Gleb Verit, Danish Anwar, Matthew Greenberg, Jake Cisek, Kate Hinrichs, Nia Mensah, Kaitlin Kirker
{"title":"Effects of Hydrotherapy on Juvenile Idiopathic Arthritis: A Systematic Review and Meta-Analysis.","authors":"Gleb Verit, Danish Anwar, Matthew Greenberg, Jake Cisek, Kate Hinrichs, Nia Mensah, Kaitlin Kirker","doi":"10.1097/PEP.0000000000001256","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001256","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effectiveness of hydrotherapy (HT) on pain and function in children with juvenile idiopathic arthritis (JIA).</p><p><strong>Methods: </strong>Eligible studies were randomized clinical trials published in English, which recruited children with JIA and had 2 groups with 1 receiving HT alone and the other receiving a comparison/control intervention. Risk of bias was assessed using the Cochrane Risk of Bias 2. Overall quality of evidence was assessed with the Grading of Recommendations Assessments, Development, and Evaluation. Meta-analyses were performed for outcomes when possible.</p><p><strong>Results: </strong>Meta-analyses comparing HT to standard care demonstrated statistically significant effects on pain and VO2max favoring HT. No significant differences were found for function (CHAQ), peak knee extensor torque, or 6-minute walk test. The overall level of evidence ranged from very low to moderate.</p><p><strong>Conclusions: </strong>Hydrotherapy improved VO2max and reduced pain in individuals with JIA compared to standard care.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126277","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":"Accuracy of the AM-PAC BMSF in Predicting Discharge Physical Therapy Referrals in Pediatric Acute Care.","authors":"Erin Gates, Sarah Eilerman, Rachel Bican","doi":"10.1097/PEP.0000000000001263","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001263","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the accuracy of the Activity Measure for Post-Acute Care \"6-Clicks\" Inpatient Basic Mobility Short Form (AM-PAC BMSF) in predicting discharge outcomes in a pediatric acute care setting and identifying a cutoff score for outpatient physical therapy referrals.</p><p><strong>Methods: </strong>A retrospective analysis included initial AM-PAC BMSF scores from 2014 children aged 4 to 17 years hospitalized for more than 72 hours. Receiver operating characteristic curve analysis assessed the tool's sensitivity and specificity in predicting postdischarge physical therapy referrals.</p><p><strong>Results: </strong>Children referred to outpatient physical therapy had significantly lower initial AM-PAC BMSF scores. A raw score of 17 to 18 (49% impairment) was the optimal cutoff score for predicting outpatient physical therapy referrals.</p><p><strong>Conclusions: </strong>The AM-PAC BMSF, completed at the initial evaluation, can moderately predict the need for outpatient physical therapy following pediatric acute care discharge. A cutoff score of 18 may support more proactive and targeted discharge planning.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126314","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}
Rodrigo Laner Blauth, Maria Laura Schiefelbein, Francisco Xavier de Araujo, Marcelo Faria Silva
{"title":"Knowledge and Management of Adolescent Idiopathic Scoliosis: A Survey Among Brazilian Physiotherapists.","authors":"Rodrigo Laner Blauth, Maria Laura Schiefelbein, Francisco Xavier de Araujo, Marcelo Faria Silva","doi":"10.1097/PEP.0000000000001258","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001258","url":null,"abstract":"<p><strong>Purpose: </strong>In accordance with the International Society of Scoliosis Orthopedics and Rehabilitation Treatment (SOSORT), conservative management, including exercise therapy, should be the first step to treat adolescent idiopathic scoliosis (AIS). For moderate scoliosis, bracing is often indicated in conjunction with exercise therapy to reduce curve progression. Surgical intervention is typically reserved for severe cases (Cobb angle > 45°-50°). While previous research has examined Physical therapy students' knowledge of AIS, limited research has focused on the knowledge and practices of practicing physical therapists. This study aimed to address this gap by assessing Brazilian physical therapists' knowledge and management of AIS.</p><p><strong>Methods: </strong>This is a cross-sectional study, and we used an internet-based survey with questions about knowledge and management of AIS. We analyzed the responses in relation to the best available evidence on this topic. We recruited Brazilian registered physical therapists from different regions in Brazil. Participants' demographics and survey responses were analyzed using descriptive and inferential statistics.