Physical & Occupational Therapy in Pediatrics最新文献_第4页

Family-Professional Collaborative Physical Therapy Intervention via Telehealth for Children with Developmental Disabilities: A Mixed-Method Feasibility Study. 通过远程医疗对发育障碍儿童进行家庭专业协作物理治疗干预：一项混合方法的可行性研究。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-01-05 DOI: 10.1080/01942638.2024.2447024

Náguia Letícia de Medeiros, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz, Hiane Aparecida Silva, Mihee An, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos

{"title":"Family-Professional Collaborative Physical Therapy Intervention via Telehealth for Children with Developmental Disabilities: A Mixed-Method Feasibility Study.","authors":"Náguia Letícia de Medeiros, Fabiane Ribeiro Ferreira, Daniela Virgínia Vaz, Hiane Aparecida Silva, Mihee An, Robert J Palisano, Hércules Ribeiro Leite, Ana Cristina Resende Camargos","doi":"10.1080/01942638.2024.2447024","DOIUrl":"10.1080/01942638.2024.2447024","url":null,"abstract":"Aims: To evaluate attendance rates, daily therapy engagement, parents' perceptions regarding feasibility, acceptability, family-centeredness, and individualized outcomes of a collaborative telehealth-based physical therapy intervention for children with disabilities.Method: Mixed-method design involving 15 families and 17 children with disabilities (range age 4-90 months). Parents recorded time spent on home activities. Family-centeredness was assessed using the Measure of Processes of Care-20-item (MPOC-20). The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were used to measure individualized outcomes. Interviews were conducted on families' perceptions of the telehealth service.Results: Parents attended an average of 8.29 out of 9 scheduled telehealth sessions and spent an average of 1.32 (±0.58) hours per day on therapy activities. Parents rated the services as family-centered \"to a fairly great extent\" or \"to a great extent\". On average, children achieved individualized goals. Parents identified therapists' collaborative behaviors and information sharing as facilitators, beliefs about their abilities and technical issues as barriers, and empowerment and active engagement as benefits of the telehealth sessions.Conclusion: The family-professional collaborative telehealth physical therapy was perceived by parents as acceptable and feasible to address their children needs. Children achieved individualized goals and participating families actively engaged in the intervention process.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"375-388"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933020","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

A Big Thank You to Annette Majnemer and Welcome to Tatiana Ogourtsova, Coeditor. 非常感谢Annette Majnemer，欢迎共同编辑Tatiana Ogourtsova。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.1080/01942638.2025.2449731

Robert J Palisano

引用次数: 0

Occupational Therapists Enhance Comprehensive Health Assessments for Children in Foster Care. 职业治疗师加强对寄养儿童的全面健康评估。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2025-01-02 DOI: 10.1080/01942638.2024.2447022

Kristine Fortin, Teniola Egbe, Nicole Briskin, Anne-Ashley Field, Jordan Wentz, Judith Dawson, Susan Friedman, M Katherine Henry

{"title":"Occupational Therapists Enhance Comprehensive Health Assessments for Children in Foster Care.","authors":"Kristine Fortin, Teniola Egbe, Nicole Briskin, Anne-Ashley Field, Jordan Wentz, Judith Dawson, Susan Friedman, M Katherine Henry","doi":"10.1080/01942638.2024.2447022","DOIUrl":"10.1080/01942638.2024.2447022","url":null,"abstract":"Aims: Children in foster care (CFC) have prevalent developmental health needs. Comprehensive health assessments (CHA) that include development evaluation are recommended for CFC. The impact of adding occupational therapy (OT) to multidisciplinary CHA teams is unknown. We aimed to describe findings from OT evaluations performed as part of CHA for CFC and determine if OT evaluation influences developmental health recommendations.Methods: Retrospective study at a clinic for CFC that included 335 children with OT evaluation during their CHA and 217 without OT evaluation due to limited availability. OTs performed developmental components of CHA using observation and standardized testing. We used descriptive statistics, and chi-square and Fisher's exact tests to compare developmental health recommendations between patients with and without OT assessment.Results: Median age was 8.3 years (range 0, 19). At least one aspect of development was delayed in 230/335 (69%) children evaluated by OT. OTs provided strategies to strengthen development to 74% of evaluated youth. Children seen by OT received significantly more developmental referrals compared to controls (38% versus 58%, p<.001).Conclusions: Our findings suggest rehabilitation specialists such as OTs can enhance detection of developmental needs and provide strategies to strengthen development when included in CHA for CFC.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"389-400"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916039","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

