Exploring the Efficacy of a Dynamic Harness System on Gross Motor Development and Motivation for Infants With Down Syndrome: A Pilot Study.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001130

Reham A Abuatiq, Mia E Hoffman, Alyssa LaForme Fiss, Julia Looper, Heather A Feldner

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Abstract

Purpose: To explore the benefits of a Partial Body Weight Support (PBWS) harness system within a play enriched environment on gross motor development and mastery motivation of infants with Down Syndrome (DS).

Methods: A randomized crossover study with 17 pre-walking infants with DS in two conditions-play with or without the harness engaged-each for 3×/week over 3 weeks with a 1-week washout. Assessments took place at baseline, crossover, and completion.

Results: Statistically and clinically significant changes were evident on the Gross Motor Function Measure-88; however, there were no significant changes in parent-reported mastery motivation.

Conclusion: The combination of PBWS harness system support and high frequency-facilitated play within an enriched play environment positively affected gross motor development. The intervention did not impact mastery motivation skills, and the direct impact of the harness remains unclear.

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探索动态安全带系统对唐氏综合症婴儿粗大运动发展和动机的功效：试点研究。

目的：探讨在丰富的游戏环境中使用部分体重支撑（PBWS）安全带系统对唐氏综合症（DS）婴儿的粗大运动发展和掌握动机的益处：随机交叉研究：17 名患有唐氏综合症的学步前婴儿在两种条件下玩耍--使用或不使用安全带--每星期玩 3 次，每次 3 周，中间休息 1 周。评估在基线、交叉和完成时进行：结果："粗大运动功能测量-88 "在统计和临床上都有明显变化，但家长报告的掌握动机没有明显变化：结论：在丰富的游戏环境中，PBWS 线束系统支持和高频率促进游戏相结合，对粗大运动的发展产生了积极影响。干预措施并未对掌握动机技能产生影响，安全带的直接影响仍不明确。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.