</p><p><strong>Results: </strong>A total of 65 Brazilian physical therapists from the 5 regions of the country participated in the study. Physical therapists with specific training to treat scoliosis (STTS) were more assertive compared to physical therapists without STTS in indicating brace in AIS with angles between 26° and 45° (P = .008) and in not indicating surgical evaluation between 26° and 46° Cobb angle (P = .002).</p><p><strong>Conclusion: </strong>Brazilian physical therapists generally possess a good understanding of evidence-based AIS treatment approaches, aligning with SOSORT recommendations. Physical therapists with STTS demonstrated superior knowledge and practice patterns, suggesting that STTS is essential for optimal AIS management.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126289","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, Elizabeth M Ardolino, Cierra B Ugale, Cory M Smith
{"title":"Functional and Neurophysiological Changes After Activities-Based Locomotor Training in Children With Cerebral Palsy: Case Series.","authors":"Megan B Flores, Elizabeth M Ardolino, Cierra B Ugale, Cory M Smith","doi":"10.1097/PEP.0000000000001265","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001265","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this case series was to explore the feasibility and impact of a 3-week activities-based locomotor training (AB-LT) program on functional activities and neurophysiological adaptations in 5 children with cerebral palsy (CP).</p><p><strong>Methods: </strong>Children, aged 2-6 years who were classified as Gross Motor Function Classification Scale levels III or IV, participated in the intervention 5 days per week for 3 hours per day. The Gross Motor Function Measure-66 (GMFM-66) and functional near-infrared spectroscopy neuroimaging were performed pre- and post-intervention.</p><p><strong>Results: </strong>After AB-LT, increases in GMFM-66 scores were observed for Children 1 (Δ3.3), 2 (Δ5.6), 4 (Δ1.8), and 5 (Δ1.3), beyond expected natural progression. A reduction in total hemoglobin activation and increased neural demand was observed. Child 3 had minimal functional changes with no observed neurophysiological adaptations.</p><p><strong>Conclusions: </strong>The 3-week AB-LT regimen is a short duration, high-intensity program with the potential to benefit children with CP.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126322","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":"Effort and Reward Predict Burnout in Pediatric Physical Therapists in the Early Intervention Setting.","authors":"Anne Schneider, Jason Cherry, Cathron Donaldson","doi":"10.1097/PEP.0000000000001259","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001259","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the level of burnout and investigate the relationship between effort-reward imbalance and burnout among early intervention (EI) physical therapists.</p><p><strong>Method: </strong>Study participants included EI physical therapists from 1 state within the United States. Participants completed an online survey that included demographic questions, the Oldenburg Burnout Inventory, and the Effort-Reward Imbalance Scale. Linear regression examined the relationship between effort-reward imbalance and burnout.</p><p><strong>Results: </strong>A total of 127 participants were included. Effort, reward, and overcommitment explained 49% (R2 = .490) of the variance in exhaustion (F4,118 = 28.38; P < .001) and 29.7% of the variance in disengagement (F4,118 = 12.48; P < .001) components of burnout.</p><p><strong>Conclusion: </strong>Physical therapists practicing in EI report high levels of emotional exhaustion, disengagement, and burnout. The results suggest that strategies to manage job demands, rewards, and overcommitment may help EI organizations decrease burnout among EI physical therapists.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071004","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}
Ricardo Rodrigues de Sousa Junior, Deisiane Oliveira Souto, Ginny Paleg, Rachel Teplicky, Álvaro Hidalgo-Robles, Ana Carolina de Campos, Paula Chagas, Egmar Longo, Hércules Ribeiro Leite
