Kai Iwamoto, Kalala Pines, Carly Lochala, Danielle Long, Paula Hess, Barbara Sargent
{"title":"Systematic Review to Inform the Developmental Coordination Disorder Clinical Practice Guideline Update: Physical Therapy Intervention.","authors":"Kai Iwamoto, Kalala Pines, Carly Lochala, Danielle Long, Paula Hess, Barbara Sargent","doi":"10.1097/PEP.0000000000001177","DOIUrl":"10.1097/PEP.0000000000001177","url":null,"abstract":"<p><strong>Purpose: </strong>Systematically review current evidence on physical therapy (PT) intervention for developmental coordination disorder (DCD) to inform the update to the 2020 DCD Clinical Practice Guideline (CPG).</p><p><strong>Methods: </strong>Eight databases were searched for qualitative studies, randomized controlled trials (RCTs) and systematic reviews (SRs) that informed PT management of DCD. Risk of bias and certainty of evidence were assessed.</p><p><strong>Results: </strong>Sixteen studies were included. Three SRs, 3 RCTs, and 1 qualitative study supported task-oriented interventions, the first-choice intervention recommended by the 2020 DCD CPG. One SR and 7 RCTs supported supplemental activities, including a meta-analysis of 2 studies on active video gaming. One qualitative study informed how physical therapists adapt motor learning strategies for children with DCD.</p><p><strong>Conclusion: </strong>Newer evidence reaffirms 3 of the 5 recommendations on intervention of the 2020 DCD CPG and adds low to very low-quality evidence on new evidence-informed supplemental activities.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"194-208"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371324","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}
Weiyang Deng, Elizabeth Hoffman, Jacklyn Stoller, Meaghan Rubsam, Madison Ku, Marielena Barbieri, Christina Lacci, Arun Jayaraman
{"title":"Environment Enrichment Strategies for Pre- and Post-Term Infants: A Summarized Communication From Pediatric Physical Therapists.","authors":"Weiyang Deng, Elizabeth Hoffman, Jacklyn Stoller, Meaghan Rubsam, Madison Ku, Marielena Barbieri, Christina Lacci, Arun Jayaraman","doi":"10.1097/PEP.0000000000001187","DOIUrl":"10.1097/PEP.0000000000001187","url":null,"abstract":"<p><strong>Purpose: </strong>Environmental enrichment (EE) represents a dynamic approach to enhance infants' cognitive and motor development through augmented environment with stimulating, novel opportunities. Despite the recognized benefits of EE on neuromotor outcomes, its integration into early physical therapy interventions for infants at risk of neuromotor delays and disabilities remains under-defined and inconsistently applied in standard practice. This gap underscores the necessity for comprehensive guidance to systematically incorporate EE into early intervention programs and daily routines.</p><p><strong>Summary of key points: </strong>This paper provides a preliminary framework for the integration of EE into the clinical and home environments for infants from birth to 1 year of age.</p><p><strong>Recommendations for practice: </strong>With the 7 key components of EE, including sensory system stimulation (auditory, proprioceptive, tactile, vestibular, and visual stimulations), cognitive challenges, and social engagement, this framework aims to maximize cognitive and motor development for infants at both pre and post-term age by leveraging the principles of EE(Supplemental Digital Content,Video, available at: http://links.lww.com/PPT/A624 ).</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"265-276"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630364","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 Validity and Reliability of the Turkish Version of the Seated Postural Control Measure in Children With Cerebral Palsy\".","authors":"Bishnu Dutta Acharya, Sian A Williams","doi":"10.1097/PEP.0000000000001193","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001193","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 2","pages":"256"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732730","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":"The Keep Moving Together Telerehabilitation for Children With Cerebral Palsy: Protocol of a Randomized Trial.","authors":"Herika de Vargas Ciello, Adriana Neves Dos Santos","doi":"10.1097/PEP.0000000000001190","DOIUrl":"10.1097/PEP.0000000000001190","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the keep moving together (KMT) protocol between telerehabilitation (Tele KMT) or face-to-face (Face KMT).</p><p><strong>Methods: </strong>A randomized controlled clinical trial, including a goal-oriented training program for gross motor function activities for children/adolescents with cerebral palsy. One group will have supervised sessions with a physical therapist through telerehabilitation while the other will have face-to-face sessions. Both groups will receive sessions supervised only by a caregiver 3 times per week, at home. The KMT protocol is for 12 weeks. The primary outcome will be gross motor function using the Gross Motor Function Measure. Secondary outcomes are mobility, goals achieved, participation, caregivers' satisfaction, and adverse events. Impact statement: If effective, the Tele-KMT may be an alternative when face-to-face interventions are not possible.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 2","pages":"298-306"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732733","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}
Amanda Chiao, Jessie N Patterson, Graham D Cochrane, Jennifer B Christy, Kristen L Janky
