Disability and Rehabilitation最新文献

"A new realization of what I'm able to do": exercise interventions can impact knowledge, confidence and daily activity for people with pulmonary arterial hypertension (PAH).

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-24 DOI: 10.1080/09638288.2025.2469777

Karen S W Chia, Jane E Carland, Karen Brown, Eugene Kotlyar, Steven G Faux, Christine T Shiner

{"title":"\"A new realization of what I'm able to do\": exercise interventions can impact knowledge, confidence and daily activity for people with pulmonary arterial hypertension (PAH).","authors":"Karen S W Chia, Jane E Carland, Karen Brown, Eugene Kotlyar, Steven G Faux, Christine T Shiner","doi":"10.1080/09638288.2025.2469777","DOIUrl":"https://doi.org/10.1080/09638288.2025.2469777","url":null,"abstract":"Purpose: Exercise-based rehabilitation interventions can improve functional outcomes in pulmonary arterial hypertension (PAH), but barriers to participation are common and little is known about the patient-reported experience. This study evaluated the patient experience of participating in structured, outpatient exercise interventions for PAH, and explored how participation may impact knowledge, attitudes and engagement in physical activity.Methods: A mixed-methods evaluation was conducted alongside a pilot trial (ExPAH). Semi-structured interviews were completed with participants who undertook a 12-week, outpatient exercise-based intervention for PAH. Interview data were analyzed via descriptive and inductive thematic analyses.Results: Fourteen participants were included (mean 53 ± 14.9 years, 79% females). Formal therapy programs were reported to be enjoyable and increased participant's knowledge, confidence to exercise, and daily physical activity. Six dominant themes described the subjective experience of undertaking a structured program: confronting a sense of loss and limitation through exercise; \"permission to try\" built knowledge and confidence; finding joy and empowerment through physical activity; the importance of motivation; reframing exercise as part of daily life; and exercise as liberating.Conclusions: Structured therapy programs can increase knowledge, confidence, and positive perceptions of physical activity for people with PAH. Structured programs were reported to be enjoyable, empowering and increased functional independence.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494529","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 critical overview of systematic reviews of radiofrequency ablation for knee osteoarthritis.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-24 DOI: 10.1080/09638288.2025.2469771

Jixin Chen, Qinxin Zhou, Weijie Yu, Dongdong Cao

{"title":"A critical overview of systematic reviews of radiofrequency ablation for knee osteoarthritis.","authors":"Jixin Chen, Qinxin Zhou, Weijie Yu, Dongdong Cao","doi":"10.1080/09638288.2025.2469771","DOIUrl":"https://doi.org/10.1080/09638288.2025.2469771","url":null,"abstract":"Purpose: This overview aims to assess the methodological and evidence quality of systematic reviews related to radiofrequency ablation (RFA) for knee osteoarthritis (KOA).Methods: A comprehensive search strategy was conducted through two independent researchers in eight electronic databases from the inception to September 1, 2024. The methodological quality of the included systematic reviews was assessed by the Assessing the Methodological Quality of Systematic Reviews 2 tool. The Grading of Recommendations Assessment, Development, and Evaluation tool assessed the evidence quality.Results: Eight systematic reviews were finally included. The results of the methodological quality of the included systematic reviews were generally unsatisfactory. The limitations were a lack of pre-designed protocols, reasons for the inclusion of study types, a list of excluded studies, the consideration of the single study risk of bias, and management of conflicts of interest. A total of 56 outcome indicators were evaluated, with one item receiving a moderate quality rating, while the rest were classified as low or very low. Limitations were identified as the primary factors leading to the downgrade.Conclusions: RFA shows efficacy in treating KOA, with tolerable side effects. However, systematic reviews' poor quality indicates cautious interpretation needed. Future studies must enhance quality for robust EBM.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484435","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

Intensive physical training in children with heritable connective tissue disorders is feasible and safe: a pilot study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-24 DOI: 10.1080/09638288.2025.2467772

