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F. Virginia Wright

F. Virginia Wright
Holland Bloorview Kids Rehabilitation Hospital and Department of Physical Therapy, University of Toronto · Bloorview Research Institute

BSc(PT), MSc, PhD

About

135
Publications
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Citations

Publications

Publications (135)
Article
Aim: Youth with cerebral palsy generally participate in less physical activity than typically developing peers. In adults with physical disabilities, balance confidence is a strong predictor of participation, and community re-integration. However, balance confidence has not been studied in youth with cerebral palsy. Method: Qualitative descriptive...
Article
Purpose: To describe the initial steps in the development of a family-completed, modified version of the Gross Motor Function Measure (GMFM-88) to report gross motor function of young people with cerebral palsy in their natural environments. Methods: Development of the Gross Motor Function – Family Report (GMF-FR) was based on expert opinion involv...
Article
Purpose: The purpose of this study was to investigate the use of running-specific prostheses (RSPs) by children with lower limb absence (LLA) along with the benefits and challenges of RSPs. Materials and methods: In this descriptive qualitative study, eight children (ages 8-20 years) and their parents participated in semi-structured interviews....
Article
Full-text available
This cross-sectional study examined elements facilitating quality sport experiences for youth (ages 12-24) in Special Olympics, and the influences of sport program and sociodemographic characteristics on these experiences. A total of 451 athletes involved in the 2019 Special Olympics Youth Games completed an online survey to assess experiential ele...
Article
Coaches play a critical role in shaping the sporting experiences of children and youth. In introductory-level grassroots sport programs, the coaching strategies used can greatly influence children’s and youths’ physical literacy development. This study identified behaviour change techniques (BCTs) used by coaches in an inclusive physical literacy-b...
Article
Purpose The best approach to delivering advanced gross motor skills interventions for children with cerebral palsy (CP) is unknown. This study’s aim was to assess trial feasibility and compare effectiveness of sports skills movement training (Brain change after Fun, Athletic Sports skills Training [BeFAST]) to conventional lower limb strength train...
Article
Full-text available
Humans are story-telling creatures, and our qualitative research needs to reflect this. In this paper we openly discuss our struggles, progress, and experiences with thematic narrative analysis and creative non-fictions from an interdisciplinary team’s perspective. This messy text is aimed at researchers new to and experienced with creative non-fic...
Preprint
ABSTRACT: Humans are story-telling creatures, and our qualitative research needs to reflect this. In this paper we openly discuss our struggles, progress, and experiences with thematic narrative analysis and creative non-fictions from an interdisciplinary team’s perspective. This messy text is aimed at researchers new to and experienced with creati...
Article
Background Prosthetic knee joint function is important in the rehabilitation of individuals with transfemoral amputation. Objectives The objective of this study was to assess the gait patterns associated with two types of mechanical stance control prosthetic knee joints—weight-activated braking knee and automatic stance-phase lock knee. It was hyp...
Article
Children and youth with impairments in social skills and/or cognition face many barriers to community participation specifically physical activity (PA) (e.g., limited staff training). Inclusive PA settings may provide opportunities for children and youth with and without impairments to engage together and promote physical and social skill developme...
Article
Purpose: This study explored three-year trajectories of social anxiety symptoms among youth with chronic health conditions and investigated factors influencing those trajectories. Methods: Participants (N=439) were recruited from eight pediatric rehabilitation centres. The Social Anxiety Scale for Children-Revised measured social anxiety across fo...
Article
This study explored children's experiences of participating in one-to-one physical training programs to identify how programs can best promote physical activity participation for children with cerebral palsy. A qualitative descriptive design with self-determination theory was used. Semistructured interviews were conducted with 6 children with cereb...
Article
The objective of this study was to comprehensively evaluate inclusive out-of-school time physical activity programs for children/youth with physical disabilities. A search of the published literature was conducted and augmented by international expertise. A quality appraisal was conducted; only studies with quality ratings ≥60% informed our best pr...
