Pediatric Physical Therapy最新文献

Purpose: This study analyzed evidence of the impact of physical therapy-directed early mobilization (EM) on hospital and pediatric intensive care (PICU) length of stay, and mechanical ventilation days.

Methods: PubMed and CINAHL were searched through January 2023. Studies included non-neonates through 18 years who participated in an EM program led by a physical therapist. Effect sizes and risk ratios were analyzed. Evidence quality of studies was assessed.

Results: Six high-quality studies met the inclusion criteria. There was a statistically significant effect in the between-group analysis on hospital length of stay, PICU length of stay and mechanical ventilation days.

Conclusions: This systematic review and meta-analysis support implementing EM in PICUs to reduce hospital and PICU length of stay, and mechanical ventilation days. This evidence can inform wider adoption of physical therapy-directed EM in PICUs to benefit infants and improve quality healthcare.

Purpose: The purpose of this study was to explore the experiences of pediatric physical therapists with the implementation and sustainability of pediatric intensive physical therapy (PT) programs in the United States.

Methods: Data were collected from a 35-question survey consisting of multiple choice, Likert scale, and open-ended questions based on the Knowledge to Action Cycle Framework. Mixed methods were used in the data analysis of 2 quantitative questions relevant to implementing and sustaining pediatric intensive PT programs and 4 open-ended questions.

Results: The sample size for quantitative questions was 80 and varied from 29 to 50 for open-ended questions depending on the question.

Identified overarching themes included: Clinicians value intensive programs; "Logistically tough," and Programs require 3 "Fs" for implementation and sustainability - Funding, Flexibility, and Foundational Knowledge.

Conclusions: Pediatric physical therapists value intensive programs. Identified areas for support included formal training, improved research evidence, and institutional support.

Purpose: To evaluate the potential of a task-specific training model to improve sitting through tailored trunk support and incrementally challenging reaching.

Methods: A single-subject AB design with follow-up was conducted with a 20-month-old child with severe postural impairments due to 16p11.2 deletion syndrome and multiple comorbidities. Phase A included 6 baseline assessments during 2 weeks, followed by 15 intervention sessions (Phase B) during 5 weeks, and 4 post-intervention assessments during follow-up. Outcomes included the Segmental Assessment of Trunk Control (SATCo) and the Gross Motor Function Measure (GMFM) sitting dimension. Visual analysis, the 2 standard deviation band method, and C-statistics evaluated change.

Results: SATCo and GMFM scores were stable during baseline but had significant trend changes from baseline to intervention and follow-up phases. Independent sitting skills emerged after the intervention.

Conclusions: Task-specific training tailored to the child's ability by systematically progressing trunk support and reaching practice may promote long-lasting sitting function.

Objective: The aim of the study is to compare the effects of telerehabilitation-based individual and group exercise, with routine treatment on exercise capacity,muscle strength,lung function,lower extremity explosive strength,balance,quality of life,and change in clinical status in people with cystic fibrosis (CF).

Method: Eligible participants aged 8 to 18 years will be randomly allocated into 3 groups;a telerehabilitation-based indiviual or group exercise,and a control group. Exercise capacity,muscle and handgrip strength,spirometry measurements,lower extremity explosive strength,balance, quality of life will be assessed. Adherence rate to exercise programs will be calculated. Change in clinical status for all groups, motivation and enjoyment in the intervention groups will be assessed.

Discussion: Telerehabilitation-based exercise programs can minimize barriers to undertaking exercise in CF. If the current research demonstrates similar effects between group and individual telerehabilitation sessions,and better results compared with routine treatment,physical therapists can integrate group tele-exercises into CF centres. This approach may not only save time, but also enhances participant adherence to exercise programs, producing many overall benefits.

Purpose: The aims of this study are to: (1) identify standardized pediatric outcome measures (OMs) currently taught in professional physical therapist (PT) education; (2) identify standardized pediatric OMs currently used in PT practice; and (3) compare similarities and differences in standardized pediatric OMs taught in professional PT education and those used in PT clinical practice.

Methods: This study used an explanatory, sequential mixed methods design with quantitative data from a descriptive, cross-sectional electronic survey to inform 4 qualitative focus group interviews. Quantitative data were analyzed using a 2-proportion Z-test and descriptive statistics. Qualitative data were analyzed using direct content analysis.

Results: Quantitative and qualitative data were integrated, revealing significant differences between standardized pediatric OMs taught in entry-level PT programs and those used in professional practice.

Conclusions: Improved alignment of standardized pediatric OMs used by both faculty and clinicians could better equip learners for clinical practice.

Purpose: This case report describes the combined use of whole-body vibration (WBV), serial casting (SC), and physical therapy (PT) for a child with hemiplegic cerebral palsy (HCP).

Summary of key points: A 3-year 10-month-old male with HCP was followed for 10 months. Treatment included 9 weeks of SC due to ankle plantarflexion contracture, hypertonicity, poor orthotic tolerance, and gait limitations. WBV was introduced during week 4 to address hypertonicity and poor tolerance of manual therapy. PT sessions included stretching, gait training, and strengthening exercises, integrating SC and WBV into a comprehensive intervention.

Statement of conclusion and recommendations for clinical practice: This is the first report to explore combining WBV and SC within a PT program. WBV was safe and effective, potentially serving as a preparatory activity for SC. Improved orthotic wear tolerance, dorsiflexion range of motion, and gait efficiency suggest potential benefits of this multimodal approach, warranting further research.

Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A657 .