Task-Specific Training to Improve Sitting in a Child With Severe Postural Impairments: A Single-Subject Design.
Purpose: To evaluate the potential of a task-specific training model to improve sitting through tailored trunk support and incrementally challenging reaching. Methods: A single-subject AB design with follow-up was conducted with a 20-month-old child with severe postural impairments due to 16p11.2 de...
| Publicado en: | Pediatric Physical Therapy Vol. 37; no. 4; pp. 465 - 474 |
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| Autores principales: | , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188443503&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188443503 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08985669 IQL jtl: Pediatric Physical Therapy issn: 08985669 maglogo: N pubinfo: dt: Oct2025 vid: 37 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 188443503 188443503 188443503 10.1097/PEP.0000000000001224 188443503 ppf: 465 ppct: 9 formats: tig: atl: Task-Specific Training to Improve Sitting in a Child With Severe Postural Impairments: A Single-Subject Design. aug: au: Rachwani, Jaya Santamaria, Victor affil: Department of Physical Therapy (Dr Rachwani), Hunter College, City University of New York, New York, New York sug: subj: Cerebral Palsy Rehabilitation Balance Training, Physical Methods Sitting Task Performance and Analysis Torso Reaching Treatment Outcomes Pediatric Physical Therapy Severity of Illness Human Infant Prospective Studies Chromosome Disorders Comorbidity Pretest-Posttest Design Clinical Trials Clinical Assessment Tools Motor Skills Education Balance, Postural Videorecording Descriptive Statistics Funding Source Children with Disabilities Convenience Sample Male Intraclass Correlation Coefficient Data Analysis Software Interrater Reliability Asian Americans Infant: 1-23 months Male ab: Purpose: To evaluate the potential of a task-specific training model to improve sitting through tailored trunk support and incrementally challenging reaching. Methods: A single-subject AB design with follow-up was conducted with a 20-month-old child with severe postural impairments due to 16p11.2 deletion syndrome and multiple comorbidities. Phase A included 6 baseline assessments during 2 weeks, followed by 15 intervention sessions (Phase B) during 5 weeks, and 4 post-intervention assessments during follow-up. Outcomes included the Segmental Assessment of Trunk Control (SATCo) and the Gross Motor Function Measure (GMFM) sitting dimension. Visual analysis, the 2 standard deviation band method, and C-statistics evaluated change. Results: SATCo and GMFM scores were stable during baseline but had significant trend changes from baseline to intervention and follow-up phases. Independent sitting skills emerged after the intervention. Conclusions: Task-specific training tailored to the child's ability by systematically progressing trunk support and reaching practice may promote long-lasting sitting function. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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