Zoe Herwitz, Mercedes Signorelli Flores, Kathryn C Nesbit, Diane D Allen, Jennifer A Rhodes
{"title":"The Effects of Physical Therapy-Directed Early Mobilization in the Pediatric Intensive Care Unit: A Systematic Review and Meta-Analysis.","authors":"Zoe Herwitz, Mercedes Signorelli Flores, Kathryn C Nesbit, Diane D Allen, Jennifer A Rhodes","doi":"10.1097/PEP.0000000000001222","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001222","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzed evidence of the impact of physical therapy-directed early mobilization (EM) on hospital and pediatric intensive care (PICU) length of stay, and mechanical ventilation days.</p><p><strong>Methods: </strong>PubMed and CINAHL were searched through January 2023. Studies included non-neonates through 18 years who participated in an EM program led by a physical therapist. Effect sizes and risk ratios were analyzed. Evidence quality of studies was assessed.</p><p><strong>Results: </strong>Six high-quality studies met the inclusion criteria. There was a statistically significant effect in the between-group analysis on hospital length of stay, PICU length of stay and mechanical ventilation days.</p><p><strong>Conclusions: </strong>This systematic review and meta-analysis support implementing EM in PICUs to reduce hospital and PICU length of stay, and mechanical ventilation days. This evidence can inform wider adoption of physical therapy-directed EM in PICUs to benefit infants and improve quality healthcare.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamie B Hall, James B Hedgecock, Meaghan Rubsam, Dana Chole, Kelly Greve
{"title":"Physical Therapists' Perceptions of Implementing and Sustaining Pediatric Intensive Therapy Programs: A Survey Study.","authors":"Jamie B Hall, James B Hedgecock, Meaghan Rubsam, Dana Chole, Kelly Greve","doi":"10.1097/PEP.0000000000001219","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001219","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the experiences of pediatric physical therapists with the implementation and sustainability of pediatric intensive physical therapy (PT) programs in the United States.</p><p><strong>Methods: </strong>Data were collected from a 35-question survey consisting of multiple choice, Likert scale, and open-ended questions based on the Knowledge to Action Cycle Framework. Mixed methods were used in the data analysis of 2 quantitative questions relevant to implementing and sustaining pediatric intensive PT programs and 4 open-ended questions.</p><p><strong>Results: </strong>The sample size for quantitative questions was 80 and varied from 29 to 50 for open-ended questions depending on the question.</p><p><strong>Identified overarching themes included: </strong>Clinicians value intensive programs; \"Logistically tough,\" and Programs require 3 \"Fs\" for implementation and sustainability - Funding, Flexibility, and Foundational Knowledge.</p><p><strong>Conclusions: </strong>Pediatric physical therapists value intensive programs. Identified areas for support included formal training, improved research evidence, and institutional support.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Megan B Flores, Ashley Parish, Catherine M Andrea, Caryn Ito, Yvonne Jackson, Jennifer Parent Nichols
{"title":"Standardized Pediatric Outcome Measures in Physical Therapy Part 1: A Comparative Analysis of Educational and Clinical Practices.","authors":"Megan B Flores, Ashley Parish, Catherine M Andrea, Caryn Ito, Yvonne Jackson, Jennifer Parent Nichols","doi":"10.1097/PEP.0000000000001223","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001223","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study are to: (1) identify standardized pediatric outcome measures (OMs) currently taught in professional physical therapist (PT) education; (2) identify standardized pediatric OMs currently used in PT practice; and (3) compare similarities and differences in standardized pediatric OMs taught in professional PT education and those used in PT clinical practice.</p><p><strong>Methods: </strong>This study used an explanatory, sequential mixed methods design with quantitative data from a descriptive, cross-sectional electronic survey to inform 4 qualitative focus group interviews. Quantitative data were analyzed using a 2-proportion Z-test and descriptive statistics. Qualitative data were analyzed using direct content analysis.</p><p><strong>Results: </strong>Quantitative and qualitative data were integrated, revealing significant differences between standardized pediatric OMs taught in entry-level PT programs and those used in professional practice.</p><p><strong>Conclusions: </strong>Improved alignment of standardized pediatric OMs used by both faculty and clinicians could better equip learners for clinical practice.