Physical & Occupational Therapy in Pediatrics最新文献_第10页

Clocks Are Ticking! Early Diagnosis, Early Interventions: A Commentary on Detecting Asymmetry of Upper Limb Activity with Accelerometry in Infants at Risk for Unilateral Spastic Cerebral Palsy 时钟在滴答作响！早期诊断，早期干预：通过加速度测量检测有单侧痉挛性脑瘫风险的婴儿上肢活动不对称的评述

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-12-11 DOI: 10.1080/01942638.2024.2284071

Isabelle Poitras

引用次数: 0

Therapists' Use of Instructions and Feedback in Motor Learning Interventions in Children with Developmental Coordination Disorder: A Video Observation Study. 治疗师在发育协调障碍儿童运动学习干预中使用指导和反馈：一项视频观察研究。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 Epub Date: 2023-04-03 DOI: 10.1080/01942638.2023.2194408

Ingrid P A van der Veer, Caroline H G Bastiaenen, Mieke Goetschalckx, Nathalie N F van der Wielen-Heezius, Eugene A A Rameckers, Katrijn Klingels

{"title":"Therapists' Use of Instructions and Feedback in Motor Learning Interventions in Children with Developmental Coordination Disorder: A Video Observation Study.","authors":"Ingrid P A van der Veer, Caroline H G Bastiaenen, Mieke Goetschalckx, Nathalie N F van der Wielen-Heezius, Eugene A A Rameckers, Katrijn Klingels","doi":"10.1080/01942638.2023.2194408","DOIUrl":"10.1080/01942638.2023.2194408","url":null,"abstract":"Aim: This qualitative study explored therapists' use of instructions and feedback when teaching motor tasks to children with developmental coordination disorder (DCD) as a first step in developing practical recommendations.Methods: A conventional content analysis approach was used to analyze videotaped treatment sessions of physical therapists using a newly developed analysis plan. Inductive coding was used to code purposively selected video segments. The codes were sorted into categories to identify key themes. Analyses were performed independently by two researchers until data saturation was reached.Results: Ten video-taped sessions were analyzed and 61 segments were coded. Three key themes were identified: (1) therapists' intention with the instructions and feedback was to motivate or to provide information; (2) the preferred therapists' teaching style was either direct or indirect; and (3) parameters to shape specific instructions and feedback were the focus of attention, modality, information content, timing and frequency.Conclusion: Therapists used numerous instructions and feedback with different information content, often shaped by multiple focuses and/or modalities to motivate children or to provide specific information about task performance. Although therapists adapted instructions and feedback to child and task, future research should explore how characteristics of child and task can guide therapists' clinical decision-making.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"678-696"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9611657","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

Pain Characteristics and Symptom Management in Children with Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorder. 多动性埃勒-丹洛斯综合征和多动性谱系障碍儿童的疼痛特征和症状处理。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2163601

Hyo-Jung Jeong, Joyce M Engel, Olivia Wilwert, Michael Muriello, Donald Basel, Brooke A Slavens

{"title":"Pain Characteristics and Symptom Management in Children with Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorder.","authors":"Hyo-Jung Jeong, Joyce M Engel, Olivia Wilwert, Michael Muriello, Donald Basel, Brooke A Slavens","doi":"10.1080/01942638.2022.2163601","DOIUrl":"https://doi.org/10.1080/01942638.2022.2163601","url":null,"abstract":"Aims: This study aims to investigate pediatric hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorder (HSD) pain features and management strategies.Methods: This is a mixed-methods, cross-sectional study design using patient-reported outcomes in 21 children diagnosed with hEDS/HSD. Children who reported bothersome pain were interviewed for pain features. The Child Activity Limitation Interview-21, the Brief Pain Inventory pain interference items, and the Functional Disability Inventory were used to investigate pain interference. To evaluate psychological symptoms regarding pain, the pediatric version of the Survey of Pain Attitude and the child version of the Pain Catastrophizing Scale were used.Results: Nineteen children had bothersome pain and of them, eight children reported constant pain. The most frequently reported regions of pain were at the ankle (mild pain) and the back (moderate-to-severe pain). Children reported mild-to-moderate pain interference and believed medications were beneficial for their pain management. Nineteen children sought treatment and of those 16 children used to exercise and acetaminophen and 13 visited physicians as a means of treatment. Parents were overall satisfied with their child's treatment (13 out of 19).Conclusions: Sufficient awareness of pain-related symptoms and understanding of the treatment strategies in early childhood is needed to prevent deleterious consequences in adulthood.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 5","pages":"630-643"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165519","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

