the-6-minute-frame-running-test-field-based-cardiopulmonary-exercise

The 6-Minute Frame Running Test - A Field-based Cardiopulmonary Exercise Test for Individuals with Cerebral Palsy

Cerebral palsy (CP) is a diverse childhood-onset motor disability that varies significantly in severity and impact. Individuals with more severe forms of ...

Utrecht University of Applied Sciences

Commentary on "Instrumented Gait Analysis (IGA) for Management of Children With Cerebral Palsy: A Needs Assessment Survey".

 There is a lack of effective interventions available for Pediatric Physical Therapists (PPTs) to promote a physically active lifestyle in children with physical disabilities. Participatory design methods (co-design) may be helpful in generating insights and developing intervention prototypes for facilitating a physically active lifestyle in children with physical disabilities (6-12 years).  A multidisciplinary development team of designers, developers, and researchers engaged in a co-design process-together with parents, PPTs, and other relevant stakeholders (such as the Dutch Association of PPTs and care sports connectors). In this design process, the team developed prototypes for interventions during three co-creation sessions, four one-week design sprint, living-lab testing and two triangulation sessions. All available co-design data was structured and analyzed by three researchers independently resulting in themes for facilitating physical activity.  The data rendered two specific outcomes, (1) knowledge cards containing the insights collected during the co-design process, and (2) eleven intervention prototypes. Based on the generated insights, the following factors seem important when facilitating a physically active lifestyle: a) stimulating self-efficacy; b) stimulating autonomy; c) focusing on possibilities; d) focusing on the needs of the individual child; e) collaborating with stakeholders; f) connecting with a child's environment; and g) meaningful goal setting.  This study shows how a co-design process can be successfully applied to generate insights and develop interventions in pediatric rehabilitation. The designed prototypes facilitate the incorporation of behavioral change techniques into pediatric rehabilitation and offer new opportunities to facilitate a physically active lifestyle in children with physical disabilities by PPTs. While promising, further studies should examine the feasibility and effectivity of these prototypes.

Using a Co-design Approach to Create Tools to Facilitate Physical Activity in Children With Physical Disabilities.

To analyze needs and requirements of Pediatric Physical Therapists (PPTs), parents, children and adolescents with and without developmental disabilities in the future use of an activity monitor prototype (AM-p) in everyday clinical practice.

Exploring needs and requirements for a prototype device measuring physical activity in pediatric physical therapy: A qualitative study.

Pediatric healthcare professionals facilitate children to enhance and maintain a physically active lifestyle. Activity monitors (AM) can help pediatric healthcare professionals assess physical activity in everyday life. However, validation research of activity monitors has often been conducted in laboratories and insight into physical activity of children in their own everyday environment is lacking. Our goal was to study the criterion validity of a prototype AM (AM-p) model in a natural setting.

Article	Year
Commentary on "Instrumented Gait Analysis (IGA) for Management of Children With Cerebral Palsy: A Needs Assessment Survey". Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association\| PubMed ID: 35385458	2022
Using a Co-design Approach to Create Tools to Facilitate Physical Activity in Children With Physical Disabilities. Frontiers in rehabilitation sciences\| PubMed ID: 36188842	2021
Exploring needs and requirements for a prototype device measuring physical activity in pediatric physical therapy: A qualitative study. PloS one\| PubMed ID: 38917177	2024
Monitoring of child-specific activities in ambulatory children with and without developmental disabilities. BMC pediatrics\| PubMed ID: 40087638	2025

Eline Bolster

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