Kelly Greve, Amy F Bailes, Nanhua Zhang, Jason Long, Bruce Aronow, Alexis Mitelpunkt
{"title":"Physical Therapy Dose After Orthopedic Multilevel Surgery Varies by Ambulatory Status in Children With Cerebral Palsy: A Pilot Study.","authors":"Kelly Greve, Amy F Bailes, Nanhua Zhang, Jason Long, Bruce Aronow, Alexis Mitelpunkt","doi":"10.1097/PEP.0000000000001153","DOIUrl":"10.1097/PEP.0000000000001153","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize physical therapy (PT) dose for children with cerebral palsy (CP) after multi-level surgery (MLS) and examine variation by ambulatory status and surgical burden.</p><p><strong>Methods: </strong>PT dose (Frequency, Intensity, Time, Type) data were extracted from electronic records of children with CP who received outpatient PT the year after MLS.</p><p><strong>Results: </strong>Seventeen children, mean 9 years, female (n=10), ambulatory (n=10), and high surgical burden (n=12) were included. In the year after surgery, 345 visits occurred. Intensity across visits was above average. Time was greatest for pre-functional activities, gait, and transitions/transfers. Types most often delivered were neuromuscular, musculoskeletal, and education/training. Ambulatory children received significantly more visits, higher intensity, and time in pre-functional activities and gait than non-ambulatory children. No differences in type by ambulatory status and PT dose by surgical burden were found.</p><p><strong>Conclusion: </strong>PT dose varied the first year after MLS indicating the need for guidelines by ambulatory status.</p><p><strong>Video abstract: </strong>Supplemental Digital Content available at: http://links.lww.com/PPT/A516.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"37-44"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401706","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}
Megha Sanjiv, Martha H Bloyer, Cheryl Gimenez, James G Moore
{"title":"High-Intensity Gait Training Intervention for Children With Cerebral Palsy: A Case Series.","authors":"Megha Sanjiv, Martha H Bloyer, Cheryl Gimenez, James G Moore","doi":"10.1097/PEP.0000000000001163","DOIUrl":"10.1097/PEP.0000000000001163","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this pilot case series was to describe participation in high-intensity gait training (HIGT) and changes in (1) gait speed/endurance, (2) aerobic capacity, and (3) walking ability in children diagnosed with cerebral palsy (CP).</p><p><strong>Methods: </strong>Three children with CP participated in HIGT for 5weeks in lieu of their routine physical therapy. Outcome measures were collected at baseline and post-intervention.</p><p><strong>Results: </strong>Post-intervention, all had at or above the minimal clinically important difference for 10-m walk test speed and 6-minute walk test distance. Two participants performed above the minimal clinically important difference in 7.5-m shuttle run test level and Gross Motor Function Measure-88 Dimension E score.</p><p><strong>Conclusion: </strong>This case series demonstrates short-term improvements in the walking outcome measures with participation in HIGT. Further research is needed with a larger and more diverse randomized controlled trial to determine parameters and long-term effects of HIGT in this population.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"109-115"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511143","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}
Roslyn W Livingstone, Ginny S Paleg, Diana C Erickson
{"title":"Commentary on \"Quantifying Parental Perceptions of Their Experiences With Their Young Children's Use of Power Mobility Devices\".","authors":"Roslyn W Livingstone, Ginny S Paleg, Diana C Erickson","doi":"10.1097/PEP.0000000000001167","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001167","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 1","pages":"56"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899673","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}
Michelle Jackman, Megan Thorley, Rachel Toovey, Andrea Burgess, Remy Blatch-Williams, Leanne Sakzewski, Roslyn N Boyd, Iona Novak
{"title":"Implementing Clinical Practice Guidelines for Improving Function in Cerebral Palsy: Development of a Fidelity Tool.","authors":"Michelle Jackman, Megan Thorley, Rachel Toovey, Andrea Burgess, Remy Blatch-Williams, Leanne Sakzewski, Roslyn N Boyd, Iona Novak","doi":"10.1097/PEP.0000000000001155","DOIUrl":"10.1097/PEP.0000000000001155","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a fidelity tool to support the implementation of clinical practice guidelines to improve physical function for children and young people with cerebral palsy.</p><p><strong>Methods: </strong>Fidelity tool development followed a 5-step process: the pilot study, using a mixed-methods action research approach, and including focus groups, questionnaires, and field notes.</p><p><strong>Results: </strong>A 21-item fidelity tool representing the core components of the clinical practice guidelines was developed, including subsections of goal setting, intervention, and elements seen throughout therapeutic intervention. Clinicians and supervisors reported this tool as acceptable and feasible, especially when used as a self-reflection tool.</p><p><strong>Conclusions: </strong>A fidelity tool has been developed that clinicians, supervisors and organizations can use to reflect on current practice and plan for changes to align practice with guidelines to improve function in children with cerebral palsy.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"4-13"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394562","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 \"Physical Activity Levels, Cardiorespiratory Fitness and Physical Literacy in Children With a Chronic Medical Condition\".","authors":"Craig A Williams, Caroline Harvey","doi":"10.1097/PEP.0000000000001169","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001169","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 1","pages":"36"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899666","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}
Rebecca A States, Yasser Salem, Joseph J Krzak, Ellen M Godwin, Mark L McMulkin, Sandra L Kaplan
