Pediatric Physical Therapy最新文献

Purpose: To establish the validity and reliability of the Turkish version of the Seated Postural Control Measure (SPCM-TR) in children with cerebral palsy (CP).

Methods: The original version of the Seated Postural Control Measure was translated and culturally adapted according to international guidelines. The participants were 124 children with CP, with a mean age of 8.6 ± 2.6 years. The measures were administered by 2 independent physical therapists twice, 1 week apart. Convergent validity was evaluated with the sitting dimension of the Gross Motor Function Measure (GMFM), whereas construct validity was evaluated with the Gross Motor Function Classification System (GMFCS).

Results and conclusions: Cronbach's alpha values of the alignment and function subscales and total score were 0.83, 0.89, and 0.91, respectively. Correlations between SPCM-TR total scores and GMFCS (-0.92) and GMFM (0.91) scores were very good. The intraclass correlation coefficient was excellent (0.90) for intra-rater and inter-rater reliability. The results indicate that the SPCM-TR is a valid and reliable scale in children with CP.

Purpose: To offer a consensus for pediatrics clinicians, educators, and researchers on the use of movement system (MS) and review evidence that supports physical therapists (PTs) as movement experts.

Summary of key points: This paper describes the MS and discusses how a MS diagnosis (Dx) can lead to most effective interventions and plans of care (POC) in pediatrics. Three cases illustrate using organized formulation of MS Dxs and how a MS Dx assists in choosing affective interventions for the POC.

Conclusions: Pediatric PTs are movement specialists designing individualized plans of care to meet functional goals in real world conditions. Using consistent terms to establish MS Dx will enable effective communication, and a foundation for interventions across the lifespan.

Recommendations: Adopting MS Dx framework will support and assist students of physical therapy, entry level and experienced clinicians, educators, and researchers with a critical decision-making process for formulating optimal family centered care.

Purpose: To explore the effectiveness of a wheelchair skills (PWC) training intervention provided using the IndieTrainer System.

Methods: This 2-arm, parallel group, single-blinded, pre-test-post-test randomized controlled trial will have 2 groups. Outcomes will be assessed at 3 timepoints. Sixteen child-parent/caregiver dyads will participate in the study. Each child participant will have a diagnosis of severe cerebral palsy (CP), be 5 to 17 years old, and have cause and effect skills. Outcome measures will include the Assessment of Learning Powered mobility use, the Wheelchair Skills Checklist, and the Canadian Occupational Performance Measure.

Impact: Children with severe CP are often dependent on others for mobility. PWC skills training may allow more children to meet the specifications for obtaining their own PWC, thereby maximizing their functional independence.

Purpose: Systematically review current evidence on physical therapy (PT) intervention for developmental coordination disorder (DCD) to inform the update to the 2020 DCD Clinical Practice Guideline (CPG).

Methods: Eight databases were searched for qualitative studies, randomized controlled trials (RCTs) and systematic reviews (SRs) that informed PT management of DCD. Risk of bias and certainty of evidence were assessed.

Results: Sixteen studies were included. Three SRs, 3 RCTs, and 1 qualitative study supported task-oriented interventions, the first-choice intervention recommended by the 2020 DCD CPG. One SR and 7 RCTs supported supplemental activities, including a meta-analysis of 2 studies on active video gaming. One qualitative study informed how physical therapists adapt motor learning strategies for children with DCD.

Conclusion: Newer evidence reaffirms 3 of the 5 recommendations on intervention of the 2020 DCD CPG and adds low to very low-quality evidence on new evidence-informed supplemental activities.

Purpose: Environmental enrichment (EE) represents a dynamic approach to enhance infants' cognitive and motor development through augmented environment with stimulating, novel opportunities. Despite the recognized benefits of EE on neuromotor outcomes, its integration into early physical therapy interventions for infants at risk of neuromotor delays and disabilities remains under-defined and inconsistently applied in standard practice. This gap underscores the necessity for comprehensive guidance to systematically incorporate EE into early intervention programs and daily routines.

Summary of key points: This paper provides a preliminary framework for the integration of EE into the clinical and home environments for infants from birth to 1 year of age.

Recommendations for practice: With the 7 key components of EE, including sensory system stimulation (auditory, proprioceptive, tactile, vestibular, and visual stimulations), cognitive challenges, and social engagement, this framework aims to maximize cognitive and motor development for infants at both pre and post-term age by leveraging the principles of EE(Supplemental Digital Content,Video, available at: http://links.lww.com/PPT/A624 ).

Purpose: To compare the keep moving together (KMT) protocol between telerehabilitation (Tele KMT) or face-to-face (Face KMT).

Methods: A randomized controlled clinical trial, including a goal-oriented training program for gross motor function activities for children/adolescents with cerebral palsy. One group will have supervised sessions with a physical therapist through telerehabilitation while the other will have face-to-face sessions. Both groups will receive sessions supervised only by a caregiver 3 times per week, at home. The KMT protocol is for 12 weeks. The primary outcome will be gross motor function using the Gross Motor Function Measure. Secondary outcomes are mobility, goals achieved, participation, caregivers' satisfaction, and adverse events. Impact statement: If effective, the Tele-KMT may be an alternative when face-to-face interventions are not possible.