Article
The word around the watercooler: Coaches’ perspectives of an inclusive physical literacy program for children and youth Krystn Orr, F. Virginia Wright, & Kelly P. Arbour-Nicitopoulos Background: Physical literacy (PL) has gained increased attention as a comprehensive approach for promoting life-long engagement in physical activity. PL considers t...
Article
This paper examined the differential influences of personal, interpersonal, and environmental level factors on domain-based and overall life satisfaction over one year for youth with chronic health conditions. Baseline and Time 2 follow-up data were used from a study examining quality of life for a sample of 439 youth with chronic conditions, aged...
Article
Full-text available
Widespread concerns about lack of inclusive physical activity programs for children and youth with medical conditions and disabilities prompted our research team to partner with stakeholders to develop a community-based initiative called Igniting Fitness Possibilities (IFP). This case study describes the systematic process and experiences of our re...
Article
This literature review addressed four questions. (1) In which populations other than cerebral palsy (CP) has the Gross Motor Function Classification System (GMFCS) been applied? (2) In what types of study, and why was it used? (3) How was it modified to facilitate these applications? (4) What justifications and evidence of psychometric adequacy wer...
Article
Aims: The Challenge was designed as an extension to the GMFM-66 to assess advanced motor skills of children with cerebral palsy (CP) who walk/run independently. This study evaluated the Challenge's inter-rater and test-retest reliability. Methods: Thirty children with CP (GMFCS level I [n = 24] and II [n = 6]) completed the Challenge, with re-te...
Conference Paper
Background and Objective(s): Research indicates that children and youth with cerebral palsy experience internalizing symptoms such as anxiety, and report social problems such as peer relationship difficulties, isolation, and being bullied. This is the first study to examine factors related to symptoms of social anxiety subtypes for youth with cereb...
Article
Aims: This article describes a qualitative study aimed at producing child-centered guidelines for the administration of a measure of children's advanced gross motor skills, the Challenge. The purpose of the guidelines is to promote collaborative interpretation and application of results. Methods: The study was conducted in three Canadian cities...
Conference Paper
QOL of youth with Spina Bifida (SB) by: a) comparing subjective QOL scores of these youth with the scores of youth with other chronic conditions; b) comparing youth subjective QOL mean scores as reported by themselves and by one of their parents; and c) exploring cognitive and physical functioning as correlates of youths’ subjective QOL, controllin...
Article
Full-text available
Purpose: Objectives of this longitudinal study were to examine 3-year trajectories of global perceived quality of life (QOL) for youth with chronic health conditions, as obtained from youth and parent reports, and to identify personal and environmental factors associated with the trajectory groups for each perspective. Methods: Youth with variou...
Article
Full-text available
Background: Enhancement of functional ambulation is a key goal of rehabilitation for children with cerebral palsy (CP) who experience gross motor impairment. Physiotherapy (PT) approaches often involve overground and treadmill-based gait training to promote motor learning, typically as free walking or with body-weight support. Robotic-assisted gai...
Article
Purpose: The purpose of this study was to clinically evaluate the automatic stance-phase lock (ASPL) knee mechanism against participants’ existing weight-activated braking (WAB) prosthetic knee joint. Method: This prospective crossover study involved 10 young adults with an above-knee amputation. Primary measurements consisted of tests of walking s...
Article
Full-text available
Background Robot assisted gait training (RAGT) is considered to be a promising approach for improving gait-related gross motor function of children and youth with cerebral palsy. However, RAGT has yet to be empirically demonstrated to be effective. This knowledge gap is particularly salient given the strong interest in this intensive therapy, the h...
Conference Paper
Objective: Given the challenges and expenses associated with randomised controlled trials (RCT) in paediatric rehabilitation, establishing protocol feasibility and effectiveness is critical. While pilot studies are typically used for estimating effect sizes, guidelines as to how to establish protocol feasibility have been lacking. Recent work by Be...
