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":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Participants with BCP performed the bimanual task more slowly (<i>p</i> < 0.001) and sequentially, as evidenced by greater time differences between the two hands achieving the end goal (<i>p</i> = 0.01). Faster speeds, particularly when the less affected hand opened the drawer, facilitated time-related measures of bimanual coordination (<i>p</i> < 0.05). Bimanual coordination correlated with all clinical measures of hand function (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>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.</p>","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}
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":"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Further research is recommended to pilot the plan, solicit ongoing feedback, implement and evaluate the plan into routine education and health care practices.</p>","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}
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":"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusions: </strong>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.</p>","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}
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":"<p><strong>Aim: </strong>This scoping review synthesizes literature about occupational therapy parent-mediated interventions (PMIs) that target occupation-based outcomes for children with developmental disabilities (DD).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
{"title":"Letter to the Editor.","authors":"Vialu Carlo, Peggy Morris","doi":"10.1080/01942638.2024.2420987","DOIUrl":"10.1080/01942638.2024.2420987","url":null,"abstract":"","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577060","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}
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":"<p><strong>Aim: </strong>We aimed to describe telehealth used to detect infants at risk of neurodevelopmental delay and assess the assessors' and caregivers' perceptions and costs.</p><p><strong>Methods: </strong>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 <i>via</i> 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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Teleassessment during the COVID-19 pandemic was feasible, although implementing this method of health service in general clinical practice still requires further scrutiny.</p>","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}
Laine Roczniak, Mylène Jutras, Caroline Lévesque, Carole Fortin
{"title":"Reliability of the Test of Gross Motor Development Third Edition Among Children with Developmental Coordination Disorder.","authors":"Laine Roczniak, Mylène Jutras, Caroline Lévesque, Carole Fortin","doi":"10.1080/01942638.2024.2378050","DOIUrl":"10.1080/01942638.2024.2378050","url":null,"abstract":"<p><strong>Aim: </strong>The Test of Gross Motor Development Third Edition (TGMD-3) is used to assess the development of fundamental movement skills in children from 3 to 10 years old. This study aimed to evaluate the intra-rater, inter-rater, and test-retest reliability and to determine the minimal detectable change (MDC) value of the TGMD-3 in children with developmental coordination disorder (DCD).</p><p><strong>Methods: </strong>The TGMD-3 was administered to 20 children with DCD. The child's fundamental movement skills were recorded using a digital video camera. Reliability was assessed at two occasions by three raters using the generalizability theory.</p><p><strong>Results: </strong>The TGMD-3 demonstrates good inter-rater reliability for the locomotor skills subscale, the ball skills subscale, and the total score (φ = 0.77 - 0.91), while the intra-rater reliability was even higher (φ = 0.94 - 0.97). Test-retest reliability was also shown to be good (φ = 0.79-0.93). The MDC<sub>95</sub> was determined to be 10 points.</p><p><strong>Conclusion: </strong>This study provides evidence that the TGMD-3 is a reliable test when used to evaluate fundamental movement skills in children with DCD and suggests that an increase of 10 points represents a significant change in the motor function of a child with DCD.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"41-54"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617480","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}
Jorine Schoenmaker, Han Houdijk, Bert Steenbergen, Heleen A Reinders-Messelink, Marina M Schoemaker
{"title":"OPTIMAL Motor Teaching Strategies Employed in Physiotherapy for Children with Developmental Coordination Disorder: An Observational Study.","authors":"Jorine Schoenmaker, Han Houdijk, Bert Steenbergen, Heleen A Reinders-Messelink, Marina M Schoemaker","doi":"10.1080/01942638.2024.2404466","DOIUrl":"10.1080/01942638.2024.2404466","url":null,"abstract":"<p><strong>Aims: </strong>To describe the teaching strategies that physiotherapists currently employ in individual therapy sessions for children with DCD using the OPTIMAL theory for motor learning as a framework, focused on (1) autonomy (supporting autonomy vs. therapist-controlled), (2) expectancies (enhancing vs. lowering expectancies), and (3) attention (promoting an internal vs. an external focus of attention).</p><p><strong>Methods: </strong>Eighteen physiotherapy sessions were videotaped and analyzed with Noldus The Observer XT using the OPTIMAL Strategies Observational Tool (OSOT). Relative duration (% of session time) and frequency were extracted for teaching strategies related to autonomy, expectancies, and attention.