Pediatric Physical Therapy最新文献

Purpose: Pediatric physical therapists care for a diverse population for whom social determinants of health (SDOH) impact health outcomes. This study examines changes in knowledge and behavior following a continuing education course on SDOH.

Methods: This mixed methods study design included participants from a convenience sample of pediatric physical therapists enrolled in a continuing education course in SDOH. Data were collected through surveys, cases, and interviews. Quantitative data were analyzed using descriptive frequencies and comparisons. Qualitative data were analyzed using a grounded theory approach.

Results: Participants significantly improved their knowledge level in all content areas and increased the frequency in which they acted related to many content areas of the course.

Conclusions: This study highlights the ways physical therapists can potentially optimize health outcomes. The findings contribute to the Knowledge to Action framework.

Purpose: This case study highlights team collaboration, individualized interventions, and an inclusive environment to optimize participation in school-aged children with bilateral congenital transfemoral limb loss.

Summary of key points: Two students with bilateral transfemoral limb loss diagnosed with fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) achieve independence in mobility through collaborative goals and strategies following the International Classification of Functioning Disability and Health Model and a clinical practice guideline published by the US Department of Veterans Affairs and the US Department of Defense. The educational team, including the physical therapist, supports students' mobility and participation using individualized interventions.

Conclusion: The collaborative approach supports the students' complexities and participation with framework-guided strategies. An inclusive school creates a community for students to develop autonomy, self-reliance, and independence.

Recommendations for clinical practice: These cases serve as a model for integrating clinical practice guidelines into best practices for physical therapy in the school setting.

What this adds to evidence: This is the first documented case study of children with FATCO and school-based practices.

Purpose: This case report describes the feasibility, acceptance, and satisfaction associated with community-based implementation of a novel upper extremity (UE) training program using a joystick-operated powered ride-on toy with an 8-year-old male child with unilateral cerebral palsy(UCP).

Summary of key points: The 8-session, 1 month training program was feasible to implement in collaboration with the child's caregiver, was enjoyable and well-accepted by the child and his caregiver and associated with improvements in the child's affected UE motor function on participant-report and video-based measures.

Conclusion and recommendations for clinical practice: Ride-on toys are versatile, easy-to-operate, family-friendly tools that can be used across a variety of naturalistic settings. Intervention programs using joystick-operated ride-on toys may be used to create intrinsically motivating training opportunities to encourage children with UCP to spontaneously use their affected UE for task-oriented sensorimotor exploration of their physical environment and improve movement control in the affected UE.

Purpose: This study determines the inter- and intra-rater reliability and convergent validity of the Canadian Agility and Movement Skill Assessment (CAMSA) for children with critical congenital heart disease (CCHD).

Methods: Forty-one children aged 7 to 10 with CCHD were recruited from the Wilhelmina Children's Hospital, Utrecht. The CAMSA and Movement-ABC-2 (M-ABC-2) were assessed concurrently. Four raters independently scored video recordings of the CAMSA at 2 moments at a 2-week interval.

Results: The inter- and intra-rater reliability of the CAMSA was excellent with an ICC of 0.94 and 0.95, respectively. A nonstatistically significant trend was found between the CAMSA and the M-ABC-2.

Conclusions: The CAMSA is a reliable measurement for assessing complex motor skills in children aged 7 to 10 with CCHD. The convergent validity between the CAMSA and M-ABC-2 was nonsignificant suggesting these 2 tests measure different motor constructs.

Purpose: To compare the participation ratings between children with special educational needs and their primary caregivers and investigate the activities children desire to change and their participation-based goals.

Methods: Twenty children with special educational needs aged 8 to 12 years were interviewed using the Functioning Scale of the Disability Evaluation System-Child to measure participation frequency and independence and select desire-to-change activities. The International Classification of Functioning, Disabilities, and Health-based Collaborative Problem Solving was used to form participation-based goals.

Results: Children reported participation differently from their primary caregivers. Nineteen children identified desire-to-change activities mostly related to the home and community settings and indicated a desire to change participation frequency. Children's participation-based goals reflected their desires to do their preferred activities more often.

Conclusions: Children with special educational needs had unique perspectives different from those of their caregivers, and they could identify desired activities and set participation goals with semi-structured methods.

Purpose: A workforce shortage exists within pediatric physical therapy (PT) which is likely contributing to limited access to services for children. The purpose of this study was to investigate the factors associated with a physical therapist's decision to practice pediatrics.

Methods: Pediatric physical therapists completed an online questionnaire investigating the level of perceptions and influences associated with the choice to practice pediatrics.

Results: Participants (80%) chose their pediatric practice before or during their professional education and participated in a full-time pediatric clinical experience. The perception of pediatric PT was more positive in items representing clinical care, mentorship, and education. Factors that positively influenced participants' choice of the pediatric practice were clinical care, mentorship, education, and personal/professional.

Conclusions: Results will guide students, faculty, and mentors to understand factors that influence the choice of pediatric PT and help mitigate the workforce shortage.