Interpretability and Clinical Utility of the Pediatric Evaluation of Disability Inventory - Patient Reported Outcome (PEDI-PRO) Score Report. 儿科残疾评估量表--患者报告结果（PEDI-PRO）评分报告的可解释性和临床实用性。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-07-23 DOI: 10.1080/01942638.2024.2378064

Ariel Schwartz, Fiorella Guerrero Calle, Elizabeth Barbour, Andrew Persch, Beth Pfeiffer, Daniel K Davies, Erik J Mugele, Jessica Kramer

{"title":"Interpretability and Clinical Utility of the Pediatric Evaluation of Disability Inventory - Patient Reported Outcome (PEDI-PRO) Score Report.","authors":"Ariel Schwartz, Fiorella Guerrero Calle, Elizabeth Barbour, Andrew Persch, Beth Pfeiffer, Daniel K Davies, Erik J Mugele, Jessica Kramer","doi":"10.1080/01942638.2024.2378064","DOIUrl":"10.1080/01942638.2024.2378064","url":null,"abstract":"Aims: Well-designed score reports can support therapists to accurately interpret assessments. We piloted a score report for the Pediatric Evaluation Disability Inventory-Patient Reported Outcome (PEDI-PRO) and evaluated: 1) To what extent can occupational and physical therapists (OT, PT) accurately interpret item-response theory (IRT)-based PEDI-PRO assessment results? 2) What is the perceived clinical utility of the pilot score report?Methods: Exploratory, sequential mixed methods design. Focus groups with OT and PTs (n = 20) informed the development of the final score report; revisions were made in response to feedback. Next, OTs and PTs (n = 33) reviewed score reports from two fictional clients and answered survey questions about the interpretation of the PEDI-PRO results. Additional questions evaluated clinical utility.Results: Focus groups: Visual cues supported score interpretation, but therapists requested additional explanations for advanced IRT measurement concepts. Survey: Therapists accurately interpreted foundational IRT concepts (e.g. identifying most/least difficult items, highest scores), but were less accurate when interpreting advanced concepts (e.g. fit, unexpected responses). Therapists anticipated sharing different components of the score report with family members, clinicians, and payers to support their clinical practice.Conclusions: The pilot PEDI-PRO score report was highly endorsed by therapists, but therapists may need additional training to interpret advanced IRT concepts.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"22-40"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749417","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}

引用次数: 0

Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study. 双侧脑瘫儿童的双足协调能力：横断面研究

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-07-15 DOI: 10.1080/01942638.2024.2376062

Grace-Anne M Herard, Ya-Ching Hung, Marina B Brandao, Andrew M Gordon

{"title":"Bimanual Coordination in Children with Bilateral Cerebral Palsy: A Cross-Sectional Study.","authors":"Grace-Anne M Herard, Ya-Ching Hung, Marina B Brandao, Andrew M Gordon","doi":"10.1080/01942638.2024.2376062","DOIUrl":"10.1080/01942638.2024.2376062","url":null,"abstract":"Aim: To compare bimanual coordination in children with bilateral cerebral palsy (BCP) with that of children with typical development (TD) and correlate bimanual coordination with clinical measures of hand function.Methods: 3-D kinematic data were collected from 14 children with BCP (mean age 13 years 1 month; range 7.3-17.2 years, 5 females) and 14 age-matched children with TD (mean age 13 years 1 month, range 7.0-16.0 years, 7 females) as they opened a drawer with one hand and activated a switch inside it with the other hand at self-paced and as-fast-as-possible speeds. Hand roles varied in each condition. Participants' hand function levels were classified using the Manual Ability Classification System. Unimanual dexterity and bimanual performance were evaluated using the Box and Blocks Test and Both Hands Assessment respectively.Results: Participants with BCP performed the bimanual task more slowly (p < 0.001) and sequentially, as evidenced by greater time differences between the two hands achieving the end goal (p = 0.01). Faster speeds, particularly when the less affected hand opened the drawer, facilitated time-related measures of bimanual coordination (p < 0.05). Bimanual coordination correlated with all clinical measures of hand function (p < 0.05).Conclusion: For children with BCP, speed and hand used for each subcomponent of the task influence bimanual coordination. Better bimanual coordination is associated with less impairment of both hands.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"68-83"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617479","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

