{"title":"A retrospective quality improvement analysis of simplifying functional assessments: A brief report.","authors":"Amy Wolfe, Jenna Venuto, Zhenying Jiang, Collin Shepley, Sally B Shepley","doi":"10.1080/17518423.2025.2526363","DOIUrl":"10.1080/17518423.2025.2526363","url":null,"abstract":"<p><strong>Background: </strong>Outpatient university-based clinics serving families of children with challenging behavior often rely on time-intensive functional analyses to inform treatment. The Interview-Informed Synthesized Contingency Analysis (IISCA) has been proposed as a more efficient, yet effective, alternative.</p><p><strong>Objective: </strong>This study aimed to evaluate the potential impact of implementing a single-session IISCA on service efficiency within a university-based outpatient clinic.</p><p><strong>Method: </strong>A retrospective program evaluation was conducted to examine the theoretical time savings associated with using a single-session IISCA approach in place of traditional multi-session assessments.</p><p><strong>Results: </strong>Findings suggested that meaningful amounts of time could theoretically be saved by utilizing a single-session IISCA. These potential efficiencies may support more rapid decision-making and service delivery.</p><p><strong>Conclusion: </strong>While preliminary results are promising, additional research is needed to evaluate the real-time impact of integrating single-session IISCA into clinical practice, particularly regarding data-informed decision-making and overall service outcomes.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"179-184"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emanuela J Martins, Camila S B Franco, Tenysson Will de Lemos, Ana Claudia Mattiello-Sverzut
{"title":"Motor fatigability during repetitive handgrip contractions in children with spina bifida: dynamometric and electromyographic evaluation.","authors":"Emanuela J Martins, Camila S B Franco, Tenysson Will de Lemos, Ana Claudia Mattiello-Sverzut","doi":"10.1080/17518423.2025.2526369","DOIUrl":"10.1080/17518423.2025.2526369","url":null,"abstract":"<p><p>The objective was to compare handgrip pressure, fatigability, and muscle activation between typically developing children and those with spina bifida (SB). Sixty-eight typically developing children and 20 children with SB, aged 8 to 14 years old, performed a maximal handgrip test (three 5-sec repetitions, 20-sec intervals) and a handgrip fatigue test (with repetitions until reaching the maximum perceived effort score), using a bulb dynamometer. Simultaneously, surface electromyography of the finger flexor and extensor muscles was recorded. The values from both tests were compared within and between groups using multiple linear regression models. Children with SB presented lower handgrip pressure and similar fatigability compared to typically developing children, without differences between groups for muscle activation, time-to-fatigue and perceived effort. Children with SB were weaker, but they did not show increased fatigability during repeated handgrip contractions compared to controls. There is a mechanism that preserves handgrip force during fatigue testing in SB.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"144-152"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144593223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristine Stadskleiv, Lena Elin Lorentzen, Sandra Julsen Hollung
{"title":"Cognitive assessment practices of children with cerebral palsy: a national cohort study.","authors":"Kristine Stadskleiv, Lena Elin Lorentzen, Sandra Julsen Hollung","doi":"10.1080/17518423.2025.2526357","DOIUrl":"10.1080/17518423.2025.2526357","url":null,"abstract":"<p><strong>Aim: </strong>Children with cerebral palsy (CP) are at risk of cognitive impairments. Cognitive assessments identify support needs. However, not all children with CP are assessed. This study investigates if there are systematic differences between children with CP cognitively assessed and not assessed.</p><p><strong>Method: </strong>Children registered in the Norwegian Quality and Surveillance Registry for Cerebral Palsy born 2002-2014 were included.</p><p><strong>Results: </strong>Of the 1532 children included, 972 (63.4%) had a cognitive assessment. Children with Motor Ability Classification System levels IVV and/or Viking Speech Scale level IV were less likely to be assessed.</p><p><strong>Discussion: </strong>It is disconcerting that children with CP and the most severe impairments are less likely to be offered assessments, given their needs for individually tailored interventions.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"125-131"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between emotion regulation and activity performance and quality of life in adolescents with cerebral palsy.","authors":"Ayşe Göktaş, Esma Özkan","doi":"10.1080/17518423.2025.2526358","DOIUrl":"10.1080/17518423.2025.2526358","url":null,"abstract":"<p><strong>Purpose: </strong>Emotional and activity difficulties may affect adolescents' daily lives with cerebral palsy (CP). Therefore, it is important to evaluate factors associated with emotion regulation in adolescents with CP. This study aims to determine how adolescents with CP use emotion regulation strategies during their interactions and to examine the relationship between emotion regulation, activity performance, and quality of life.