Lisanne de Koning, Jessica Warnink-Kavelaars, Liesbeth van Vulpen, Annelies van der Hulst, Lies Rombaut, Thijs van Meulenbroek, Jaap Oosterlaan, Eugene Rameckers, Raoul Engelbert

{"title":"Intensive physical training in children with heritable connective tissue disorders is feasible and safe: a pilot study.","authors":"Lisanne de Koning, Jessica Warnink-Kavelaars, Liesbeth van Vulpen, Annelies van der Hulst, Lies Rombaut, Thijs van Meulenbroek, Jaap Oosterlaan, Eugene Rameckers, Raoul Engelbert","doi":"10.1080/09638288.2025.2467772","DOIUrl":"https://doi.org/10.1080/09638288.2025.2467772","url":null,"abstract":"Purpose: This pilot study assessed the feasibility, safety, and acceptability of a physical training program combined with parental meetings for children with heritable connective tissue disorders (HCTD), including Marfan syndrome (MFS), Loeys-Dietz syndrome (LDS), and Ehlers-Danlos syndromes (EDS). Secondary, it aimed to explore preliminary observations regarding the program's impact on individual training goals and physical fitness, including aerobic and anaerobic capacity, strength, agility, pain, fatigue, and disability.Materials and methods: The intervention comprised functional power training (FPT) and high-intensity interval training (HIIT) conducted three times a week over 12 weeks. Data on feasibility, safety, and acceptability were collected, along with preliminary observations on physical fitness performance.Results: The intervention was feasible and safe, with no serious adverse events reported. However, acceptability was limited, with a participation rate of 27.8%. Preliminary findings revealed that 80% of participants achieved their training goals, 75% improved their aerobic capacity, and 70% showed gains in strength and agility, alongside reported reductions in pain and fatigue.Conclusion: This study highlights the potential benefits of tailored physical training for children with HCTD. Despite acceptability challenges, the intervention demonstrated feasibility and safety, providing a foundation for larger-scale effectiveness studies that include systematic feedback mechanisms to enhance participant engagement.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484440","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

Pushing and guiding me towards home; patients' perspectives of person-centred physiotherapy in Intensive Care.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-22 DOI: 10.1080/09638288.2025.2466724

Helen Carruthers, David Derry, Felicity Astin

{"title":"Pushing and guiding me towards home; patients' perspectives of person-centred physiotherapy in Intensive Care.","authors":"Helen Carruthers, David Derry, Felicity Astin","doi":"10.1080/09638288.2025.2466724","DOIUrl":"https://doi.org/10.1080/09638288.2025.2466724","url":null,"abstract":"Purpose: Person-centred physiotherapy in Intensive Care Units (ICU) supports patients' early rehabilitation. Yet little is known about the activity required to enable person-centred physiotherapy in this setting. This study explores the experiences and interpretations of people who received physiotherapy.Methods: A qualitative study using Interpretative Phenomenological Analysis was conducted. Eight participants, recruited from a Ventilation Unit in Northwest England, were interviewed. Data were transcribed and managed using NVivo 12 software.Results: Participants described being \"pushed\" and guided by physiotherapists. The \"emotional\" pushing through motivation and encouragement, and \"physical\" pushing through setting goals, were perceived as person-centred activities, despite physiotherapists initially directing them. Other important aspects of individualised care were feeling safe and understanding how their body had changed.Conclusions: Patients viewed physiotherapist led rehabilitation in ICU as being person-centred, despite the lack of collaboration during early recovery, because they were too ill. Models of person-centred physiotherapy could be made more applicable to clinical settings by fully integrating the patient perspective.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477208","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

Views of people with MS regarding VR-exergaming to improve physical function and cognition: a qualitative study.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-20 DOI: 10.1080/09638288.2025.2461265