{"title":"Promoting Clinical Reasoning: Clinical Application of the \"F-words Lens Tool\" for Children With Disabilities.","authors":"Ricardo Rodrigues de Sousa Junior, Deisiane Oliveira Souto, Ginny Paleg, Rachel Teplicky, Álvaro Hidalgo-Robles, Ana Carolina de Campos, Paula Chagas, Egmar Longo, Hércules Ribeiro Leite","doi":"10.1097/PEP.0000000000001262","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001262","url":null,"abstract":"<p><strong>Purpose: </strong>To introduce a clinical reasoning tool that helps clinicians and families collaboratively identify intervention components in pediatric rehabilitation.</p><p><strong>Key points: </strong>This special communication presents the F-words Lens Tool, designed to integrate the F-words for Child Development framework with the Rehabilitation Treatment Specification System to enhance clinical reasoning in pediatric rehabilitation. The tool supports families and clinicians in selecting and evaluating intervention components based on the child's goals.</p><p><strong>Recommendations: </strong>Clinicians should use the F-words Lens Tool to ensure interventions align with the child's functional goals and actively involve families in the clinical reasoning process.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071051","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}
Francesca Policastro, Giulia Goos, Roberto Casalaz, Roberta Sartori, Francesco Frontani
{"title":"Translation, Adaptation, and Validation of the Young Spine Questionnaire for the Italian Children.","authors":"Francesca Policastro, Giulia Goos, Roberto Casalaz, Roberta Sartori, Francesco Frontani","doi":"10.1097/PEP.0000000000001255","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001255","url":null,"abstract":"<p><strong>Purpose: </strong>Low back and neck pain are increasing worldwide, even in children. However, Italy lacks validated tools for the assessment of children and adolescents with spine disorders. The Young Spine Questionnaire (YSQ) seems to be an appropriate option. The aim of this study was to translate, adapt, and validate the YSQ to develop an Italian version of it.</p><p><strong>Methods: </strong>One hundred thirty-three participants were recruited in the area of Trieste, aged between 9 and 12 years old. The YSQ and the KIDSCREEN-10 were assessed with regard to their reliability, test-retest reliability from 3 to 4 days, and construct validity.</p><p><strong>Results: </strong>The mean age of the sample was 10.25 (±1.5), with a slight prevalence of females (62.7%). The internal consistency was high, with an alpha score ranging from 0.62 to 0.92 and a total score of 0.82. The test-retest showed good reproducibility. The total score of the YSQ showed a Spearman correlation coefficient of 0.87. For the dimensions and the items of the questionnaire, the scores ranged from 0.52 to 0.79. Construct validity showed a strong correlation between the questionnaires, with a score of 0.61.</p><p><strong>Conclusions: </strong>The YSQ seems to be a valid and reliable questionnaire to assess spinal pain in Italian children. According to the results of the psychometric proprieties, the use of this questionnaire is recommended.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031022","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}
Lieze P G Hoogveld, Philip J van der Wees, Reinier P Akkermans, Anjo J W M Janssen
{"title":"Responsiveness of the \"PROM Pediatric Physical Therapy\" in Dutch Pediatric Physical Therapy Practices.","authors":"Lieze P G Hoogveld, Philip J van der Wees, Reinier P Akkermans, Anjo J W M Janssen","doi":"10.1097/PEP.0000000000001250","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001250","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the responsiveness of the patient-reported outcome measure pediatric physical therapy (PROM-ppt), a questionnaire used to also stimulate shared decision making in Dutch pediatric physical therapy practices.</p><p><strong>Methods: </strong>Children completed the PROM-ppt at intake and 3 months after intervention or post-intervention. Reported problems were categorized as motor or pain related goals for intervention. Responsiveness was examined to test the a priori hypotheses and area under the curve (AUC). The Global Perceived Effect scale was used for comparison.</p><p><strong>Results: </strong>Overall, the hypotheses were confirmed in 60% of the cases with adequate AUCs. In children with motor problems, 80% of the hypotheses were matched, with adequate AUCs. In children with pain related problems, 40% of the hypotheses were matched, with inadequate AUCs.</p><p><strong>Conclusion: </strong>The PROM-ppt had moderate responsiveness in the pediatric population, good responsiveness in children with interventions for motor problems, and poor responsiveness to pain related problems.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031011","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}