings:</b> In total, 30 articles, including seven clinical studies and 23 fundamental studies, were eligible for this review. We surveyed (1) methods for assessing MI ability or clarity in children with DCD, (2) what is known about MI in children with DCD, and (3) the methodology of MIT for children with DCD. <b>Conclusion:</b> Children with DCD have reduced MI ability compared to that had by typically developing children. Thus, MIT is recommended as a means of reducing the behavioral consequences of internal modeling deficits in children with DCD. On the other hand, information on the methodology used in MIT for children with DCD is inadequate, and no clear intervention measures have been proposed. In the future, it is important to clarify the amount of load when performing MIT and clarify the combination with other programs through more advanced research methods.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"9997678"},"PeriodicalIF":1.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121226","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":"Occupation-Based Practice Among Iranian Occupational Therapists: A Cross-Sectional Survey.","authors":"Esmail Sadeghi, Mahnoosh Khanipour, Mohammad Khayatzadeh-Mahani, Jamileh Abolghasemi, Afsoon Hassani Mehraban","doi":"10.1155/oti/8250183","DOIUrl":"10.1155/oti/8250183","url":null,"abstract":"<p><p><b>Introduction:</b> Despite the global focus on occupation-based practice (OBP), limited research exists on its implementation in Iran. There is a lack of evidence on how OBP is practiced and the factors affecting its use among Iranian occupational therapists, which is essential for addressing barriers and promoting a more occupation-centered approach in clinical settings. <b>Objectives:</b> This study is aimed at determining the knowledge, attitudes, interests, usage rates, and environmental factors affecting OBP among Iranian occupational therapists and examining the relationship between sociodemographic factors and OBP. <b>Study Type:</b> This work is a cross-sectional analytical study. <b>Data Collection Location:</b> The data collection location of this study is the private and government clinics across Iran. <b>Methods:</b> A total of 202 participants completed demographic and OBP questionnaires. Key aspects such as total performance, usage rate, attitudes, knowledge, interest, and environmental factors were evaluated. Data analysis was conducted using SPSS software, employing statistical tests including ANOVA, Pearson's correlation, and <i>T</i>-test. <b>Results:</b> The total OBP performance among Iranian occupational therapists is 64%, and 60.7% of them use OBP approaches. They have a positive attitude (83.6%) and high interest (78.3%) towards these approaches. However, environmental factors (44.7%) and an average level of knowledge (65.6%) have hindered the full utilization of these approaches. The average OBP score among occupational therapists in government settings was significantly higher than in private centers (<i>p</i> value < 0.001). Additionally, occupational therapists with a PhD scored higher than those with a bachelor's or master's degree (<i>p</i> value < 0.001). The level of work experience has a significant correlation with the total OBP score (<i>p</i> value < 0.05). <b>Conclusion:</b> This study examines the factors affecting OBP adoption in Iran, showing that while therapists have positive attitudes and interest, environmental barriers and limited knowledge hinder full implementation. Government-employed therapists and those with PhDs engage more, and work experience is crucial. The findings stress the need for targeted education and systemic changes, contributing to global insights on OBP integration.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"8250183"},"PeriodicalIF":1.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095574","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":"Effects of Inline Skating Exercise on Symptoms, Executive Functions, and Motor Proficiency in Children With ADHD: A Randomized Controlled Trial.","authors":"Chu-Yang Huang, Wen-Fan Chen, Chia-Liang Tsai, Po-Lin Chen, Po-Jen Hsu, Chien-Yu Pan","doi":"10.1155/oti/4254970","DOIUrl":"10.1155/oti/4254970","url":null,"abstract":"<p><p><b>Background and Purpose:</b> A growing body of evidence demonstrates that physical exercise training is beneficial in the treatment of attention-deficit/hyperactivity disorder (ADHD). This study is aimed at examining the effects of a 12-week inline skating intervention on ADHD symptoms, executive functions (EFs), and motor proficiency in children with ADHD. <b>Methods:</b> This study employed an asymmetric crossover randomized controlled trial (RCT) design. A total of 24 children with ADHD (aged 6-12 years) were recruited from nongovernmental organizations, elementary schools, and parent networks. Participants were paired based on age, medication status, and ADHD presentation and then randomly assigned to either an intervention group (IG) (<i>n</i> = 12) or a wait-list control group (CG) (<i>n</i> = 12). The IG participated in a 12-week inline skating program (80-min sessions, twice weekly), while the CG maintained their regular daily routines and did not participate in any structured physical activity (PA) or skating training during this period. After 12 weeks, the CG underwent the same intervention. ADHD symptoms (parent reported), EFs (inhibition and spatial working memory), and motor proficiency (fine motor control, body coordination, manual coordination, strength, and agility) were assessed at three time points: baseline (T1), posttest (T2), and follow-up (T3). Data were analyzed using mixed-design ANOVA to evaluate the effects of the intervention. <b>Results:</b> Children with ADHD in the current study demonstrated improved symptoms, EFs, and motor proficiency (all <i>p</i> < 0.05) after 12-week inline skating intervention. Moreover, the effects appeared to be sustained for at least 12 weeks. <b>Conclusion:</b> This RCT provides preliminary evidence that inline skating may be a feasible and beneficial PA intervention for children with ADHD. However, larger studies are needed to further evaluate its long-term efficacy. <b>Trial Registration:</b> Australian New Zealand Registry of Clinical Trials: ACTRN12624000593538.</p>","PeriodicalId":49140,"journal":{"name":"Occupational Therapy International","volume":"2025 ","pages":"4254970"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676270","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}