Sandra Saavedra, Rebecca Ahrns, Kendal Berning, Donna Berning
{"title":"Commentary on \"Task-specific Training to Improve Sitting in A Child With Severe Postural Impairments: A Single-Subject Design\".","authors":"Sandra Saavedra, Rebecca Ahrns, Kendal Berning, Donna Berning","doi":"10.1097/PEP.0000000000001234","DOIUrl":"10.1097/PEP.0000000000001234","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 4","pages":"474"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226284","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 \"Variation in Intensive Pediatric Physical Therapy Practice in the US: Results From a National Survey\".","authors":"Meredith Flowers, Beth Stamp, Stacey McMinn","doi":"10.1097/PEP.0000000000001236","DOIUrl":"10.1097/PEP.0000000000001236","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 4","pages":"429"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226319","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}
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":"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":"398-406"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","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}
{"title":"Parent-Reported Container Use Relates to Infants' Motor Development.","authors":"Zainab S Alghamdi, Michele A Lobo","doi":"10.1097/PEP.0000000000001228","DOIUrl":"10.1097/PEP.0000000000001228","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this article is to characterize parents' use of containers and determine whether it relates to infants' development or body mass index (BMI).</p><p><strong>Methods: </strong>A cross-section of parents with infants under 19 months completed a survey reporting their use of containers and infants' height and weight; parents also completed the Ages and Stages Questionnaire (ASQ-3). Descriptive and correlation analyses were used to describe parents' container use and evaluate whether container use was related to ASQ-3 scores or BMI.</p><p><strong>Results: </strong>Parents reportedly used containers for 5.15 hours daily. More time reported in containers overall was associated with poorer fine motor scores. Longer bouts in positional pillows were associated with poorer gross motor development.</p><p><strong>Conclusion: </strong>Providing enhanced fine motor opportunities may be important for families using containers more often. Reported container use was higher than professionals typically recommend, yet did not relate to obesity or delayed development in most domains, an important consideration when updating recommendations for parents.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"438-445"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126335","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 \"Validity and Reliability of Arch Height Index Measurement in Children With Spastic Diplegic Cerebral Palsy\".","authors":"Jennifer Jezequel, Jasmine Tay","doi":"10.1097/PEP.0000000000001240","DOIUrl":"10.1097/PEP.0000000000001240","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 4","pages":"494"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226282","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 \"The Effects of Physical Therapy-Directed Early Mobilization in the Pediatric Intensive Care Unit: A Systematic Review and Meta-Analysis\".","authors":"Katherine Hedden, Kara Arps","doi":"10.1097/PEP.0000000000001237","DOIUrl":"10.1097/PEP.0000000000001237","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 4","pages":"407"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226309","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":"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":"465-473"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","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}
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":"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":"408-416"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","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}