Reproducibility of Hypermobility Assessment Scales for Children When Performed Using Telehealth versus In-Person Modes. 儿童多动评估量表在使用远程医疗与面对面模式时的可重复性。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2151393

Elizabeth A Hornsby, Kylie Tucker, Leanne M Johnston

{"title":"Reproducibility of Hypermobility Assessment Scales for Children When Performed Using Telehealth versus In-Person Modes.","authors":"Elizabeth A Hornsby, Kylie Tucker, Leanne M Johnston","doi":"10.1080/01942638.2022.2151393","DOIUrl":"https://doi.org/10.1080/01942638.2022.2151393","url":null,"abstract":"Aims: Evaluate reproducibility of hypermobility assessments using in-person versus telehealth modes.Methods: Hypermobility of 20 children (7-12 years) was evaluated using the Beighton Score, Upper Limb Hypermobility Assessment Tool (ULHAT), and Lower Limb Assessment Score (LLAS) via in-person and telehealth modes. Agreement between the two modes was examined using percentage of exact agreement (%EA and %EA ± 2), Limits of Agreement (LoA) and Smallest detectable change (SDC). Reliability was calculated using intra-class correlation coefficients (ICCs).Results: Agreement between modes for total Scores was best for the Beighton (%EA = fair, %EA ± 2 = good), then the ULHAT (%EA = poor, %EA ± 2 = excellent), and LLAS (%EA = poor, %EA ± 2 = fair). Total scores for all scales showed wide LoA, large SDC (25-31%), and fair to good reliability (ICC = 0.54-0.61). Exact agreement for Generalized Joint Hypermobility classification was excellent for the Beighton (≥7/9 threshold) and fair for the ULHAT and LLAS (≥7/12 threshold). Percentage of individual test items with good/excellent agreement was highest for the Beighton (78%, 7/9 items), then the ULHAT (58%, 14/24) and LLAS (42%, 10/24).Conclusion: Total Scores of hypermobility scales showed low exact agreement between in-person and telehealth, but fair-excellent agreement within two points. Classification using the Beighton ≥7/9 threshold was excellent. Research is recommended to increase accuracy of online assessments.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 4","pages":"446-462"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9681330","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: 1

Determinants of Quality of Life of Children and Adolescents with Cerebral Palsy: A Systematic Review. 儿童和青少年脑瘫患者生活质量的决定因素:一项系统综述。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2022.2162358

Nihad A Almasri, Fatima Alzahra Alquaqzeh

{"title":"Determinants of Quality of Life of Children and Adolescents with Cerebral Palsy: A Systematic Review.","authors":"Nihad A Almasri, Fatima Alzahra Alquaqzeh","doi":"10.1080/01942638.2022.2162358","DOIUrl":"https://doi.org/10.1080/01942638.2022.2162358","url":null,"abstract":"Objective: To summarize research findings on the determinants of Quality of Life (QoL) in children with cerebral palsy based on the International Classification of Functioning, Disability, and Health (ICF).Methods: The protocol of the review was registered in the International Prospective Register of The Systematic Reviews PROSPERO (CRD42021261966). A PubMed, Web of Science, MEDLINE complete, and CINAHL Plus search was conducted between January 2020 and October 2021 to identify studies that examined determinants of QoL. Inclusion criteria for the studies were children between the ages of birth and 20 years with cerebral palsy. The data extraction and quality evaluation of studies were carried out independently by two reviewers.Results: A total of 664 studies were identified in the search, of which 23 studies were included in the review. The majority of the studies were conducted in high-income countries. According to the ICF, 48% of the studies examined body function determinants, 52% examined activities determinants, and 26% examined environmental determinants. In contrast, 13% of the studies examined determinants related to participation and 13% examined determinants related to personal factors.Conclusions: Based on our findings, most of the determinants identified in the literature are related sequentially to functional activities, body functions and structures, and environmental factors. Researchers should focus on assessing the determinants of QoL related to participation and personal characteristics for children with cerebral palsy in order to improve their QoL.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 4","pages":"367-388"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693370","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: 1