Amir Majid Moeinzadeh, Allyson Calder, Carl Petersen, Simon Hoermann

{"title":"Views of people with MS regarding VR-exergaming to improve physical function and cognition: a qualitative study.","authors":"Amir Majid Moeinzadeh, Allyson Calder, Carl Petersen, Simon Hoermann","doi":"10.1080/09638288.2025.2461265","DOIUrl":"https://doi.org/10.1080/09638288.2025.2461265","url":null,"abstract":"Purpose: To investigate the perceptions and experiences of people with MS (PwMS) regarding immersive VR-exergaming as a potential enhancement to rehabilitation programs.Materials and methods: A qualitative descriptive approach explored the experiences of PwMS in Christchurch, New Zealand. Data were collected through semi-structured interviews during which participants (n = 6) trialed immersive VR-exergaming. Inductive reflexive thematic analysis interpreted their experiences. The study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.Results: Three main themes identified: 1) Physical Activity for Fun, Fitness, and Wellness: Participants valued physical activity for symptom management but faced barriers like self-efficacy and accessibility. 2) Perceived Benefits of Rehabilitation: VR-exergaming was seen as a tool to improve physical capabilities, cognition, and alleviate fatigue. 3) The VR Gaming Experience, Perceptions Pre- and Post-VR Trial: Participants had varying familiarity with VR-exergaming but expressed positive perceptions, noting safety, cost, comfort, and setup challenges.Conclusions: PwMS value physical activity for maintaining abilities but face barriers like self-efficacy and accessibility. VR-exergaming received positive feedback for enhancing physical abilities. Safety and comfort issues need addressing. Further research should explore usability and effectiveness, considering the needs and preferences of PwMS.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460430","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

Development and evaluation of tailored, theory-informed training to support the implementation of an outcome measure: an explanatory sequential mixed method study. 开发和评估量身定制的、以理论为依据的培训，以支持一项成果措施的实施：一项解释性顺序混合方法研究。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-20 DOI: 10.1080/09638288.2025.2462196

Rebecca Ataman, Sara Ahmed, Dorra Rakia Allegue, Ali Filali-Mouhim, Alice Misana, Claudine Auger, Michelle McKerral, Whitney Berta, Aliki Thomas

{"title":"Development and evaluation of tailored, theory-informed training to support the implementation of an outcome measure: an explanatory sequential mixed method study.","authors":"Rebecca Ataman, Sara Ahmed, Dorra Rakia Allegue, Ali Filali-Mouhim, Alice Misana, Claudine Auger, Michelle McKerral, Whitney Berta, Aliki Thomas","doi":"10.1080/09638288.2025.2462196","DOIUrl":"https://doi.org/10.1080/09638288.2025.2462196","url":null,"abstract":"Purpose: We aimed to describe the development of a tailored, theory-informed training session for an outcome measure (the Mayo-Portland Adaptability Inventory), and evaluate the session's impact on clinician reactions, learning, and behavioural intent.Materials and methods: We developed the training session using an integrated knowledge translation approach with stroke outpatient rehabilitation clinicians in Québec, Canada. We conducted a mixed-method explanatory sequential evaluation informed by the New World Kirkpatrick Model (reaction, learning, behavioural intent) composed of three surveys followed by interviews. We analyzed survey data using cumulative link mixed models, and interviews using directed content analysis.Results: Eighty clinicians attended the training session, of which 51 responded to the surveys and 6 participated in interviews. Odds ratios indicate that individuals were more likely to rate themselves higher post-training on most outcomes. During the interviews, participants indicated that: they experienced positive reactions, learning and behavioural impacts from the session, negative attitudes and commitment were due to perceived limitations in the outcome measure, and training impacts were affected by contextual factors including a provincial mandate for the measure.Conclusion: Implementation teams could adapt this training design process to their context. Further research to understand how educational strategies work would produce more robust guidance.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460428","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

Comparing face-to-face and internet-based basic body awareness therapy for fibromyalgia: a randomized controlled trial. 比较面对面和基于互联网的纤维肌痛基本身体意识疗法：随机对照试验。

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-19 DOI: 10.1080/09638288.2025.2465597