{"title":"The Reliability and Validity of Data Obtained With the Functional Gait Assessment Modified for Children.","authors":"Amanda Chiao, Jessie N Patterson, Graham D Cochrane, Jennifer B Christy, Kristen L Janky","doi":"10.1097/PEP.0000000000001183","DOIUrl":"10.1097/PEP.0000000000001183","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the Functional Gait Assessment modified for Children (FGA-mC) in children with cochlear implant and with and without vestibular loss (VL), and the FGA-mC's reliability and validity.</p><p><strong>Methods: </strong>Fifty-nine children completed the FGA-mC and vestibular and functional testing. Twenty children were video-recorded to assess the FGA-mC's inter- and intra-rater reliability, and 10 repeated the FGA-mC for test-retest reliability. Ten physical therapists reviewed the videos, scored the child's FGA-mC performance, and provided test administration feedback.</p><p><strong>Results: </strong>Children without VL had significantly higher FGA-mC scores compared to children with bilateral VL and a <26 cutoff score was identified for normal function versus VL with good discrimination, sensitivity and specificity. The FGA-mC had good inter- and intra-rater reliability, construct validity, but poor test-retest reliability.</p><p><strong>Conclusions: </strong>The FGA-mC shows decreased performance in children with bilateral VL compared to children without VL. There was overall good-to-excellent reliability and validity of the FGA-mC, supporting its use for a pediatric population.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"237-246"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12161446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371328","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":"Commentary on \"Responsiveness of AM-PAC 6 Clicks Basic Mobility Short Forms in the Pediatric Acute Care Setting\".","authors":"Sara Garcia, Kaitlyn Forsythe","doi":"10.1097/PEP.0000000000001194","DOIUrl":"https://doi.org/10.1097/PEP.0000000000001194","url":null,"abstract":"","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 2","pages":"236"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732726","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}
Regan Washist, Dan Steventon, Paige Samuelson, Brittany Anderson, Patti Berg-Poppe, Samuel Milanovich
{"title":"A Scoping Review of Chemotherapy-induced Peripheral Neuropathy-Related Gait Abnormalities in Children With Cancer.","authors":"Regan Washist, Dan Steventon, Paige Samuelson, Brittany Anderson, Patti Berg-Poppe, Samuel Milanovich","doi":"10.1097/PEP.0000000000001156","DOIUrl":"10.1097/PEP.0000000000001156","url":null,"abstract":"<p><p>Purpose: Chemotherapy-induced peripheral neuropathy (CIPN) with associated weakness, areflexia, neuropathic pain, and sensory loss, is a common occurrence in children treated for cancer. However, accurate, quantifiable descriptions of gait deviations due to CIPN are lacking. This scoping review explores common gait abnormalities in children with CIPN.</p><p><strong>Methods: </strong>Using extensive database and manual literature reviews, 3 relevant studies were identified that assessed CIPN-related gait changes in children.</p><p><strong>Results: </strong>Though each study used different methods to analyze gait patterns, decreased ankle dorsiflexion with slower and shorter gait were common findings across the studies. Changes to ankle dorsiflexion range of motion can lead to slower walking speeds and compensatory changes that can cause developmental effects on a child's gait.</p><p><strong>Conclusions: </strong>Relevant research on the topic of CIPN-related gait abnormalities in children with cancer identifies knowledge gaps and the need for more studies on the effects of CIPN on children.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":"37 1","pages":"57-63"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899604","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}
Hanan Mahrouck, Nahla Almatrafi, Mohammad Tamboosi
{"title":"Early Conservative Physical Therapy Management of Babies With Obstetric Brachial Plexus Injury to Facilitate Spontaneous Recovery.","authors":"Hanan Mahrouck, Nahla Almatrafi, Mohammad Tamboosi","doi":"10.1097/PEP.0000000000001161","DOIUrl":"10.1097/PEP.0000000000001161","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of early immobilization and proper handling techniques in infants with Obstetric Brachial Plexus Injury (OBPI) in the first 2 weeks of life.</p><p><strong>Method: </strong>Six 1-day-old infants (2 males and 4 females) with OBPI were included. The assessments were done at baseline, post-intervention, and 3-month follow-up, which involved a physical exam, Narakas classification, Active Movement Scale, and gross and fine motor skills evaluation.</p><p><strong>Result: </strong>All infants had upper Erb's palsy. They had statistically significant improvement in the Active Movement Scale scores post-intervention with a large effect size. These improvements were maintained at follow-up. All infants achieved age-appropriate gross and fine motor skills with the affected upper limb at 3 months of age.</p><p><strong>Conclusion: </strong>Early conservative physical therapy management had a statistically significant effect on enhancing spontaneous recovery and preventing further nerve injury in OBPI infants.</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"100-108"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576953","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}