GLOBAL EXPERIENCE IN CONTINUOUS ASSESSMENT OF THE EFFECTIVENESS OF REHABILITATION OF CHILDREN WITH DISABILITIES

Abstract

Continuous assessment of rehabilitation effectiveness in children with disabilities has become a cornerstone of modern pediatric rehabilitation systems worldwide. This literature review synthesizes findings from ten peer-reviewed studies published between 2015 and 2025 in Scopus and Web of Science databases, exploring global experiences, methodologies, and frameworks for evaluating rehabilitation outcomes. The studies emphasize the use of standardized assessment instruments such as the Pediatric Evaluation of Disability Inventory (PEDI), WeeFIM, ICF-CY-based models, and Goal Attainment Scaling (GAS), which enable objective and dynamic measurement of progress in motor, cognitive, and social domains. Developed countries, including the United States, Canada, and Japan, have integrated digital and tele-rehabilitation platforms that allow real-time monitoring and adaptive goal-setting for each child. Meanwhile, low- and middle-income countries have increasingly adopted WHO’s International Classification of Functioning, Disability and Health (ICF) framework to establish baseline data and monitor long-term outcomes within resource-limited settings. Evidence across studies indicates that continuous, multi-dimensional assessment leads to improved care coordination, more individualized rehabilitation plans, and better long-term functional outcomes. Furthermore, integrating caregivers’ feedback and interdisciplinary collaboration enhances the sustainability of interventions. Despite advances, disparities in access to standardized assessment tools and digital monitoring technologies persist, especially in developing regions. The global experience highlights that systematic, data- driven, and family-centered assessment approaches are essential to optimizing rehabilitation quality and equity for children with disabilities