Correction. 校正

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 Epub Date: 2023-06-20 DOI: 10.1080/01942638.2023.2223004

引用次数: 0

Vibration Therapy as an Early Intervention for Children Aged 2-4 Years with Cerebral Palsy: A Feasibility Study. 振动疗法作为早期干预2-4岁脑瘫儿童的可行性研究。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2023.2181723

Alena Adaikina, José G B Derraik, Janice Taylor, Gina L O'Grady, Paul L Hofman, Silmara Gusso

{"title":"Vibration Therapy as an Early Intervention for Children Aged 2-4 Years with Cerebral Palsy: A Feasibility Study.","authors":"Alena Adaikina, José G B Derraik, Janice Taylor, Gina L O'Grady, Paul L Hofman, Silmara Gusso","doi":"10.1080/01942638.2023.2181723","DOIUrl":"https://doi.org/10.1080/01942638.2023.2181723","url":null,"abstract":"Aims: To evaluate the feasibility and acceptability of vibration therapy (VT) in preschool children with cerebral palsy (CP) and obtain preliminary data on its potential effectiveness.Methods: Nine children aged 2.5-4.8 years (4 boys) with CP GMFCS levels I-III participated in a single-group feasibility study, undergoing a 12-week control period without intervention, followed by 12 weeks of home-based VT (four times/week, 9 min/day, frequency 20 Hz). We assessed adherence to VT protocol, adverse events, and family acceptability of VT. Clinical assessments included motor function (GMFM-66), body composition (DXA), mobility (10-meter walk/run test), and health-related quality of life (PedsQL).Results: VT was well tolerated and acceptable to families, with high adherence levels reported (mean = 93%). There were no observed between-period differences (ΔControl vs ΔVT) except for an improvement in the PedsQL \"Movement & Balance\" dimension with VT (p = 0.044). Nonetheless, changes after the VT but not the Control period were suggestive of potential treatment benefits for mobility, gross motor function, and body composition (lean mass and legs bone mineral density).Conclusion: Home-based VT is feasible and acceptable for preschool children with CP. Our preliminary data suggest potential health benefits from VT for these children, supporting larger randomized trials to assess its effectiveness properly. Clinical trial registration number: Australian New Zealand Clinical Trials Registry (ACTRN12618002027291).","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 5","pages":"564-581"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220777","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

Assessing Dyskinesia in Children with Cerebral Palsy: Moving Forward: A Commentary on Development of a Clinical Framework for the Assessment of Dyskinesia and Function in the Upper Limb in Children with Cerebral Palsy. 评估脑瘫儿童运动障碍:向前发展:评估脑瘫儿童上肢运动障碍和功能的临床框架的发展评论。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2023.2151295

Kirsty Stewart

引用次数: 0

School-Based Physical Therapists' Perceptions about Becoming Effective Practitioners through Professional Development. 校本物理治疗师通过专业发展成为有效从业者的看法。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2023.2169092

Stacy Zousmer, Christine Stiller, Kristine Thompson, Christopher Wilson, Melodie Kondratek