The Creation of an Individualized School Plan for Optimal Inclusion of Students with Osteogenesis Imperfecta. 制定个性化学校计划，优化骨发育不全学生的融入。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI: 10.1080/01942638.2024.2389881

G Osman, J Chemtov, C Mercier, J Collins, T Wong, V Gagnon, S Thierry, C Poitras-Quiniou, U Steen, O de Vries, V Quann, M Barbu, F Rauch, A Tsimicalis

{"title":"The Creation of an Individualized School Plan for Optimal Inclusion of Students with Osteogenesis Imperfecta.","authors":"G Osman, J Chemtov, C Mercier, J Collins, T Wong, V Gagnon, S Thierry, C Poitras-Quiniou, U Steen, O de Vries, V Quann, M Barbu, F Rauch, A Tsimicalis","doi":"10.1080/01942638.2024.2389881","DOIUrl":"10.1080/01942638.2024.2389881","url":null,"abstract":"Aims: The aims of this study were to: (1) synthesize existing evidence regarding the integration of students with osteogenesis imperfecta (OI) into the school setting, (2) tabulate existing school integration tools for OI, and (3) create an individualized school plan to facilitate school integration.Methods: Guided by the process of developing evidence-informed guidelines, an international, interprofessional, expert task force was convened. The process entailed: (1) reviewing of the literature, (2) developing recommendations, and (3) creating a clinically meaningful, person-focused plan to facilitate the integration and promotion of school inclusivity. The 13-member task force relied on empirical studies, grey literature, and their experiential knowledge (from clinical, teaching or patient experiences) to devise the plan.Results: Over a series of eight meetings and five drafts, the Task Force prioritized 14 core items for inclusion. These items consisted of general student information, fracture response protocol, student inclusion recommendations, mobility considerations, transfer considerations, toileting protocol, physical education recommendations, fieldtrip information, transportation considerations, evacuation plan, environmental and scholarly considerations, consent and authorization, and an annual renewal document.Conclusion: Further research is recommended to pilot the plan, solicit ongoing feedback, implement and evaluate the plan into routine education and health care practices.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"84-101"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917871","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

The Use of Evaluation Methods for Physiotherapy Treatment in Infants With Bronchiolitis-a Survey Study. 支气管炎婴儿物理治疗评估方法的使用--一项调查研究。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-08-11 DOI: 10.1080/01942638.2024.2386475

Sonja Andersson Marforio, Eva Ekvall Hansson, Annika Lundkvist Josenby

{"title":"The Use of Evaluation Methods for Physiotherapy Treatment in Infants With Bronchiolitis-a Survey Study.","authors":"Sonja Andersson Marforio, Eva Ekvall Hansson, Annika Lundkvist Josenby","doi":"10.1080/01942638.2024.2386475","DOIUrl":"10.1080/01942638.2024.2386475","url":null,"abstract":"Aims: The aim of this study was to identify and describe methods that physiotherapists use to evaluate the immediate effects of their interventions for infants in hospital with acute respiratory tract infections.Methods: We constructed an anonymous digital survey to physiotherapists working with infants aged 0-24 months in Sweden. The survey was distributed by e-mail and posted on web pages for seven weeks, which included a reminder.Results: Replies were obtained from 88 respondents, and 52 completed surveys remained to be analyzed. All 21 counties in Sweden were represented. The most prevalent answer options were as follows: more productive/increased or decreased cough (73%), increased oxygen saturation (35%), changed secretion sounds (33%), reduced work of breathing (20%), and parental report (16%).Conclusions: The physiotherapists reported to use diverse methods for evaluation of their interventions. However, to a large degree they used subjective measures, which depend on the individual clinician's assessment and interpretation. The evaluation methods vary in psychometric properties and robustness. This study identifies the need for consensus about valid, reliable, and clinically relevant evaluation methods for this patient group.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"55-67"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917872","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

