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Harnessing Mobility: A Medically Complex Child's Home Program Utilizing an In-Home Body Weight Support System. 掌握活动能力：利用居家体重支持系统的复杂病症儿童居家计划。
IF 1.3 4区 医学
Pediatric Physical Therapy Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1097/PEP.0000000000001112
Andrina Sabet, James Cole Galloway
{"title":"Harnessing Mobility: A Medically Complex Child's Home Program Utilizing an In-Home Body Weight Support System.","authors":"Andrina Sabet, James Cole Galloway","doi":"10.1097/PEP.0000000000001112","DOIUrl":"10.1097/PEP.0000000000001112","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a home program for a child with medical complexity using an over-ground body weight support (BWS) system.</p><p><strong>Summary of key points: </strong>Children with medical complexity often use home programs due to challenges with regular therapy attendance. In this case, effective home program components including child centered design, family leadership, and best practice principles were prioritized around the PUMA (portable mobility aid for children). This BWS system was to be used for 1 hour per day to support mobility and active play.</p><p><strong>Statement of conclusions: </strong>The CMC and family demonstrated high adherence, using over-ground BWS 87% of the 135 days it was accessible with an average daily usage of 59 min spread across 1-3 bouts per day. The average daily fun index during usage was 7/10.</p><p><strong>Recommendations for clinical practice: </strong>This home program demonstrated over-ground BWS technology as a feasible, fun platform for functional mobility and socialization in a child with significant medical and physical limitations.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 3","pages":"347-352"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635151","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}
引用次数: 0
Commentary on "Enabled to Stand: A Single-subject Research Design Study Exploring Pediatric Power Wheelchair Standing Device Use". 关于 "Enabled to Stand：探索小儿电动轮椅站立装置使用的单受试者研究设计"。
IF 1.3 4区 医学
Pediatric Physical Therapy Pub Date : 2024-07-01 Epub Date: 2024-07-18 DOI: 10.1097/PEP.0000000000001116
Maria Jones, Amanda Porter, Chuck Roberts
{"title":"Commentary on \"Enabled to Stand: A Single-subject Research Design Study Exploring Pediatric Power Wheelchair Standing Device Use\".","authors":"Maria Jones, Amanda Porter, Chuck Roberts","doi":"10.1097/PEP.0000000000001116","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001116","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 3","pages":"328"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635148","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}
引用次数: 0
Welcoming the PSNCB 2023-2024 Board. 欢迎 PSNCB 2023-2024 董事会。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-04-19 DOI: 10.1097/PSN.0000000000000569
Lisa Griffin
{"title":"Welcoming the PSNCB 2023-2024 Board.","authors":"Lisa Griffin","doi":"10.1097/PSN.0000000000000569","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000569","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"44 2","pages":"92"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853353","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}
引用次数: 0
Physical Therapy Services During COVID-19 Pandemic: Perception of Families of Brazilian Children With Physical Disabilities. COVID-19 大流行期间的理疗服务：巴西肢体残疾儿童家庭的看法。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001089
Pedro Bittencourt de Oliveira, Isabella Pessóta Sudati, Laura Gabrielle Lima Gonçalves, Ana Carolina de Campos
{"title":"Physical Therapy Services During COVID-19 Pandemic: Perception of Families of Brazilian Children With Physical Disabilities.","authors":"Pedro Bittencourt de Oliveira, Isabella Pessóta Sudati, Laura Gabrielle Lima Gonçalves, Ana Carolina de Campos","doi":"10.1097/PEP.0000000000001089","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001089","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the perspective of caregivers about physical therapy (PT) during the COVID-19 pandemic and the effect of social distancing on the health of children with physical disabilities.</p><p><strong>Methods: </strong>This survey research used a remote questionnaire to identify the perceptions of caregivers about the effect of the COVID-19 pandemic on the health of children and adolescents with physical disabilities and on PT services. Data were analyzed using the frequency of responses; open-ended questions were analyzed through a hybrid approach to thematic analysis.</p><p><strong>Results: </strong>Caregivers of 47 children with cerebral palsy were included. Although most received regular PT services during the pandemic, worsened children's physical conditions and anxiety were prevalent. Caregivers believed that they lacked technical skills.</p><p><strong>Conclusions: </strong>Social distancing impacted the health of children with physical disabilities, especially their physical conditions. Identifying facilitators and barriers for PT services can be helpful in future similar scenarios.Video abstract Supplemental Digital Content available at:http://links.lww.com/PPT/A503.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 2","pages":"217-223"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873876","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}