{"title":"Letter to the Editor to Pediatric Physical Therapy in Response to Previous Letters to the Editor, Published in July 2024.","authors":"Rebecca A States, Yasser Salem, Joseph J Krzak, Ellen M Godwin, Mark L McMulkin, Sandra L Kaplan","doi":"10.1097/PEP.0000000000001165","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001165","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 1","pages":"2-3"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899687","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}
Carissa Wengrovius, Cindy Miles, Maria Fragala-Pinkham, Margaret E O'Neil
{"title":"Health Promotion and Physical Wellness in Pediatric Physical Therapy.","authors":"Carissa Wengrovius, Cindy Miles, Maria Fragala-Pinkham, Margaret E O'Neil","doi":"10.1097/PEP.0000000000001160","DOIUrl":"10.1097/PEP.0000000000001160","url":null,"abstract":"<p><strong>Purpose: </strong>A health promotion and physical wellness (HPPW) life course approach for pediatric physical therapy (PT) is recommended to improve children's health outcomes across the lifespan.</p><p><strong>Summary of key points: </strong>A life course approach describes how a child's individual responses to environmental factors influence health outcomes. Using HPPW strategies, pediatric physical therapists can identify health risks and promote positive outcomes. Outcome measures and intervention recommendations are outlined to assist therapists in integrating HPPW strategies to ensure a longitudinal plan of care and optimal health outcomes for children.</p><p><strong>Conclusions and recommendations for clinical practice: </strong>A child's health trajectory begins in the prenatal period and is influenced by individual and environmental factors. Pediatric PT uses child- and family-centered approaches and environmental assessments to design plans of care that address child and family HPPW goals. Incorporating HPPW strategies into pediatric PT facilitates positive health and physical wellness across a child's lifespan.See the video abstract for insights from the authors.</p><p><strong>Video abstract: </strong>Supplemental digital content available at https://www.dropbox.com/scl/fi/3g468hj1rpxrrivbeses0/HPPW-Video-Abstract_1080.mp4?rlkey=4p1i8z1gynroz064zpx3alijz&st=8u0gqemz&dl=0 .</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"72-79"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511142","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}
Johannes J Noordstar, Maaike C A Sprong, Martijn G Slieker, Tim Takken, Cornelis K van der Ent, Marco van Brussel, Marije Bartels, Erik H J Hulzebos
{"title":"Physical Activity Levels, Cardiorespiratory Fitness, and Physical Literacy in Children With a Chronic Medical Condition.","authors":"Johannes J Noordstar, Maaike C A Sprong, Martijn G Slieker, Tim Takken, Cornelis K van der Ent, Marco van Brussel, Marije Bartels, Erik H J Hulzebos","doi":"10.1097/PEP.0000000000001157","DOIUrl":"10.1097/PEP.0000000000001157","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated differences in cardiorespiratory fitness (CRF) and other physical literacy domains between children with a chronic medical condition (CMC) who adhered to with the physical activity guideline and those who did not.</p><p><strong>Method: </strong>Forty children with a CMC (7-12 years) wore an accelerometer for 7 days to measure moderate-to-vigorous physical activity. CRF and muscle power were assessed with a maximal cardiopulmonary exercise test, and motor performance was measured with an exercise course. Motivation, confidence, knowledge, and understanding were assessed with a questionnaire.</p><p><strong>Results: </strong>Children who adhered to the PA guideline ( n = 13) scored significantly higher for CRF, muscle power, motivation and confidence than children who did not adhere to the PA guideline ( n = 27). No significant differences were found for motor performance, knowledge and understanding.</p><p><strong>Conclusion: </strong>Future research should investigate the effect of paying specific attention to motivation and confidence in children with a CMC to stimulate their adherence to the PA guideline.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"30-35"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511145","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":"Abstracts of the APTA Academy of Pediatric Physical Therapy Poster Presentations at the Combined Sections Meeting.","authors":"","doi":"10.1097/PEP.0000000000001175","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001175","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 1","pages":"124-164"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899629","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}
Kelsey Ziegler, Carolyn P Da Silva, Katy Mitchell, Mary F Baxter, Christina Bickley
{"title":"Descriptive Study of GoBabyGo Program Practices and Evaluation Processes.","authors":"Kelsey Ziegler, Carolyn P Da Silva, Katy Mitchell, Mary F Baxter, Christina Bickley","doi":"10.1097/PEP.0000000000001159","DOIUrl":"10.1097/PEP.0000000000001159","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe existing GoBabyGo (GBG) programs with physical or occupational therapist (PT or OT) involvement and identify eligibility criteria and evaluation processes of organizations that build modified ride-on cars (MROCs).</p><p><strong>Methods: </strong>Forty-four PTs and OTs completed a survey including descriptive information about GBG programs, barriers and facilitators, and functional aspects of the programs such as inclusion and exclusion criteria, outcome measure use, and follow-up practices.</p><p><strong>Results: </strong>Findings demonstrated the heterogeneous nature of GBG programs. GBG programs most commonly serve 2 to-5-year-olds with cerebral palsy, spina bifida, and chromosomal abnormalities. Outcome measure use and follow-up was minimal, and successful MROC use definitions varied from independent driving to passive use.</p><p><strong>Conclusions: </strong>Clinicians can use this information to help improve existing GBG programs and start new chapters as well as make appropriate referrals for clients who may benefit from a MROC.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"65-70"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394561","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}