Article
Purpose The Lower Limb Function Questionnaire (LLFQ) was developed as a self-report assessment of lower-limb functional ability for orthotic and prosthetic (O&P) device users to be suitable for a wide range of conditions, cultures, and ages. The measure aims to address an existing gap in tools for the assessment of functional ability in this popula...
Article
Full-text available
Purpose: This study investigated the association between mothers' mental health and education and the emotional and behavioural functioning of adolescents with chronic health conditions over time. Methods: Data were drawn from an ongoing study. Study participants (N = 363) were recruited through eight children's rehabilitation centres. Logistic...
Article
Full-text available
There is little known about what spirituality means for youth with disability or about the potential relevance of youths’ spirituality in pediatric rehabilitation. This study explored perceptions of spirituality for youth with disabilities. Using a qualitative descriptive methodology, we examined the lived experiences of eighteen youth ages 11-20 y...
Article
Objective: The study's purpose was to describe the range of knowledge pertaining to the Bobath (NDT) concept in adult neurological rehabilitation, synthesizes the findings, identify knowledge gaps and develop empirically based recommendations for future research. Methods: A scoping review of research and non-research articles published from 2007 to...
Article
Robotic gait training is an emerging intervention that holds great therapeutic promise in the rehabilitation of children with neuromotor disorders such as cerebral palsy (CP). Little is known about children and parents' views on this new technology. The purpose of this qualitative study was to investigate the expectations and experiences of childre...
Article
Full-text available
While optimizing quality of life (QOL) is a key goal of rehabilitation care, no previous study has reported on what ‘QOL’ means to youth with chronic health conditions. In addition, no qualitative studies have explored the relationship between QOL and self-determination (SD). Objectives of this qualitative study were to examine: what the terms ‘qua...
Article
Aims: Innovative robotic technologies hold strong promise for improving walking abilities of children with cerebral palsy (CP), but may create expectations for parents pursuing the "newest thing" in treatment. The aim of this qualitative study was to explore parents' values about walking in relation to their experiences with robotic gait training...
Article
Objective: The study's purpose was to describe the range of knowledge pertaining to the Bobath (NDT) concept in adult neurological rehabilitation, synthesizes the findings, identify knowledge gaps and develop empirically based recommendations for future research. Methods: A scoping review of research and non-research articles published from 2007...
Article
Objective: The study's purpose was to describe the range of knowledge pertaining to the Bobath concept/NDT in adult neurological rehabilitation, synthesize the findings, identify knowledge gaps and develop empirically based recommendations for future research. This article explores the conceptual literature. Methods: A scoping review of research...
Conference Paper
Youth with cerebral palsy (CP) can experience social isolation, in part due to mobility limitations associated with CP. We show that networked video games can provide a venue for social interaction from the home. We address the question of how to design networked games that enhance social play among people with motor disabilities. We present Liberi...
Conference Paper
Objective: To examine personal, interpersonal, and environmental factors associated with perceived quality of life (QOL) for youth with chronic health conditions from the perspective of youth and parents. Design: Cross-sectional study. Setting: Children’s rehabilitation centres. Participants: Random sample of 439 participants aged 11 to 17 years ol...
Technical Report
Full-text available
This report provides participating families and other stakeholders with the initial baseline (Time 1) findings of the longitudinal study examining the “The Impact of Personal, Interpersonal, and Environmental Factors on Changes in Quality of Life for Youth with Chronic Conditions.” The longitudinal study is being conducted by Thames Valley Childr...
Article
Primary objective: The Acquired Brain Injury Challenge Assessment (ABI-CA) was created to fill a measurement gap and evaluate deficits in advanced motor skills in children with acquired brain injury (ABI). Study objectives were to refine ABI-CA response options and evaluate (i) inter-/intra-rater reliability, (ii) concurrent validity and difficult...
Article
This commentary is on the original article by Schiariti et al. on pages 149-158 of this issue.