引用次数: 0
Three-Dimensional Instrumented Gait Analysis for Children With Cerebral Palsy: An Evidence-Based Clinical Practice Guideline. 脑瘫儿童的三维仪器步态分析：循证临床实践指南》。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001101
Rebecca A States, Yasser Salem, Joseph J Krzak, Ellen M Godwin, Mark L McMulkin, Sandra L Kaplan
{"title":"Three-Dimensional Instrumented Gait Analysis for Children With Cerebral Palsy: An Evidence-Based Clinical Practice Guideline.","authors":"Rebecca A States, Yasser Salem, Joseph J Krzak, Ellen M Godwin, Mark L McMulkin, Sandra L Kaplan","doi":"10.1097/PEP.0000000000001101","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001101","url":null,"abstract":"<p><strong>Background: </strong>Children with cerebral palsy (CP) who walk have complex gait patterns and deviations often requiring physical therapy (PT)/medical/surgical interventions. Walking in children with CP can be assessed with 3-dimensional instrumented gait analysis (3D-IGA) providing kinematics (joint angles), kinetics (joint moments/powers), and muscle activity.</p><p><strong>Purpose: </strong>This clinical practice guideline provides PTs, physicians, and associated clinicians involved in the care of children with CP, with 7 action statements on when and how 3D-IGA can inform clinical assessments and potential interventions. It links the action statement grades with specific levels of evidence based on a critical appraisal of the literature.</p><p><strong>Conclusions: </strong>This clinical practice guideline addresses 3D-IGA's utility to inform surgical and non-surgical interventions, to identify gait deviations among segments/joints and planes and to evaluate the effectiveness of interventions. Best practice statements provide guidance for clinicians about the preferred characteristics of 3D-IGA laboratories including instrumentation, staffing, and reporting practices.Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A524.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 2","pages":"182-206"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874968","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}
引用次数: 0
Journey to 1 Million Steps: A Retrospective Case Series Analyzing the Implementation of Robotic-Assisted Gait Training Into an Outpatient Pediatric Clinic. 百万步之旅：在儿科门诊实施机器人辅助步态训练的回顾性病例系列分析。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001097
Brittany Dierwechter, Stephanie A Kolakowsky-Hayner
{"title":"Journey to 1 Million Steps: A Retrospective Case Series Analyzing the Implementation of Robotic-Assisted Gait Training Into an Outpatient Pediatric Clinic.","authors":"Brittany Dierwechter, Stephanie A Kolakowsky-Hayner","doi":"10.1097/PEP.0000000000001097","DOIUrl":"10.1097/PEP.0000000000001097","url":null,"abstract":"<p><strong>Purpose: </strong>To describe the implementation of an exoskeleton program in a rehabilitation setting using a Design Thinking framework.</p><p><strong>Methods: </strong>This is a retrospective case series of 3 randomly selected children who participated in skilled physical therapy using a pediatric exoskeleton that occurred on our journey to walking 1 000 000 steps in the exoskeleton devices. Participants ranged in age from 3 to 5 years, and all had neurologic disorders.</p><p><strong>Results: </strong>All participants improved toward achieving their therapy goals, tolerated the exoskeleton well, and had an increased number of steps taken over time.</p><p><strong>Conclusion: </strong>The implementation of new technology into pediatric care and an established outpatient therapy clinic is described. The Design Thinking process applies to health care professionals and improves clinical care. Exoskeletons are effective tools for use in pediatric physical therapy.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"285-293"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724664","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}
引用次数: 0
Introducing the i-Rainbow©: An Evidence-Based, Parent-Friendly Care Pathway Designed for Critically Ill Infants in the NICU Setting. 介绍 i-Rainbow©：i-Rainbow©: 为新生儿重症监护室重症婴儿设计的循证、家长友好型护理路径。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001094
Eilish M Byrne, Katherine Hunt, Melissa Scala
