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Mobility Intensive Training (Mob-IT) Protocol for Children with Cerebral Palsy: Feasibility and Fidelity Results

Luana Pereira Oliveira Gonçalves, Isabella Pessóta Sudati, Ana Paula Zanardi da Silva, Natalia Duarte Pereira, Nelci Adriana Cicuto Ferreira Rocha and Ana Carolina de Campos ()
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Luana Pereira Oliveira Gonçalves: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil
Isabella Pessóta Sudati: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil
Ana Paula Zanardi da Silva: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil
Natalia Duarte Pereira: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil
Nelci Adriana Cicuto Ferreira Rocha: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil
Ana Carolina de Campos: Department of Physical Therapy, Federal University of São Carlos, São Carlos 13565-905, SP, Brazil

Disabilities, 2025, vol. 5, issue 1, 1-16

Abstract: The Mobility Intensive Training (Mob-IT) protocol is an innovative intervention focused on motor learning to improve the mobility of children with cerebral palsy (CP). The objective was to describe the feasibility and intervention fidelity of Mob-IT. A single-subject experimental study was conducted with four children with CP, a median age of 11 (7–13) years, and a Gross Motor Function Classification System I–III. The Mob-IT included 24 h of practice of mobility goals, delivered three times a week in 2 h sessions over four weeks. Feasibility was assessed using the Qualitative Feedback Questionnaire (QFQ), evaluating adherence, acceptability, adverse effects, the clarity of procedures, and intervention time. The Canadian Occupational Performance Measure (COPM) was used to assess participant and caregiver satisfaction. Fidelity was measured by the type of feedback provided (intrinsic vs. extrinsic), task challenge level, and intervention volume. Participants reported good acceptance, few adverse effects, and satisfaction with the outcomes. The intervention adhered to the proposed principles, with a focus on extrinsic feedback and tasks showing progression over time. Time was well spent, being 78% focused on activities and using mostly extrinsic-focused feedback. The Mob-IT protocol was considered feasible and faithful to its principles. As this is a feasibility study, the results indicate the need to expand the intervention to a larger, randomized study.

Keywords: cerebral palsy; intensive training; task-oriented training; children and adolescents; treatment fidelity (search for similar items in EconPapers)
JEL-codes: I (search for similar items in EconPapers)
Date: 2025
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