</p><p><strong>Methods: </strong>The data was obtained using the Regulation of Emotions Questionnaire (REQ), The Pediatric Quality of Life Inventory (PedsQL), and the Canadian Occupational Performance Measure (COPM). The relationship between the scale scores was tested using the Spearman correlation coefficient.</p><p><strong>Results: </strong>A significant relationship was found between internal functional emotion regulation and activity performance (<i>p</i> < .05), as well as between emotion regulation and quality of life (<i>p</i> < .05).</p><p><strong>Conclusions: </strong>These results indicated that adolescents' activity performance and quality of life with CP were associated with emotion regulation skills. It is very beneficial for occupational therapists to consider emotion regulation skills to improve activity performance and adolescents' quality of life with CP.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"132-143"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robot-assisted gait training in children with cerebral palsy: a randomized comparative study.","authors":"Sevgi Esra Özdemir Tekeş, Birkan Sonel Tur, Şehim Kutlay, Derya Gökmen, Aslı Çiftci","doi":"10.1080/17518423.2025.2533218","DOIUrl":"10.1080/17518423.2025.2533218","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this study was to evaluate the effect of robot-assisted gait training (RAGT) in addition to conventional therapy (ConT) on gross motor function in children with cerebral palsy (CP) compared to ConT alone.</p><p><strong>Methods: </strong>A total of 57 children (5-18 years) were randomly assigned to one of two groups, and then evaluated four times: before and immediately after treatment, then at 6 and 12 weeks using the Gross Motor Function Measure-88 (GMFM-88).</p><p><strong>Results: </strong>Only the ConT+RAGT group showed improvement in GMFM-D and total score and GAS between T1-T2 and T1-T4, whereas both groups showed improvement in GMFM-E at all time points.</p><p><strong>Conclusions: </strong>It was concluded that RAGT in addition to ConT improves gross motor function in CP.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"163-172"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachael E Lyon, Brendan F Andrade, Mary E Desrocher, Shari L Wade, Tricia S Williams
{"title":"The importance of considering parent readiness for treatment in children's neuropsychological interventions: A brief report.","authors":"Rachael E Lyon, Brendan F Andrade, Mary E Desrocher, Shari L Wade, Tricia S Williams","doi":"10.1080/17518423.2025.2526361","DOIUrl":"10.1080/17518423.2025.2526361","url":null,"abstract":"<p><p>Neuropsychologically-informed interventions promoting positive parenting skills have shown efficacy in treating early behavioral challenges associated with brain injury among young children. Although parental readiness for treatment is an essential construct to consider, it is rarely examined. The current study describes readiness for treatment among parents of children with early brain injury who participated in a pilot transdiagnostic positive parenting intervention. Twenty-two families of children (aged 3-8) with histories of neonatal stroke, hypoxic ischemic encephalopathy, congenital heart disease or prematurity consented to participate. Findings highlight variability in parent readiness may be associated with child's functioning and behavioral concern. Clinical, training and research implications are discussed.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"173-178"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Déborah Ebert Fontes, Kênnea Martins Almeida Ayupe, Rafaela Silva Moreira, Rosane Luzia de Souza Morais, Paula Silva de Carvalho Chagas, Egmar Longo, Ana Carolina de Campos, Aline Martins de Toledo, Hércules Ribeiro Leite, Ana Cristina Resende Camargos
{"title":"Factors Associated with Performance of Activities and Participation of Brazilian Children and Adolescents with Cerebral Palsy: A Cross-Sectional Study.","authors":"Déborah Ebert Fontes, Kênnea Martins Almeida Ayupe, Rafaela Silva Moreira, Rosane Luzia de Souza Morais, Paula Silva de Carvalho Chagas, Egmar Longo, Ana Carolina de Campos, Aline Martins de Toledo, Hércules Ribeiro Leite, Ana Cristina Resende Camargos","doi":"10.1080/17518423.2024.2438961","DOIUrl":"10.1080/17518423.2024.2438961","url":null,"abstract":"<p><p>The aim of this study was to investigate factors related to performance in daily activities, mobility, social/cognitive skills, and responsibility of Brazilian children/adolescents with cerebral palsy (CP). Multivariate binary logistic regression analyses were performed. A total of 190 children/adolescents participated. Most participants performed below expected in mobility, which could be explained by age, locomotion ability, and anatomical distribution of motor impairment (R<sup>2</sup> = 0.50). Performance in daily activities (R<sup>2</sup> = 0.44) and responsibility (R<sup>2</sup> = 0.23) were explained by age and locomotion ability. This study contributes to understanding the factors that explain the functioning of children/adolescents with CP in Brazil, a low/middle-income country.