Pediatric Physical Therapy最新文献

Purpose: To investigate the responsiveness of the patient-reported outcome measure pediatric physical therapy (PROM-ppt), a questionnaire used to also stimulate shared decision making in Dutch pediatric physical therapy practices.

Methods: Children completed the PROM-ppt at intake and 3 months after intervention or post-intervention. Reported problems were categorized as motor or pain related goals for intervention. Responsiveness was examined to test the a priori hypotheses and area under the curve (AUC). The Global Perceived Effect scale was used for comparison.

Results: Overall, the hypotheses were confirmed in 60% of the cases with adequate AUCs. In children with motor problems, 80% of the hypotheses were matched, with adequate AUCs. In children with pain related problems, 40% of the hypotheses were matched, with inadequate AUCs.

Conclusion: The PROM-ppt had moderate responsiveness in the pediatric population, good responsiveness in children with interventions for motor problems, and poor responsiveness to pain related problems.

Purpose: The purpose of this case series was to explore the feasibility and impact of a 3-week activities-based locomotor training (AB-LT) program on functional activities and neurophysiological adaptations in 5 children with cerebral palsy (CP).

Methods: Children, aged 2-6 years who were classified as Gross Motor Function Classification Scale levels III or IV, participated in the intervention 5 days per week for 3 hours per day. The Gross Motor Function Measure-66 (GMFM-66) and functional near-infrared spectroscopy neuroimaging were performed pre- and post-intervention.

Results: After AB-LT, increases in GMFM-66 scores were observed for Children 1 (Δ3.3), 2 (Δ5.6), 4 (Δ1.8), and 5 (Δ1.3), beyond expected natural progression. A reduction in total hemoglobin activation and increased neural demand was observed. Child 3 had minimal functional changes with no observed neurophysiological adaptations.

Conclusions: The 3-week AB-LT regimen is a short duration, high-intensity program with the potential to benefit children with CP.

Purpose: Intrauterine constraint factors such as multiparity and breech presentation at birth have been associated with congenital muscular torticollis (CMT). The literature lacks evidence linking these factors to CMT severity. The purpose of this study is to determine how birth weight, length, presentation, sex, and delivery factors associate with CMT severity. A secondary purpose is to correlate severity with CMT direction and age at physical therapy evaluation.

Methods: Researchers relied on a clinical outcome database of 1239 infants ≤6 months diagnosed with CMT to examine how birth weight, length, breech positioning, sex, multiparity, and delivery method relate to CMT severity.

Results: Breech presentation was the only factor associated with torticollis severity. Infants with >30° of cervical tightness were more likely to be younger at evaluation and have a right torticollis.

Conclusions: The increased likelihood of CMT severity with breech presentation at birth can guide pediatric physical therapists in prognostics.

Purpose: The aim of this article is to characterize parents' use of containers and determine whether it relates to infants' development or body mass index (BMI).

Methods: A cross-section of parents with infants under 19 months completed a survey reporting their use of containers and infants' height and weight; parents also completed the Ages and Stages Questionnaire (ASQ-3). Descriptive and correlation analyses were used to describe parents' container use and evaluate whether container use was related to ASQ-3 scores or BMI.

Results: Parents reportedly used containers for 5.15 hours daily. More time reported in containers overall was associated with poorer fine motor scores. Longer bouts in positional pillows were associated with poorer gross motor development.

Conclusion: Providing enhanced fine motor opportunities may be important for families using containers more often. Reported container use was higher than professionals typically recommend, yet did not relate to obesity or delayed development in most domains, an important consideration when updating recommendations for parents.