{"title":"Introducing the i-Rainbow©: An Evidence-Based, Parent-Friendly Care Pathway Designed for Critically Ill Infants in the NICU Setting.","authors":"Eilish M Byrne, Katherine Hunt, Melissa Scala","doi":"10.1097/PEP.0000000000001094","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001094","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by health care providers and parents in the neonatal intensive care unit (NICU) setting. The i-Rainbow is based on current evidence and responds to individual infant health status. It is not based on infant age.</p><p><strong>Methods: </strong>After development and implementation of the i-Rainbow, pre- and postimplementation nurse and parent survey data were collected and pre- and post-developmental care rates were compared.</p><p><strong>Results: </strong>After i-Rainbow implementation, disagreement among providers on appropriate developmental care interventions significantly decreased, total minutes of daily developmental care and swaddled holding increased significantly, and parents reported that they would recommend the tool.</p><p><strong>Conclusion: </strong>The i-Rainbow is a unique, parent-friendly, infant-based tool that guides sensory interventions in the NICU by staging infants based on cardiorespiratory status and physiologic maturity, not age. The i-Rainbow improved the delivery of developmental care activities in our unit and was well received by parents and nurses.</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":"36 2","pages":"266-273"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855748","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}
引用次数: 0
Inspiratory Training for Improving Respiratory Strength, Pulmonary Function, and Walking in Cerebral Palsy: A Meta-Analysis. 改善脑瘫患者呼吸强度、肺功能和行走的吸气训练：元分析
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001092
Kênia K P Menezes, Patrick R Avelino, Maria T M Alvarenga, Lucas R Nascimento
{"title":"Inspiratory Training for Improving Respiratory Strength, Pulmonary Function, and Walking in Cerebral Palsy: A Meta-Analysis.","authors":"Kênia K P Menezes, Patrick R Avelino, Maria T M Alvarenga, Lucas R Nascimento","doi":"10.1097/PEP.0000000000001092","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001092","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effects of inspiratory strength training on respiratory muscle strength, pulmonary function, and walking capacity in children with cerebral palsy, with Gross Motor Function Classification System I to III.</p><p><strong>Methods: </strong>Searches were conducted in CINAHL, LILACS, MEDLINE, and Physiotherapy Evidence Database (PEDro) databases. The outcomes of interest were respiratory muscle strength, pulmonary function, and walking capacity. The quality was assessed by PEDro Scale. The Grading of Recommendations Assessment, Development, and Evaluation system was used to summarize the quality of evidence.</p><p><strong>Results: </strong>Inspiratory strength training increased the strength of inspiratory muscles and may increase the strength of the expiratory muscles. No changes were observed in pulmonary function or walking capacity.</p><p><strong>Conclusions: </strong>This systematic review provides moderate-quality evidence that inspiratory strength training is effective for increasing inspiratory muscle strength in children with cerebral palsy. Benefits may be carried over to improving expiratory muscle strength but were not observed on pulmonary function or walking capacity.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 2","pages":"207-215"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870642","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}
引用次数: 0
Commentary on "Movement as a Gateway to Participation for Individuals With Neuromotor Conditions: A Scoping Review". 关于 "运动是神经运动疾病患者参与社会的途径：范围审查 "的评论。
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.1097/PEP.0000000000001102
Claire Willis, Dayna Pool
{"title":"Commentary on \"Movement as a Gateway to Participation for Individuals With Neuromotor Conditions: A Scoping Review\".","authors":"Claire Willis, Dayna Pool","doi":"10.1097/PEP.0000000000001102","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001102","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"36 2","pages":"255"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852888","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}
引用次数: 0
Are You Receiving Your Print Copy of Plastic and Aesthetic Nursing? 您是否收到了《整形与美容护理》的印刷版？
IF 1.6 4区 医学
Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-04-19 DOI: 10.1097/PSN.0000000000000562
Sharon Ann Van Wicklin
{"title":"Are You Receiving Your Print Copy of Plastic and Aesthetic Nursing?","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000562","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000562","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"44 2","pages":"96-98"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855747","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}
引用次数: 0
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