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Task-Specific Training to Improve Sitting in a Child With Severe Postural Impairments: A Single-Subject Design.","authors":"Jaya Rachwani, Victor Santamaria","doi":"10.1097/PEP.0000000000001224","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001224","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the potential of a task-specific training model to improve sitting through tailored trunk support and incrementally challenging reaching.</p><p><strong>Methods: </strong>A single-subject AB design with follow-up was conducted with a 20-month-old child with severe postural impairments due to 16p11.2 deletion syndrome and multiple comorbidities. Phase A included 6 baseline assessments during 2 weeks, followed by 15 intervention sessions (Phase B) during 5 weeks, and 4 post-intervention assessments during follow-up. Outcomes included the Segmental Assessment of Trunk Control (SATCo) and the Gross Motor Function Measure (GMFM) sitting dimension. Visual analysis, the 2 standard deviation band method, and C-statistics evaluated change.</p><p><strong>Results: </strong>SATCo and GMFM scores were stable during baseline but had significant trend changes from baseline to intervention and follow-up phases. Independent sitting skills emerged after the intervention.</p><p><strong>Conclusions: </strong>Task-specific training tailored to the child's ability by systematically progressing trunk support and reaching practice may promote long-lasting sitting function.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caio Roberto Aparecido de Paschoal Castro, Lais Cardoso de Oliveira, Alessandra Mitie Kakihata, Jose Luis Rodrigues Barbosa, Rafael Santos Ferreira da Silva, Márjory Harumi Nishida, Marina Araujo Pereira, Douglas Martins Braga
{"title":"Comparison of the Aquatic Therapy Protocols on Gait of Children With Cerebral Palsy: A Randomized Controlled Trial.","authors":"Caio Roberto Aparecido de Paschoal Castro, Lais Cardoso de Oliveira, Alessandra Mitie Kakihata, Jose Luis Rodrigues Barbosa, Rafael Santos Ferreira da Silva, Márjory Harumi Nishida, Marina Araujo Pereira, Douglas Martins Braga","doi":"10.1097/PEP.0000000000001220","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001220","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and compare the effects of 2 aquatic exercise protocols on the gait of children with cerebral palsy (CP), aged 6 to 8 years.</p><p><strong>Methods: </strong>A randomized, controlled, and blind clinical trial, carried out with 16 children with CP classified to Gross Motor Function Classification System (GMFCS) II and III bilateral spastic, divided into a group of aquatic balance exercises group (BG) and a group of aquatic trunk exercises group (TG). The following assessments were completed before and after the intervention: 6-Minute Walk Test (6MWT), Trunk Control Measurement Scale, Pediatric Balance Scale, Timed Up and Go, Dynamic Gait Index, and Child Health Questionnaire-Parent form 50.</p><p><strong>Results: </strong>BG was superior to TG in 6MWT after the intervention. Improvement was observed in most outcomes in both groups.</p><p><strong>Conclusion: </strong>The protocols demonstrated positive effects on the outcomes analyzed, and BG performed better in the distance covered in 6MWT.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theresa Sukal-Moulton, James Walrath, Heather L Brossman, Victoria A Moerchen, Joe Schreiber, Melissa Tovin
{"title":"ePortfolios: A Tool to Demonstrate Ongoing Development of Competency in Pediatric Physical Therapy.","authors":"Theresa Sukal-Moulton, James Walrath, Heather L Brossman, Victoria A Moerchen, Joe Schreiber, Melissa Tovin","doi":"10.1097/PEP.0000000000001206","DOIUrl":"10.1097/PEP.0000000000001206","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this Special Communication is to provide an overview of portfolio use in health professions education and to describe the potential of a digital electronic portfolio (ePortfolio) to support development and maintenance of pediatric physical therapy essential core competencies. Portfolios have been used in health professions education for formative and summative assessments, particularly for areas difficult to measure such as professionalism, core values, attitudes, and critical thinking.</p><p><strong>Summary of key points: </strong>With a trend toward competency-based education and updated pediatric core competencies, there is unique benefit in portfolio use across the continuum of practice, from entry-level (Doctor of Physical Therapy) to advanced specialty practice and beyond.</p><p><strong>Conclusion: </strong>Reflection, a key component of education portfolios, promotes learning through meaning-making and self-assessment toward continued development and growth.</p><p><strong>Recommendations for clinical practice: </strong>ePortfolios can be flexibly and individually applied across diverse physical therapy education goals to demonstrate learner competency and expertise in pediatric physical therapy.