Ö Tahran, B Ersoz Huseyinsinoglu, G Yolcu, E Karadağ Saygı, I Yeldan

{"title":"Comparing face-to-face and internet-based basic body awareness therapy for fibromyalgia: a randomized controlled trial.","authors":"Ö Tahran, B Ersoz Huseyinsinoglu, G Yolcu, E Karadağ Saygı, I Yeldan","doi":"10.1080/09638288.2025.2465597","DOIUrl":"https://doi.org/10.1080/09638288.2025.2465597","url":null,"abstract":"Purpose: This study aimed to investigate and compare the effecs of face-to-face and internet-based Basic Body Awareness Therapy (BBAT), in patients with fibromyalgia (FM).Materials and methods: FM-diagnosed patients were randomly allocated to one of three groups: face-to-face BBAT (F2F-BBAT), internet-based BBAT (I-BBAT), or a waiting list control group (CG). The F2F-BBAT group underwent individual 8-week BBAT sessions (2 sessions per week). The I-BBAT group received an equivalent dosage of BBAT via online video conferencing software. The primary outcome was the Fibromyalgia Impact Questionnaire Revised (FIQR). Secondary outcomes included the pressure pain threshold (PPT) via algometer, the PostureScreen Mobile® (PSM) application, the Short Form McGill Pain Questionnaire (SF-MPQ), the Short Form 36 Health Survey (SF-36), and plasma fibrinogen and haptoglobin levels.Results: A total of 41 patients completed the study. Both the F2F-BBAT (n = 14) and I-BBAT (n = 13) groups showed significant improvements in all outcome measures (p < 0.05) with no significant difference between them (p > 0.05). Conversely, the CG (n = 14) demonstrated no substantial improvements in the outcome measures (p > 0.05). Compared to the CG, both the F2F-BBAT and I-BBAT groups exhibited superior results in FIQR, PPT, PSM, SF-MPQ, and multiple SF-36 sub-parameters (p < 0.05).Conclusion: This study showed that BBAT delivered via internet-based telerehabilitation can have comparable effective results on clinical parameters with conventional face-to face BBAT in patients with FM.Trial registration: ClinicalTrials.gov: NCT04981132.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460426","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

Feasibility of shear wave elastography to assess upper limb spasticity in patients after brain injury.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-18 DOI: 10.1080/09638288.2025.2467786

Ganglin Chen, Ling Ren, Zhenguo Wu, Xianrui Hu, Jing He

{"title":"Feasibility of shear wave elastography to assess upper limb spasticity in patients after brain injury.","authors":"Ganglin Chen, Ling Ren, Zhenguo Wu, Xianrui Hu, Jing He","doi":"10.1080/09638288.2025.2467786","DOIUrl":"https://doi.org/10.1080/09638288.2025.2467786","url":null,"abstract":"Purpose: To assess the feasibility of Shear Wave Elastography (SWE) for quantifying upper limb spasticity in people after brain injury.Methods: This observational study included 52 patients with upper limb spasticity after brain injury. Participants underwent a two-week rehabilitation treatment. The modified Ashworth scale (MAS), upper extremity section of the Fugl-Meyer motor scale (FMMS-UE), Barthel index (BI) and SWE were assessed before and after a two-week rehabilitation. The shear modulus was used to evaluate the stiffness of the biceps brachii at the transverse and longitudinal plane of 0°and 90°elbow flexion.Results: In our study, paretic side shear modulus values were significantly larger than non-paretic sides (all p-values < 0.05), with significant reductions only on the paretic side (all p-values < 0.001) after 2-week rehabilitation treatment. At baseline, MAS and shear modulus had a significant positive correlation. After rehabilitation, only the longitudinal plane shear modulus showed a correlation with MAS. No significant correlations were found between shear modulus and FMMS-UE or BI scores, except for a negative correlation between shear modulus and BI at 0° transverse plane flexion.Conclusions: Our findings indicate that SWE effectively quantifies upper limb spasticity and can assess the impact of rehabilitation treatment.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442571","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

