{"title":"Breech Birth Presentation and Intrauterine Constraint Factors and Their Association With Congenital Muscular Torticollis Severity.","authors":"Deborah Bercik, Melissa Zreny, Wei Liu","doi":"10.1097/PEP.0000000000001260","DOIUrl":"10.1097/PEP.0000000000001260","url":null,"abstract":"<p><strong>Purpose: </strong>Intrauterine constraint factors such as multiparity and breech presentation at birth have been associated with congenital muscular torticollis (CMT). The literature lacks evidence linking these factors to CMT severity. The purpose of this study is to determine how birth weight, length, presentation, sex, and delivery factors associate with CMT severity. A secondary purpose is to correlate severity with CMT direction and age at physical therapy evaluation.</p><p><strong>Methods: </strong>Researchers relied on a clinical outcome database of 1239 infants ≤6 months diagnosed with CMT to examine how birth weight, length, breech positioning, sex, multiparity, and delivery method relate to CMT severity.</p><p><strong>Results: </strong>Breech presentation was the only factor associated with torticollis severity. Infants with >30° of cervical tightness were more likely to be younger at evaluation and have a right torticollis.</p><p><strong>Conclusions: </strong>The increased likelihood of CMT severity with breech presentation at birth can guide pediatric physical therapists in prognostics.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"32-39"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349423","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":"Clinical Bottom Line for \"Accuracy of the AM-PAC BMSF in Predicting Discharge Physical Therapy Referrals in Pediatric Acute Care\".","authors":"Melanie D O'Connell, Elizabeth Mannino","doi":"10.1097/PEP.0000000000001278","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001278","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"38 1","pages":"129"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858840","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}
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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12604530/pdf/","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":"OA","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":"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}