{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T08:02:00Z","timestamp":1772006520844,"version":"3.50.1"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with combined cognitive and motor impairments often experience persistent difficulties with postural control, core muscle function, and motivation for rehabilitation. Low-cost, engaging approaches may be particularly relevant in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>This case report describes a 13-year-old girl with a history of perinatal hypoxic-ischemic brain injury and early-onset seizures, who had severe cognitive and motor impairment. Caregiver-provided clinical documentation indicated severe intellectual disability (ICD-10: F72.0) and degree II\u2013III activity limitations (as graded within national rehabilitation documentation) across domains including self-care, mobility, communication, behavioral regulation, and learning-related functioning. Clinically, she demonstrated marked core and scapular weakness, a rounded upper back posture, and reduced motivation after years of conventional therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A self-made suspension trainer was constructed from accessible materials (rope, gym stick, and floor mat) and integrated into therapy sessions. The main task consisted of supported sit-ups combined with assisted pulling, enabling partial weight support, with gradual progression in repetitions and independence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Across sessions, observable changes were noted in task performance and engagement, including increased repetitions and reduced need for assistance. Outcomes were documented through session logs, therapist observation, and caregiver report; no standardized outcome measures were applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This single-case report provides qualitative, hypothesis-generating observations suggesting that a low-cost, therapist-made suspension trainer may support engagement and task performance in a child with complex neurodevelopmental needs. These findings are not generalizable and warrant evaluation using standardized outcomes and longer follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fresc.2026.1658283","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T07:05:44Z","timestamp":1772003144000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A self-made suspension trainer as a tool for core muscle activation and motivation in a girl with cognitive and motor impairments: a case report"],"prefix":"10.3389","volume":"7","author":[{"given":"Volodymyr","family":"Maksym","sequence":"first","affiliation":[{"name":"Independent Researcher","place":["Lviv, Ukraine"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1296","DOI":"10.3390\/healthcare13111296","article-title":"Effects of core stability training on balance, standing, and gait in children with mild cerebral palsy: a randomized controlled trial","volume":"13","author":"Mohamed","year":"2025","journal-title":"Healthcare (Basel)"},{"key":"B2","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s43161-025-00270-6","article-title":"Effect of core stability exercises on upper limb reaching in children with spastic hemiparetic cerebral palsy: a randomized controlled trial","volume":"30","author":"Abd-Elhameed","year":"2025","journal-title":"Bull Fac Phys Ther"},{"key":"B3","doi-asserted-by":"publisher","first-page":"71","DOI":"10.5535\/arm.20124","article-title":"Effect of core stability exercises on hand functions in children with hemiplegic cerebral palsy","volume":"45","author":"Abd-Elfattah","year":"2021","journal-title":"Ann Rehabil Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"848","DOI":"10.3390\/brainsci11070848","article-title":"Predictors of rehabilitation service utilisation among children with cerebral palsy in low- and middle-income countries: findings from the global LMIC CP register","volume":"11","author":"Al Imam","year":"2021","journal-title":"Brain Sci"},{"key":"B5","doi-asserted-by":"publisher","first-page":"410","DOI":"10.12965\/jer.2142608.304","article-title":"The effects of sling exercise program on balance and body activities in children with spastic cerebral palsy","volume":"17","author":"Song","year":"2021","journal-title":"J Exerc Rehabil"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e40086","DOI":"10.1097\/MD.0000000000040086","article-title":"Effect of sling exercise training on motor function in children with cerebral palsy: a systematic review and meta-analysis","volume":"103","author":"Liu","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"B7","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1111\/dmcn.12147","article-title":"Evidence for outcomes of motivational rehabilitation interventions for children and adolescents with cerebral palsy: an American academy for cerebral palsy and developmental medicine systematic review","volume":"55","author":"Tatla","year":"2013","journal-title":"Dev Med Child Neurol"}],"container-title":["Frontiers in Rehabilitation Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2026.1658283\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T07:05:45Z","timestamp":1772003145000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fresc.2026.1658283\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":7,"alternative-id":["10.3389\/fresc.2026.1658283"],"URL":"https:\/\/doi.org\/10.3389\/fresc.2026.1658283","relation":{},"ISSN":["2673-6861"],"issn-type":[{"value":"2673-6861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,25]]},"article-number":"1658283"}}