Evaluating the impact of school-based rebound therapy on chest health in children and young people with neurodisability and respiratory issues: a series of single case studies.
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| Title: | Evaluating the impact of school-based rebound therapy on chest health in children and young people with neurodisability and respiratory issues: a series of single case studies. |
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| Authors: | Knight Lozano, Rachel (AUTHOR), Shannon, Harriet (AUTHOR), Bell, Kayleigh (AUTHOR), Melluish, Julia (AUTHOR), Morris, Christopher (AUTHOR), Rapson, Rachel (AUTHOR), Marsden, Jonathan (AUTHOR) |
| Source: | Disability & Rehabilitation. Dec2025, Vol. 47 Issue 24, p6384-6395. 12p. |
| Subjects: | Treatment of respiratory diseases, Motor ability, Children with disabilities, Research funding, Interviewing, Questionnaires, Treatment effectiveness, Descriptive statistics, Cerebral palsy, Neurological disorders, Thematic analysis, Quality of life, Research methodology, Case studies, Adverse health care events, School health services, Physical activity, Adolescence, Children |
| Abstract: | Purpose: To evaluate feasibility and impact of an individualised rebound therapy programme on chest health in children with complex neurodisability. Methods and materials: A single-case ABA design was conducted over 18 weeks with five children aged 5–15 years with complex neurodisability. Intervention involved twice weekly rebound therapy for six consecutive weeks in school. Summary outcomes included parent/carer-reported chest health, quality-of-life and clinician-observed motor ability. Serial weekly outcomes included chest health observations, usual care changes, adherence and adverse events. Parents completed a semi-structured interview after follow-up. Quantitative data were analysed descriptively and qualitative data were analysed using thematic analysis. Results: Within-case and across-case findings indicated improvement in motor ability following rebound therapy intervention. Additional trends of improvement were noted in parent/carer-reported chest health and quality-of-life, but these changes were not specific to the intervention phase. Improvements in motor ability, chest health and quality-of-life indicators were verified through qualitative interview data. Conclusion: Co-design successfully informed an inclusive, feasible intervention study for children with complex neurodisability. However, overall improvement in parent/carer-reported chest health, quality-of-life and observed motor ability were not limited to the intervention phase. Measurement tools lacked published thresholds to determine if changes were clinically significant. IMPLICATIONS FOR REHABILITATION: Rebound therapy is a feasible school-based intervention to promote rehabilitation through physical activity participation in children with complex neurodisability. Selected outcome measures require further psychometric testing to evaluate the impact of this rehabilitation approach effectively. Chest health education, monitoring and communication alongside rebound therapy may positively influence outcomes of rehabilitation, such as quality of life. Co-design and safety monitoring is necessary to address challenges of implementing rehabilitation research in children with complex neurodisability. [ABSTRACT FROM AUTHOR] |
| Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 189650961 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluating the impact of school-based rebound therapy on chest health in children and young people with neurodisability and respiratory issues: a series of single case studies. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Knight+Lozano%2C+Rachel%22">Knight Lozano, Rachel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shannon%2C+Harriet%22">Shannon, Harriet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bell%2C+Kayleigh%22">Bell, Kayleigh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Melluish%2C+Julia%22">Melluish, Julia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morris%2C+Christopher%22">Morris, Christopher</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rapson%2C+Rachel%22">Rapson, Rachel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marsden%2C+Jonathan%22">Marsden, Jonathan</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Dec2025, Vol. 47 Issue 24, p6384-6395. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+respiratory+diseases%22">Treatment of respiratory diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Motor+ability%22">Motor ability</searchLink><br /><searchLink fieldCode="DE" term="%22Children+with+disabilities%22">Children with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cerebral+palsy%22">Cerebral palsy</searchLink><br /><searchLink fieldCode="DE" term="%22Neurological+disorders%22">Neurological disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Case+studies%22">Case studies</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink><br /><searchLink fieldCode="DE" term="%22School+health+services%22">School health services</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: To evaluate feasibility and impact of an individualised rebound therapy programme on chest health in children with complex neurodisability. Methods and materials: A single-case ABA design was conducted over 18 weeks with five children aged 5–15 years with complex neurodisability. Intervention involved twice weekly rebound therapy for six consecutive weeks in school. Summary outcomes included parent/carer-reported chest health, quality-of-life and clinician-observed motor ability. Serial weekly outcomes included chest health observations, usual care changes, adherence and adverse events. Parents completed a semi-structured interview after follow-up. Quantitative data were analysed descriptively and qualitative data were analysed using thematic analysis. Results: Within-case and across-case findings indicated improvement in motor ability following rebound therapy intervention. Additional trends of improvement were noted in parent/carer-reported chest health and quality-of-life, but these changes were not specific to the intervention phase. Improvements in motor ability, chest health and quality-of-life indicators were verified through qualitative interview data. Conclusion: Co-design successfully informed an inclusive, feasible intervention study for children with complex neurodisability. However, overall improvement in parent/carer-reported chest health, quality-of-life and observed motor ability were not limited to the intervention phase. Measurement tools lacked published thresholds to determine if changes were clinically significant. IMPLICATIONS FOR REHABILITATION: Rebound therapy is a feasible school-based intervention to promote rehabilitation through physical activity participation in children with complex neurodisability. Selected outcome measures require further psychometric testing to evaluate the impact of this rehabilitation approach effectively. Chest health education, monitoring and communication alongside rebound therapy may positively influence outcomes of rehabilitation, such as quality of life. Co-design and safety monitoring is necessary to address challenges of implementing rehabilitation research in children with complex neurodisability. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09638288.2025.2479080 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 6384 Subjects: – SubjectFull: Treatment of respiratory diseases Type: general – SubjectFull: Motor ability Type: general – SubjectFull: Children with disabilities Type: general – SubjectFull: Research funding Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Questionnaires Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Cerebral palsy Type: general – SubjectFull: Neurological disorders Type: general – SubjectFull: Thematic analysis Type: general – SubjectFull: Quality of life Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Case studies Type: general – SubjectFull: Adverse health care events Type: general – SubjectFull: School health services Type: general – SubjectFull: Physical activity Type: general – SubjectFull: Adolescence Type: general – SubjectFull: Children Type: general Titles: – TitleFull: Evaluating the impact of school-based rebound therapy on chest health in children and young people with neurodisability and respiratory issues: a series of single case studies. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Knight Lozano, Rachel – PersonEntity: Name: NameFull: Shannon, Harriet – PersonEntity: Name: NameFull: Bell, Kayleigh – PersonEntity: Name: NameFull: Melluish, Julia – PersonEntity: Name: NameFull: Morris, Christopher – PersonEntity: Name: NameFull: Rapson, Rachel – PersonEntity: Name: NameFull: Marsden, Jonathan IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09638288 Numbering: – Type: volume Value: 47 – Type: issue Value: 24 Titles: – TitleFull: Disability & Rehabilitation Type: main |
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