{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T05:42:09Z","timestamp":1792906929610,"version":"4.5.0"},"reference-count":84,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T00:00:00Z","timestamp":1683763200000},"content-version":"unspecified","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the feasibility of an intensive interdisciplinary programme in improving goal and motor outcomes for preschool-aged children with non-progressive neurodisabilities. The primary hypothesis was that the intervention would be feasible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A single group feasibility study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>An Australian paediatric community therapy provider.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Forty children were recruited. Inclusion criteria were age 2\u20135 years with a non-progressive neurodisability, Gross Motor Function Classification System (GMFCS) levels III\u2013V or equivalent, and goals relating to mobility, communication and upper limb function. Exclusion criteria included orthopaedic surgery in the past 6\u2009months, unstable hip subluxation, uncontrolled seizure disorder or treadmill training in the past month.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>A goal-directed programme of three 2-hour sessions per week for 4\u2009weeks (24 hours total). This consisted of treadmill and overground walking, communication practice, and upper limb tasks tailored by an interdisciplinary team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary and secondary outcome measures<\/jats:title><jats:p>Limited-efficacy measures from preintervention (T1) to postintervention (T2) and 4-week follow-up (T3) included the Goal Attainment Scaling (GAS), Canadian Occupational Performance Measure (COPM), Gross Motor Function Measure (GMFM-66) and 10-Metre Walk Test (10MWT). Acceptability, demand, implementation and practicality were also explored.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were improvements at T2 compared with T1 for all limited-efficacy measures. The GAS improved at T2 (mean difference (MD) 27.7, 95%\u2009CI 25.8 to 29.5) as well as COPM performance (MD 3.2, 95%\u2009CI 2.8 to 3.6) and satisfaction (MD 3.3, 95%\u2009CI 2.8 to 3.8). The GMFM-66 (MD 2.3, 95%\u2009CI 1.0 to 3.5) and 10MWT (median difference \u22122.3, 95%\u2009CI \u221228.8 to 0.0) improved at T2. Almost all improvements were maintained at T3. Other feasibility components were also demonstrated. There were no adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An intensive interdisciplinary programme is feasible in improving goal and motor outcomes for preschool children with neurodisabilities (GMFCS III\u2013V or equivalent). A randomised controlled trial is warranted to establish efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration number<\/jats:title><jats:p>ACTRN12619000064101.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2022-068816","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T14:15:19Z","timestamp":1683814519000},"page":"e068816","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Kindy Moves: the feasibility of an intensive interdisciplinary programme on goal and motor outcomes for preschool-aged children with neurodisabilities requiring daily equipment and physical assistance"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2795-902X","authenticated-orcid":false,"given":"Matthew","family":"Haddon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Elliott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corrin","family":"Walmsley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Valentine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Bear","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8313-5661","authenticated-orcid":false,"given":"Dayna","family":"Pool","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"key":"2023051107150803000_13.5.e068816.1","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1111\/dmcn.15055","article-title":"Interventions to improve physical function for children and young people with cerebral palsy: international clinical practice guideline","volume":"64","author":"Jackman","year":"2022","journal-title":"Dev Med Child Neurol"},{"key":"2023051107150803000_13.5.e068816.2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2021.0878"},{"key":"2023051107150803000_13.5.e068816.3","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1111\/dmcn.14855","article-title":"Early intervention evidence for infants with or at risk for cerebral palsy: an overview of systematic reviews","volume":"63","author":"Damiano","year":"2021","journal-title":"Dev Med Child Neurol"},{"key":"2023051107150803000_13.5.e068816.4","doi-asserted-by":"crossref","unstructured":"Novak I , Morgan C , Fahey M , et al . 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