</p><p><strong>Results: </strong>Physiotherapists mostly applied strategies to support autonomy and enhance expectancies in contrast to therapist-controlled strategies, and lowering expectancies. Strategies to promote either an internal or an external focus of attention were used to a similar extent. Furthermore, strategies were frequently combined; physiotherapists often employed more than one teaching strategy at a time.</p><p><strong>Conclusions: </strong>The insight into current physiotherapy teaching practice that this study provides can help inform research and application regarding effective motor teaching for children with DCD. Follow up studies are needed to further investigate how child and task characteristics influence teaching strategy employment and to examine physiotherapists' reasoning behind their choice of strategies.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"153-168"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330816","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}
Jane E Hamer, Fiona Graham, Annemarei Ranta, Rachelle A Martin
{"title":"Caregivers' Experiences of Sleep Systems for Children with Complex Neurodisability: A Qualitative Study.","authors":"Jane E Hamer, Fiona Graham, Annemarei Ranta, Rachelle A Martin","doi":"10.1080/01942638.2024.2419642","DOIUrl":"10.1080/01942638.2024.2419642","url":null,"abstract":"<p><strong>Aim: </strong>To understand caregivers' experiences of implementing sleep systems for children with complex neurodisability. This knowledge would help develop and refine the evidence base to inform clinical practice to improve care and support increased engagement and adherence to this approach.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with nine caregivers (7 mothers, 2 fathers) of eight children aged 4-17 years (mean age 7.7 years) with complex neurodisability. Interviews were audio-recorded and transcribed. Interpretive Description methodology and inductive analysis based on Morse's four-step framework were employed to analyze the data.</p><p><strong>Results: </strong>Three themes were developed: (1) It's a complex night; (2) This is what I know, incorporating subthemes \"What I know about my child\" and \"What I know about sleep systems\"; and (3) Support me to support my child. Sleep system interventions that account for nighttime health complexity and address caregivers' priorities of sleep and comfort for their child were perceived as more sustainable and successful by caregivers.</p><p><strong>Conclusion: </strong>Embedding principles of family-centered care in sleep system assessment, prioritizing caregivers' goals of sleep and comfort, and fostering hope and trust through the co-production of postural care solutions are critical components of care. A shift in focus from \"future prevention\" of deformity to \"protection and comfort\" may advance the quality of care and uptake of sleep systems.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"401-422"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558475","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":"Knowledge Translation Interventions to Increase the Uptake of Evidence-Based Practice Among Pediatric Rehabilitation Professionals: A Systematic Review.","authors":"Raquel Lazarowitz, Doaa Taqi, Cassandra Lee, Jill Boruff, Kimberly McBain, Annette Majnemer, André Bussières, Noémi Dahan-Oliel","doi":"10.1080/01942638.2024.2421854","DOIUrl":"10.1080/01942638.2024.2421854","url":null,"abstract":"<p><strong>Aims: </strong>To summarize evidence on effective knowledge translation (KT) interventions to increase evidence-based practice among pediatric rehabilitation professionals.</p><p><strong>Methods: </strong>The PRISMA 2020 Checklist was used for search, selection, and data extraction. The Mixed Methods Appraisal Tool assessed quality, while the Cochrane Effective Practice and Organization of Care described KT interventions.</p><p><strong>Results: </strong>Our search yielded 7233 records; 29 met the inclusion criteria. Two studies used educational materials alone. The remaining 27 studies used multifaceted KT interventions, combining education with local opinion leaders or knowledge brokers (<i>n</i> = 12), continuous quality improvement (<i>n</i> = 11), reminders (<i>n</i> = 6), communities of practice (<i>n</i> = 6), provider performance monitoring (<i>n</i> = 5), audit and feedback (<i>n</i> = 2), information and communication technology (<i>n</i> = 2), clinical practice guideline (<i>n</i> = 1), or routine patient-reported outcome measures (<i>n</i> = 1). Significant improvements in knowledge (<i>n</i> = 10), skills (<i>n</i> = 6), adherence and use (<i>n</i> = 4), perceptions (<i>n</i> = 3), intentions of use (<i>n</i> = 2), confidence level (<i>n</i> = 1), beliefs and attitudes (<i>n</i> = 3), and professional behavior change (<i>n</i> = 2) were reported. Included studies had a moderate to high-risk bias.</p><p><strong>Conclusion: </strong>Educational and local opinion leaders were common in multifaceted KT interventions, the majority resulting in improved professional knowledge, skills, attitudes and beliefs, and behaviors. Rigorous study designs are needed to confirm these findings.</p>","PeriodicalId":49138,"journal":{"name":"Physical & Occupational Therapy in Pediatrics","volume":" ","pages":"119-152"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631178","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}