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of different aquatic interventions on muscle power, balance, endurance, and functional skills in children with spastic cerebral palsy.","authors":"Najwa Khan, Alaa Ibrahim","doi":"10.1080/17518423.2025.2526352","DOIUrl":"10.1080/17518423.2025.2526352","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the impact of aquatic interventions on children with spastic CP regarding their physical function and functional independence.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted from 2017 to 2018 at a rehabilitation center, involving 48 children diagnosed with spastic CP, aged between 6 and 12 years. Participants were randomly assigned into three groups: a Swimming Group (SW, <i>n</i> = 16), Ai Chi Stretching Group (AS, <i>n</i> = 16), and a Control Group (<i>n</i> = 16). Outcome measures included the Gross Motor Function Measure (GMFM-66), Modified Ashworth Scale (MAS), Manual Muscle Testing (MMT), hand grip dynamometer readings, Pediatric Balance Scale (PBS), and 6-Minute Walk Test (6MWT).</p><p><strong>Results: </strong>The findings revealed that both the Swimming (SW) and Ai Chi Stretching (AS) Groups showed significant improvements in gross motor function (<i>p</i> = .04). Spasticity levels remained consistent (p > .05). However, the SW Group exhibited increased muscle power (<i>p</i> = .001) and hand grip strength (<i>p </i>= .05). Balance improved in the SW Group (<i>p</i> = .05), and endurance increased in the AS Group (<i>p</i> = .01).</p><p><strong>Conclusion: </strong>This study underscored the value of aquatic interventions in enhancing the physical performance of children suffering from spastic CP and revealed that this exercise improves children's well-being and quality of life.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"83-94"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of transcutaneous electrical nerve stimulation (TENS) in rehabilitation of cerebral palsy: a systematic review.","authors":"Fateme Tahmasbi, Sarvin Sanaie, Hanieh Salehi-Pourmehr, Salar Ghaderi, Alireza Rahimi-Mamaghani","doi":"10.1080/17518423.2024.2439560","DOIUrl":"10.1080/17518423.2024.2439560","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is one of the most important causes of disability across the globe. Transcutaneous electrical nerve stimulation (TENS) has been proposed as a potential adjunct therapy.</p><p><strong>Objective: </strong>This systematic review aims to explore the application of TENS in the rehabilitation of individuals with CP.<b>Methods:</b> A comprehensive literature search was conducted across multiple databases for studies published up to December 2023. Inclusion criteria encompassed clinical studies that evaluated the effects of TENS on rehabilitation outcomes in individuals with CP. Data were extracted and synthesized in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of the included studies was assessed using the appropriate Joanna Briggs Institute (JBI) checklist based on the study design.</p><p><strong>Results: </strong>A total of 11 studies were eligible for entering this systematic review. Studies reported the application of TENS for different CP-induced conditions, including motor function, spasticity, and gait. Following the administration of TENS in CP patients, an overall favorable trend with few to no side effects was reported. Nevertheless, most of the included studies were of low to moderate quality.</p><p><strong>Conclusion: </strong>Although this review offers a comprehensive examination of the use of TENS in CP rehabilitation, the scarcity of high-quality studies indicates that further research is necessary to confirm its efficacy in this population.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"52-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of virtual reality on improving arm function in individuals with cerebral palsy: an overview of meta-analyses.","authors":"Yuping Chen, Jin Xu, Ayanna Howard","doi":"10.1080/17518423.2025.2499803","DOIUrl":"10.1080/17518423.2025.2499803","url":null,"abstract":"<p><p>This overview was to understand the impact of virtual reality (VR) on upper-extremity function in individuals with cerebral palsy (CP). A systematic literature search was conducted using electronic databases (e.g. PubMed, Web of Science) and a manual search of the reference lists of each article. The quality of meta-analysis, average effect size, heterogeneity, and moderators were extracted and evaluated. Thirteen meta-analyses were included, with only one review (7.7%) rated High and the rest rated Critical Low (53.8%) or Low (38.5%). Immediate post-VR effect ranged from medium to large effect with an average effect of 0.69: VR showed a large effect of arm function (0.81) but a small effect of hand function (0.43). Short-term VR effect was inconsistent. Most meta-analyses showed moderate to substantial heterogeneity. VR seems to be a viable intervention to improve arm function, but further studies with vigorous design are needed.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"111-119"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}