Parent-Mediated Occupational Therapy Interventions for Children with Developmental Disabilities: A Scoping Review. 针对发育障碍儿童的家长主导型职业疗法干预：范围审查》。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-07-16 DOI: 10.1080/01942638.2024.2378063

Hessah M Bin Zuair, Joanne M Baird, Angela R Caldwell

{"title":"Parent-Mediated Occupational Therapy Interventions for Children with Developmental Disabilities: A Scoping Review.","authors":"Hessah M Bin Zuair, Joanne M Baird, Angela R Caldwell","doi":"10.1080/01942638.2024.2378063","DOIUrl":"10.1080/01942638.2024.2378063","url":null,"abstract":"Aim: This scoping review synthesizes literature about occupational therapy parent-mediated interventions (PMIs) that target occupation-based outcomes for children with developmental disabilities (DD).Methods: A search of PubMed, Web of Science, and CINAHL from 2010 through 2023 was performed resulting in 471 publications. Studies were included if they involved PMIs for participants with DD aged 3-12 years and were published in English. Studies were excluded if the outcomes were not occupation-based. A thematic analysis was conducted following an iterative review of charted data.Results: Twelve studies met the inclusion criteria reflecting four themes across occupational therapy PMIs, including variation in terminologies, types of PMIs, key components of PMIs, and the overall impact. While the effects of PMIs are difficult to define due to the variability in the samples, interventions, and outcomes, this review suggests general positive impacts of PMIs.Conclusion: The emerging body of evidence supporting PMIs within the field of occupational therapy suggests they are feasible and have the potential to improve child and parent outcomes when delivered to children with DD. Further research is needed to clarify PMIs' components, unify the identification terminology, and test the efficacy of different types of PMIs for specific populations.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"5-21"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628143","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

Letter to the Editor. 致编辑的信

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-11-05 DOI: 10.1080/01942638.2024.2420987

Vialu Carlo, Peggy Morris

引用次数: 0

Telehealth of Infants at Risk During the COVID-19 Pandemic: Physical Therapists' and Caregiver's Perceptions and Costs. 在 COVID-19 大流行期间对高危婴儿进行远程保健：理疗师和护理人员的看法与成本。

IF 1.5 4区医学

Physical & Occupational Therapy in Pediatrics Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.1080/01942638.2024.2419646

Adriana Neves Dos Santos, Tatiane Schlichting, Nelci Adriana Cicuto Ferreira Rocha

{"title":"Telehealth of Infants at Risk During the COVID-19 Pandemic: Physical Therapists' and Caregiver's Perceptions and Costs.","authors":"Adriana Neves Dos Santos, Tatiane Schlichting, Nelci Adriana Cicuto Ferreira Rocha","doi":"10.1080/01942638.2024.2419646","DOIUrl":"10.1080/01942638.2024.2419646","url":null,"abstract":"Aim: We aimed to describe telehealth used to detect infants at risk of neurodevelopmental delay and assess the assessors' and caregivers' perceptions and costs.Methods: This was an observational study in which five physical therapists applied the General Movement Assessment, the neurological exam based on the Hammersmith Infant Neurological Examination, and the Alberta Infant Motor Scale via telehealth in 65 infants at risk of neurologic delay during the COVID-19 pandemic. The perceptions of assessors and caregivers were assessed using a questionnaire. We tabulated the family's costs (internet access) and the therapist's expenses (internet access and professional fees).Results: In general, assessors felt comfortable and reported good quality of teleassessment. They highlighted the significant effort they and caregivers required for synchronous methods, challenges in clearly guiding caregivers on infant positioning, difficulties in adjusting the camera's position, and unstable internet connections. Most assessors expressed a willingness to continue using telehealth. Caregivers displayed high satisfaction, and the costs were minimal.Conclusion: Teleassessment during the COVID-19 pandemic was feasible, although implementing this method of health service in general clinical practice still requires further scrutiny.","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"169-184"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548509","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