Profiling hypermobile Ehlers-Danlos syndrome (hEDS): factors in health and wellbeing with chronic conditions and opportunities for improving self-management.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-17 DOI: 10.1080/09638288.2025.2458187

Joanna Foster, Danielle Stephens-Lewis, Kimberley C Schenke

{"title":"Profiling hypermobile Ehlers-Danlos syndrome (hEDS): factors in health and wellbeing with chronic conditions and opportunities for improving self-management.","authors":"Joanna Foster, Danielle Stephens-Lewis, Kimberley C Schenke","doi":"10.1080/09638288.2025.2458187","DOIUrl":"https://doi.org/10.1080/09638288.2025.2458187","url":null,"abstract":"Purpose: Factors affecting physical and psychological outcomes for those with chronic conditions are complex, extending beyond medical symptomology to numerous demographic influences. Living with hypermobile Ehlers-Danlos Syndrome (hEDS) is characterised by diagnostic delay and numerous comorbidities, known to impact wellbeing.Materials and methods: This high-powered study (n = 415 participants) investigates the mediating effect of diagnosis, comorbidity and age on wellbeing, and provides insights into the effects of the latest hEDS reclassification. Validated measures were used to assess quality of life, perceived social support, physical health, fatigue, anxiety, pain and loneliness.Results: Results indicated worse outcomes for those diagnosed after the reclassification and for those with higher numbers of comorbidities. Conversely, improved outcomes were associated with older age. Findings were supported by insights captured in participants' demographic profiles where a wider breadth of comorbidities were recorded than previously identified. Meanwhile, there was no evidence of a change in the route to diagnosis over time, and data showed ongoing limitations in terms of options for effective treatment.Conclusions: These findings point to the potential effectiveness of self-management techniques for improving well-being with chronic conditions and highlight the need for improved awareness of hEDS and its management amongst primary care practitioners.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442574","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

Effects of Movement and Sedentary Play interventions on executive functioning and their relationships with sensory, repetitive, and negative behaviors of children with ASD - a pilot RCT.

IF 2.1 4区医学

Disability and Rehabilitation Pub Date : 2025-02-17 DOI: 10.1080/09638288.2025.2465600

W C Su, S Srinivasan, A N Bhat

{"title":"Effects of Movement and Sedentary Play interventions on executive functioning and their relationships with sensory, repetitive, and negative behaviors of children with ASD - a pilot RCT.","authors":"W C Su, S Srinivasan, A N Bhat","doi":"10.1080/09638288.2025.2465600","DOIUrl":"https://doi.org/10.1080/09638288.2025.2465600","url":null,"abstract":"Purpose: This randomized controlled trial aimed to explore the relationships between inhibitory control and behavioral difficulties of children with autism spectrum disorder (ASD) and examined the intervention effects of Movement versus Sedentary Play interventions.Materials and methods: Forty school-age children with ASD were enrolled and matched based on age and ability (mean age ± SE = 8.6 ± 0.4) then randomly assigned to Movement or Sedentary Play groups. The Movement intervention involved play-based, whole-body movements, while the Sedentary Play intervention focused on fine motor activities. The Flanker task was used to assess inhibitory control during pretest and posttest, and we coded children's sensory, repetitive, and negative behaviors during early and late intervention sessions. Non-parametric statistical analyses were used.Results: There were significant correlations between negative behaviors during intervention sessions and inhibitory control during standardized tasks (r = 0.3-0.4; ps < 0.05). Additionally, we observed improvements in inhibitory control (Z = -0.3 to -3.4, ps < 0.01) and reduction in sensory and negative behaviors (Z = -1.7 to -2.1, ps < 0.05) following Movement intervention but not Sedentary Play intervention.Conclusions: These results support using whole-body movement interventions to enhance executive functioning and reduce sensory/repetitive and negative behaviors in children with ASD.","PeriodicalId":50575,"journal":{"name":"Disability and Rehabilitation","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442570","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