Pediatric Physical Therapy最新文献

Purpose: To examine the factors that influence the usability of a video-based mobile application (app) by parents of infants born full-term and preterm.

Methods and procedures: This study enrolled 75 infants born full-term and 47 infants born preterm for the Alberta Infant Motor Scale (AIMS) assessment at ages 4, 6, 8, 10, 12, and 14 months. Their parents were asked to upload home videos of AIMS items using the newly designed Baby Go app at ages 5, 7, 9, 11, and 13 months. Information from the videos will be used for future artificial intelligence modeling. Infant and socioenvironmental variables were examined as potential influencing factors.

Results: Eighty-two parents (67.2%) uploaded 1406 home videos. Multivariate logistic regression analysis revealed that medical issues and the number of children were significantly associated with parental adherence to app use.

Conclusions: Medical issues and having no siblings enhanced parental adherence to video uploading via the app.

Purpose: The purpose of this Special Communication is to provide an overview of portfolio use in health professions education and to describe the potential of a digital electronic portfolio (ePortfolio) to support development and maintenance of pediatric physical therapy essential core competencies. Portfolios have been used in health professions education for formative and summative assessments, particularly for areas difficult to measure such as professionalism, core values, attitudes, and critical thinking.

Summary of key points: With a trend toward competency-based education and updated pediatric core competencies, there is unique benefit in portfolio use across the continuum of practice, from entry-level (Doctor of Physical Therapy) to advanced specialty practice and beyond.

Conclusion: Reflection, a key component of education portfolios, promotes learning through meaning-making and self-assessment toward continued development and growth.

Recommendations for clinical practice: ePortfolios can be flexibly and individually applied across diverse physical therapy education goals to demonstrate learner competency and expertise in pediatric physical therapy.

Purpose: Approximately 250 million children younger than 5 years in low- and middle-income countries are at risk of not reaching their developmental potential, often without access to rehabilitation. A training program was developed to provide physical therapists in Myanmar with the knowledge and skills to deliver family-centered early rehabilitation.

Methods: Participants completed online coursework, discussions, synchronous mentoring sessions, and onsite training for 7 weeks. To assess the effectiveness of the training, participants completed surveys on their self-perception of knowledge and skills related to early rehabilitation at 4 intervals. Focus group interviews were also conducted to allow the participants to discuss their experiences.

Results: There were significant improvements in knowledge and discussed implementation of the new skills in practice with a focus on family education and innovative use of home materials.

Conclusion: The training program effectively enhanced participants' confidence in their ability to implement family-centered interventions using available resources.

Purpose: We report the effectiveness of task-specific walking training for a child with hereditary spastic paraplegia using various orthoses, assistive mobility aids, and tasks.

Summary of key points: A 4-year-8-month-old boy, classified as Gross Motor Function Classification System level IV, had selective dorsal rhizotomy and single-event multilevel surgery. The child began walking training using knee-ankle-foot orthoses and a posterior walker, setting the tasks to be "just right" for improving the child's abilities.

Conclusion: At 6 years and 11 months of age, the child walked using bilateral ankle-foot orthoses and crutches at school, and scores improved on the Canadian Occupational Performance Measure, Gross Motor Function Measure-66, and Functional Mobility Scale.Recommendations for Clinical Practice: Physical therapists need to carefully select the factors involved in walking training based on an assessment and the difficulty level of each child in order to optimize improvements.