Article
Objective: To evaluate the effects of an internet-platform exergame cycling programme on cardiovascular fitness of youth with cerebral palsy (CP). Methods: In this pilot prospective case series, eight youth with bilateral spastic CP, Gross Motor Functional Classification System (GMFCS) level III, completed a six-week exergame programme. Outcomes...
Article
Since previous testing of the Challenge Module revealed that response scales should assess performance speed as well as skill accomplishment, this study sought to develop empirically based dual-criterion (accomplishment and time) response options. Challenge items were tested with a convenience sample of 34 children who were typically developing (4-...
Article
Accurate and well-targeted measurement of a child's abilities and participation in daily activities pre- and post-intervention is essential to understanding the effects of therapies provided by pediatric practitioners. There is growing interest in identification of outcome core sets for specified client groups. This article elaborates on the concep...
Conference Paper
This study investigated the association between mothers' mental health and education and the emotional and behavioural functioning of adolescents with chronic health conditions over time. Methods: Data were drawn from an ongoing study. Study participants (N = 363) were recruited through eight children's rehabilitation centres. Logistic regression m...
Article
Full-text available
AimOptimizing movement quality is a common rehabilitation goal for children with cerebral palsy (CP). The new Quality Function Measure (QFM) – a revision of the Gross Motor Performance Measure (GMPM) – evaluates five attributes: Alignment, Co-ordination, Dissociated movement, Stability, and Weight-shift, for the Gross Motor Function Measure (GMFM)...
Article
Full-text available
Purpose: To explore International Classification of Functioning, Disability and Health (ICF)-based functional components and contextual factors associated with perceived quality of life (QOL) for youth with chronic conditions from the perspective of youth and parents. Method: Baseline data were obtained from a longitudinal study examining predic...
Article
Purpose: To explore the ways in which promotional materials for two rehabilitation technologies reproduce commonly held perspectives about disability and rehabilitation. Method: Our analysis was informed by critical disability studies using techniques from discourse analysis to examine texts (words and images) and their relation to social practi...
Article
Full-text available
The purpose of this paper was to assess the psychometric properties of the Students’ Life Satisfaction Scale (SLSS) and the Brief Multidimensional Students’ Life Satisfaction Scale (BMSLSS) when used with youth who have chronic conditions. Baseline data from a longitudinal study examining predictors of changes in perceived quality of life (PQOL) fo...
Article
Primary objective: To revise the scaling of the response sets of the Acquired Brain Injury Challenge Assessment (ABI-CA) through expert input and determination of empirically based cut-points. Research design: A measurement development study with a content validity focus. Methods: Response option wording was revised through consultation with s...
Article
Full-text available
ABSTRACT Parents of a child with a disability are often asked about their child's functioning in daily activities. One way to gather this information is through parent-report functional questionnaires such as the Pediatric Evaluation of Disability Inventory (PEDI). The purpose of this study was to explore parental experiences associated with comple...
Article
Full-text available
Objective: The Child and Adolescent Scale of Participation (CASP) parent report is a brief and valid measure for use with children and youth with chronic conditions/disabilities that has been shown to have good coverage at the chapter level of the 'Activities and Participation' component of the International Classification of Functioning, Disabili...
Article
Outcome measures may be used for a variety of reasons by clinicians and researchers. This paper provides an overview on motor measures that can be used in research or practice and are classified within the International Classification of Functioning, Disability and Health or ICF. Specifically, body function measures of neuromusculoskeletal and move...
Article
ABSTRACT Collaborative goal setting between clinicians and clients/families is considered a fundamental component of the pediatric rehabilitation process. However, truly client-centered goal setting is not without its challenges. The purpose of this paper is to highlight theoretical concepts relevant to rehabilitation goal setting, review clinical...
Article
The benefits and drawbacks of facilitating independent walking in children with physical mobility impairments, such as cerebral palsy, remain to be determined. This knowledge gap creates decision dilemmas about which mobility practices parents and children should adopt and rehabilitation professionals should foster. These dilemmas are reflected in...
