美国强化儿科物理治疗实践的差异：来自全国调查的结果。

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-10-01 Epub Date: 2025-10-02 DOI:10.1097/PEP.0000000000001229

Kelly Greve, Dana Chole, Meaghan Rubsam, James B Hedgecock, Yuxiang Li, Nanhua Zhang, Jamie B Hall

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引用次数: 0

摘要

目的：强化儿科物理治疗（PT）项目越来越普遍，但缺乏明确的定义。本研究旨在研究当前美国强化儿科PT的实践模式。方法：采用FITT（频率、强度、时间、类型）模型和知识到行动周期对提供强化物理治疗的儿科物理治疗师进行调查。调查对象包括在门诊、非急性环境中提供强化物理治疗的儿科物理治疗师。数据分析采用描述性统计和聚类分析。结果：80名儿科物理治疗师报告了涉及4-6岁脑瘫（90%）、神经肌肉（78%）和神经运动（44%）疾病的儿童的强化课程。最大剂量通常为每周2-5次，每次≤60-120分钟，持续3-8周。最主要的干预措施包括运动训练（80%）、特定任务训练（78%）和渐进式阻力训练（76%）。根据治疗师组织和剂量确定了两组。结论：这是第一个强化儿科PT的研究，揭示了显著的可变性，强调需要一个标准化的定义来改善临床护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Variation in Intensive Pediatric Physical Therapy Practice in the United States: Results From a National Survey.

Purpose: Intensive pediatric physical therapy (PT) programs are increasingly common yet lack a clear definition. This study aimed to examine current practice patterns of intensive pediatric PT in the United States.

Methods: A survey was developed and administered using the FITT (frequency, intensity, time, type) model and Knowledge to Action Cycle for pediatric physical therapists providing intensive PT. Survey respondents included pediatric physical therapists providing intensive physical therapy in outpatient, non-acute settings. Data analysis used descriptive statistics and cluster analysis.

Results: Eighty pediatric physical therapists reported intensive programs involved children aged 4-6 years with cerebral palsy (90%), neuromuscular (78%), and neuromotor (44%) disorders. Greatest dose often-always ranged from 2-5 visits per week, ≤60-120 minute sessions over 3-8 weeks. Top interventions included locomotor training (80%), task-specific training (78%), and progressive resistive exercise (76%). Two clusters were identified based on therapist organization and dose.

Conclusions: This first study of intensive pediatric PT revealed marked variability, underscoring the need for a standardized definition to improve clinical care.

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.