Physical Therapy Dose After Orthopedic Multilevel Surgery Varies by Ambulatory Status in Children With Cerebral Palsy: A Pilot Study.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-10 DOI:10.1097/PEP.0000000000001153

Kelly Greve, Amy F Bailes, Nanhua Zhang, Jason Long, Bruce Aronow, Alexis Mitelpunkt

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Abstract

Purpose: To characterize physical therapy (PT) dose for children with cerebral palsy (CP) after multi-level surgery (MLS) and examine variation by ambulatory status and surgical burden.

Methods: PT dose (Frequency, Intensity, Time, Type) data were extracted from electronic records of children with CP who received outpatient PT the year after MLS.

Results: Seventeen children, mean 9 years, female (n=10), ambulatory (n=10), and high surgical burden (n=12) were included. In the year after surgery, 345 visits occurred. Intensity across visits was above average. Time was greatest for pre-functional activities, gait, and transitions/transfers. Types most often delivered were neuromuscular, musculoskeletal, and education/training. Ambulatory children received significantly more visits, higher intensity, and time in pre-functional activities and gait than non-ambulatory children. No differences in type by ambulatory status and PT dose by surgical burden were found.

Conclusion: PT dose varied the first year after MLS indicating the need for guidelines by ambulatory status.

Video abstract: Supplemental Digital Content available at: http://links.lww.com/PPT/A516.

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脑瘫儿童矫形多平面手术后的物理治疗剂量因活动状况而异：一项试点研究

目的：描述多水平手术（MLS）后脑瘫患儿的物理治疗（PT）剂量，并研究不同活动状态和手术负担的差异：从多水平手术后一年内接受门诊物理治疗的 CP 患儿的电子记录中提取物理治疗剂量（频率、强度、时间、类型）数据：结果：共纳入 17 名患儿，平均年龄 9 岁，女性（10 人），非卧床（10 人），手术负担重（12 人）。术后一年内，共就诊 345 次。每次探视的强度都高于平均水平。功能前活动、步态和转换/转移的时间最长。最常提供的类型是神经肌肉、肌肉骨骼和教育/训练。与不行动的儿童相比，行动自如的儿童在功能前活动和步态方面接受的治疗次数明显更多，强度更高，时间更长。结论：MLS术后第一年的PT剂量存在差异，这表明有必要根据非卧床状态制定相关指南。视频摘要：补充数字内容可在以下网站获取：http://links.lww.com/PPT/A516。

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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.