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.