{"title":"School-Based Physical Therapists' Perceptions about Becoming Effective Practitioners through Professional Development.","authors":"Stacy Zousmer, Christine Stiller, Kristine Thompson, Christopher Wilson, Melodie Kondratek","doi":"10.1080/01942638.2023.2169092","DOIUrl":"https://doi.org/10.1080/01942638.2023.2169092","url":null,"abstract":"Aims: The aims of this study were to explore perceptions of school-based physical therapists (SBPTs) about professional development and effective practice and to create a conceptual framework to help understand how SBPTs become effective practitioners who continue to learn and grow professionally as clinicians in an educational setting.Methods: Twenty school-based physical therapists completed a demographic questionnaire and a semi-structured interview. Guiding interview questions focused on SBPTs' perceptions of roles and responsibilities, professional development, barriers, and recommendations.Results: Participants identified roles and personal qualities of effective SBPTs. Three concepts for the process of professional development were developed: educational context and culture, barriers to effective practice, and strategies for professional development.Conclusion: The development of effective practice for SBPTs is a multifaceted, iterative process involving a unique set of knowledge, skills, and behaviors that allow them to fulfill their roles. The process takes time and effort to understand the self within the educational context and culture, recognize barriers to effective practice, and develop strategies for success. A conceptual framework was developed to assist SBPTs in implementing a plan for professional development that leads to effectively providing services to students and functioning as essential members of the educational team.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 5","pages":"611-629"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10155634","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

Abnormal Activity of Masticatory Muscles in Patients with Diagnosis of Cerebral Palsy. A Systematic Review and Meta-Analysis of Observational Studies. 咀嚼肌异常活动与脑瘫诊断的关系。观察性研究的系统回顾和荟萃分析。

IF 2.1 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2023-01-01 DOI: 10.1080/01942638.2023.2173038

Rafael Zaratin Beltramin, Ana Luiza Cabrera Martimbianco, Marcela Leticia Leal Gonçalves, Monise Mendes Rocha, Soraia Micaela Silva, Anna Carolina Ratto Tempestini Horliana, Elaine Marcílio Santos, Karina Helga Turcio, Raquel Agnelli Mesquita-Ferrari, Kristianne Porta Santos Fernandes, Lara Jansiski Motta, Sandra Kalil Bussadori

{"title":"Abnormal Activity of Masticatory Muscles in Patients with Diagnosis of Cerebral Palsy. A Systematic Review and Meta-Analysis of Observational Studies.","authors":"Rafael Zaratin Beltramin, Ana Luiza Cabrera Martimbianco, Marcela Leticia Leal Gonçalves, Monise Mendes Rocha, Soraia Micaela Silva, Anna Carolina Ratto Tempestini Horliana, Elaine Marcílio Santos, Karina Helga Turcio, Raquel Agnelli Mesquita-Ferrari, Kristianne Porta Santos Fernandes, Lara Jansiski Motta, Sandra Kalil Bussadori","doi":"10.1080/01942638.2023.2173038","DOIUrl":"https://doi.org/10.1080/01942638.2023.2173038","url":null,"abstract":"Aims: to map and synthesize the results from studies that assessed whether individuals diagnosed with cerebral palsy (CP) have abnormal masseter and temporal muscles activation during the masticatory cycle.Methods: Six databases were searched for comparative observational studies assessing masticatory muscles activation in individuals with CP through electromyography analysis. Methodological quality was evaluated using the Joanna Briggs Critical Appraisal Checklist. Outcome data were combined in meta-analysis using the Review Manager software.Results: We included five cross-sectional studies with an overall low risk of bias. Meta-analyses showed no difference between CP and healthy individuals regarding maximum voluntary isometric contraction: right masseter (Standard mean difference [SMD] - 0.95; 95% CI -2.03 to 0.13); left masseter (SMD -0.92; 95% CI -1.93 to 0.09); right temporal (SMD -0.72; 95% CI -1.63 to 0.18); and left temporal (SMD -0.68; 95% CI -1.76 to 0.40). Electrical activity amplitude in the inactive period was superior in the CP group, and maximum bite pressure presented higher values in the control group (Mean difference [MD] - 17.38; CI 95% -26.62 to -10.15).Conclusions: Based on observational studies with a lower level of evidence, individuals with CP seem to present difficulties activating masticatory muscles. Future prospective cohort studies with rigorous methodology are still necessary to support these findings. PROSPERO register CRD42020208444.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":"43 5","pages":"548-563"},"PeriodicalIF":2.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10165535","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: 1