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"366-370"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Feasibility Study of a Video-Based Application by Parents of Infants Born Full-Term and Preterm.","authors":"Yu-Hsuan Tsai, Yohanes Purwanto, Erick Chandra, Chun Wen Hsieh, Po-Nien Tsao, Ting-An Yen, Wei-Chih Liao, Wei-J Chen, Chin-Yi Liao, Yung-Jen Hsu, Suh-Fang Jeng","doi":"10.1097/PEP.0000000000001203","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001203","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the factors that influence the usability of a video-based mobile application (app) by parents of infants born full-term and preterm.</p><p><strong>Methods and procedures: </strong>This study enrolled 75 infants born full-term and 47 infants born preterm for the Alberta Infant Motor Scale (AIMS) assessment at ages 4, 6, 8, 10, 12, and 14 months. Their parents were asked to upload home videos of AIMS items using the newly designed Baby Go app at ages 5, 7, 9, 11, and 13 months. Information from the videos will be used for future artificial intelligence modeling. Infant and socioenvironmental variables were examined as potential influencing factors.</p><p><strong>Results: </strong>Eighty-two parents (67.2%) uploaded 1406 home videos. Multivariate logistic regression analysis revealed that medical issues and the number of children were significantly associated with parental adherence to app use.</p><p><strong>Conclusions: </strong>Medical issues and having no siblings enhanced parental adherence to video uploading via the app.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 3","pages":"317-325"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary on \"A Feasibility Study of a Video-based Application by Parents of Infants Born Full-Term and Preterm\".","authors":"Gemma J Duff, Alicia J Spittle, Kate L Rawnsley","doi":"10.1097/PEP.0000000000001210","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001210","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 3","pages":"326"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shala Cunningham, Martina Lukin, Hsu Wai Mon Oo, Rachael Lowe, Abdulgafoor M Bachani
{"title":"Bridging the Gap: A Novel Approach to Pediatric Rehabilitation Training in Low Resource Settings.","authors":"Shala Cunningham, Martina Lukin, Hsu Wai Mon Oo, Rachael Lowe, Abdulgafoor M Bachani","doi":"10.1097/PEP.0000000000001201","DOIUrl":"10.1097/PEP.0000000000001201","url":null,"abstract":"<p><strong>Purpose: </strong>Approximately 250 million children younger than 5 years in low- and middle-income countries are at risk of not reaching their developmental potential, often without access to rehabilitation. A training program was developed to provide physical therapists in Myanmar with the knowledge and skills to deliver family-centered early rehabilitation.</p><p><strong>Methods: </strong>Participants completed online coursework, discussions, synchronous mentoring sessions, and onsite training for 7 weeks. To assess the effectiveness of the training, participants completed surveys on their self-perception of knowledge and skills related to early rehabilitation at 4 intervals. Focus group interviews were also conducted to allow the participants to discuss their experiences.</p><p><strong>Results: </strong>There were significant improvements in knowledge and discussed implementation of the new skills in practice with a focus on family education and innovative use of home materials.</p><p><strong>Conclusion: </strong>The training program effectively enhanced participants' confidence in their ability to implement family-centered interventions using available resources.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"310-315"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gait Training for Walking Acquisition in a Child with Hereditary Spastic Paraplegia: A Case Report.","authors":"Hirokazu Abe, May Hanamachi","doi":"10.1097/PEP.0000000000001208","DOIUrl":"10.1097/PEP.0000000000001208","url":null,"abstract":"<p><strong>Purpose: </strong>We report the effectiveness of task-specific walking training for a child with hereditary spastic paraplegia using various orthoses, assistive mobility aids, and tasks.</p><p><strong>Summary of key points: </strong>A 4-year-8-month-old boy, classified as Gross Motor Function Classification System level IV, had selective dorsal rhizotomy and single-event multilevel surgery. The child began walking training using knee-ankle-foot orthoses and a posterior walker, setting the tasks to be \"just right\" for improving the child's abilities.</p><p><strong>Conclusion: </strong>At 6 years and 11 months of age, the child walked using bilateral ankle-foot orthoses and crutches at school, and scores improved on the Canadian Occupational Performance Measure, Gross Motor Function Measure-66, and Functional Mobility Scale.Recommendations for Clinical Practice: Physical therapists need to carefully select the factors involved in walking training based on an assessment and the difficulty level of each child in order to optimize improvements.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"390-395"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}