Article
PURPOSE:: To evaluate and compare the interrater reliability of the Motor Learning Strategy Rating Instrument (MLSRI) within usual and virtual reality (VR) interventions for children with acquired brain injury. METHODS:: Two intervention sessions for each of 11 children (total, 22) were videotaped; sessions were provided by 4 physical therapists. V...
Conference Paper
Background/Objectives: Optimizing quality of life (QOL) is a key health service goal for children and youth with chronic conditions. This evaluation utilizes complete baseline data from a longitudinal study examining changes in QOL for these youth. This abstract focuses on an evaluation of the performance of the study’s two primary measures of perc...
Article
Full-text available
Objective: Active videogames (AVGs) have potential in terms of physical activity and therapy for children with cerebral palsy. However, the effect of social interaction on AVG play has not yet been assessed. The objective of this study is to determine if multiplayer AVG versus solo affects levels of energy expenditure and movement patterns. Subjec...
Article
Full-text available
To evaluate reliability and feasibility of the Motor Learning Strategy Rating Instrument (MLSRI) in children with acquired brain injury (ABI). The MLSRI quantifies the extent to which motor learning strategies (MLS) are used within physiotherapy (PT) interventions. PT sessions conducted by ABI team physiotherapists with a convenience sample of chil...
Article
To evaluate the potential of active video game (AVG) play for physical activity promotion and rehabilitation therapies in children with cerebral palsy (CP) through a quantitative exploration of energy expenditure, muscle activation, and quality of movement. Single-group, experimental study. Human movement laboratory in an urban rehabilitation hospi...
Article
Background Although social exclusion among typically developing school-aged children has been well explored, it is under-researched for children with disabilities even though they are at a higher risk for being excluded. While there are a number of different programs available to improve social inclusion at school, the appeal of these programs to c...
Article
Full-text available
Aim: Low-cost active video games (AVG) are of growing interest for use in home-based physical therapy regimes. This study investigates typical upper-limb movement patterns and variations during AVG play in children with cerebral palsy. Methods: Sixteen children (9.5 ± 1.6 years) with hemiplegic or diplegic cerebral palsy (GMFCS Level I) participat...
Article
Preschool-aged children continually learn new skills and perfect existing ones. “Mastery motivation” is theorized to be a personality trait linked to skill learning. The Dimensions of Mastery Questionnaire (DMQ) quantifies mastery motivation. This pilot study evaluated DMQ test-retest score reliability (preschool-version) and included exploratory a...
Article
Full-text available
Background/Objectives: The purpose of this study was to develop an activity energy expenditure (AEE) prediction equation for the Actiheart activity monitor for use in children with chronic disease. Subjects/Methods: In total, 63 children, aged 8–18 years with different types of chronic disease (juvenile arthritis, hemophilia, dermatomyositis, neuro...
Article
Walking for children with cerebral palsy (CP) has physiological and functional benefits, but also holds symbolic significance that largely remains unexplored. The aims of this pilot study were to describe beliefs about the value of walking held by children with CP and their parents, and to examine how these beliefs inform rehabilitation choices and...
Article
Despite widespread educational and promotional efforts, paediatric rehabilitation therapists still do not systematically or routinely use outcome measures. A review of contextual and psychosocial factors affecting therapists' use of outcome measures was performed, incorporating information from past studies of barriers to therapists' use of measure...
Conference Paper
Background: Practice guidelines emphasize using standardized diagnostic tools with high specificity and sensitivity to directly assess features of Autism Spectrum Disorders (ASD) during diagnostic assessment. In an effort to construct an assessment for community pediatricians, our team developed the Pediatric Autism Early Diagnostic tool (PAED). It...
Article
The aim was to develop a Challenge Module (CM) as a proposed adjunct to the Gross Motor Function Measure for children with cerebral palsy who have high-level motor function. Items were generated in a physiotherapist (PT) focus group. Item reduction was based on PTs' ratings of item importance and safety via online surveys. The proposed CM items wer...
Article
Full-text available