Τα νέα του Pediatric Physical Therapy Journal

Εγγραφή στο Ροή Τα νέα του Pediatric Physical Therapy Journal Τα νέα του Pediatric Physical Therapy Journal
Pediatric Physical Therapy is the first and only peer-reviewed journal devoted to this discipline. The Journal provides a forum for scientific and professional exchange among researchers and practitioners throughout the world that represent subspecialties of the discipline, including early intervention, neonatology, pediatric sports and fitness, school physical therapy, acute care for seriously ill children, and the prevention of primary and secondary conditions that lead to disabling conditions. Official Journal of APTA Pediatrics, an Academy of the American Physical Therapy Association, The Dutch Association for Pediatric Physical Therapy, Physiotherapia Paediatrica, The New Zealand Society of Physiotherapists Pediatric Special Interest Group, and The Pediatric Division of the Canadian Physiotherapy Association.
Ενημερώθηκε: πριν από 1ημέρα 4 ώρες

Our Hope Does Spring Eternal!

Παρ, 01/04/2022 - 08:00
No abstract available

Infants With Torticollis Who Changed Head Presentation During A Physical Therapy Episode

Παρ, 01/04/2022 - 08:00
Purpose: The purpose of this study is to describe infants with congenital muscular torticollis (CMT) who changed head presentation during an episode of physical therapy. Methods: Data were extracted from electronic medical records between January 2015 and December 2018 to describe infants with CMT who changed presentation. Results: Eighty-nine infants met criteria (predominantly male, non-Hispanic, White, with private insurance). Torticollis symptoms were noticed by 3 months in 90% of infants with a physical therapy examination before 6 months in 100% of infants. Most infants had early mild CMT with abnormal head shape and greater limitation in active cervical range of motion (ROM) than passive cervical ROM. Clinicians frequently recommended weekly physical therapy that included first- choice and supplemental interventions. Episodes of care averaged 7 visits over 64 days with 73% of infants meeting goals. Conclusion: Physical therapists should recognize that infants with CMT may change presentation but benefit from physical therapy to resolve symptoms. Digital Abstract available at: http://links.lww.com/PPT/A366

Tool Use for Early Detection of Cerebral Palsy: A Survey of Spanish Pediatric Physical Therapists

Παρ, 01/04/2022 - 08:00
Purpose: The purpose of this study was to assess the use of diagnostic assessment tools in pediatric physical therapy practice in Spain. Best practice recommendations indicate the timely use of key assessment tools to reduce the age of diagnosis of cerebral palsy (CP). Methods: Pediatric physical therapists currently working in Spain in early intervention were recruited through targeted physical therapy entities. They were invited to complete the purpose-developed electronic survey, consisting of 45 multiple-choice questions, with 5 thematic blocks. Results: Results from 140 anonymous respondents were analyzed. The average reported age when CP was suspected was 12.6 months. Most used the child's clinical history (88.1%), the Alberta Infant Motor Scale (41.3%), and Vojta Assessment Procedure (32.1%) to assess and detect CP. General Movements Assessment (25.7%) and Hammersmith Infant Neurological Examination (28.4%) were used infrequently. Conclusions: Currently, pediatric physical therapists in Spain rely on clinical history and outdated tools to identify children with CP. Digital Abstract available at: http://links.lww.com/PPT/A361 (English). Digital Abstract available at: http://links.lww.com/PPT/A362 (Spanish).

Characteristics of Interventions to Improve Bone Health in Children With Cerebral Palsy: A Systematic Review

Παρ, 01/04/2022 - 08:00
Purpose. A systematic review evaluated exercise parameters and ages that produced the most improvement in bone among individuals with cerebral palsy (CP) ages 3 to 21 years. Methods. PubMed, Scopus, Ebscohost, and Web of Science identified potential articles. Covidence was used to identify eligible citations and assess bias. The osteogenic index (OI) was used to evaluate intervention parameters. Results. The database search identified 312 citations. Twelve full-text articles were included. A 1-hour calisthenic exercise program performed 2 to 3 times a week for 8 months targeting each body region had the highest effect size and a substantial OI. Most of the interventions reviewed had low OIs. Activities of longer duration and greater intensity had greater OIs and prepubertal age-enhanced treatment effects. Conclusion. Bone interventions for individuals with CP have low OIs, and principles of mechanostat theory should be applied to exercise dosing.

Prevalence of Gastroesophageal Reflux Disease in Infants With Congenital Muscular Torticollis: A Prospective Cohort Study

Παρ, 01/04/2022 - 08:00
Purpose: Clinical experience suggests that gastroesophageal reflux disease (GERD) occurs commonly in infants with congenital muscular torticollis (CMT). However, this is an understudied topic and prospective studies are absent. We determine the prevalence of GERD in infants with CMT, comparing clinical characteristics between CMT infants with and without GERD, and identifying infants with potentially undiagnosed GERD. Methods: A prospective cohort study of 155 infants with CMT younger than 12 months with and without GERD was evaluated by pediatric physical therapists. Results: GERD prevalence was 30.3%, including 6 (3.9%) infants with undiagnosed GERD. Demographic and clinical characteristics were similar in CMT infants with and without GERD. Conclusions: This is the first prospective cohort study determining the prevalence of GERD in infants referred for evaluation of CMT. Further prospective studies are needed to determine whether early intervention and treatment of GERD improves outcomes in infants with CMT (see Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A369).

Effect of Contingency Paradigm–Based Interventions on Developmental Outcomes in Young Infants: A Systematic Review

Παρ, 01/04/2022 - 08:00
Purpose: The purpose of this systematic review was to identify controlled trials evaluating the efficacy of contingency paradigm–based interventions to improve feeding, motor, or cognitive outcomes during the first year of life. Summary of Key Points: Seventeen studies, including 10 randomized controlled trials, incorporating contingency paradigm–based interventions were identified. Three of 3 trials reported improvements in nutritive sucking using pacifier-activated lullaby in preterm infants before term age. Seven of 12 trials reported improvements in reaching, manual exploration, and kicking behaviors in term and preterm infants; and 6 of 10 trials reported gains in early cognition using sticky mittens and contingent toys. Conclusion and Recommendations for Clinical Practice: Contingency paradigm–based interventions can improve feeding outcomes in the neonatal intensive care unit in very preterm infants, and increase reaching, and perceptual-cognitive behaviors in term infants. Future research is needed to establish contingency paradigms as an effective early intervention strategy. What This Adds to the Evidence: This review synthesizes a body of literature on contingency paradigm-based interventions and highlights its potential paradigm–based interventions to improve developmental outcomes in infants.

The Short-term Effects of Hippotherapy and Therapeutic Horseback Riding on Spasticity in Children With Cerebral Palsy: A Meta-analysis

Παρ, 01/04/2022 - 08:00
Purpose: We systematically reviewed the short-term effects of hippotherapy and therapeutic horseback riding (THR) on lower-limb muscle spasticity in children with cerebral palsy (CP). Methods: PubMed, EMBASE, Cochrane Library, and Google Scholar databases were searched for relevant quantitative studies. Treatment effects were coded using the Ashworth scale (AS) or modified Ashworth scale (MAS) in pre- and posttreatment evaluations. Of the 73 studies identified initially, 7 met the inclusion criteria. Results: Treatment was associated with positive effects on lower-limb muscle spasticity, as supported by the AS or MAS scores. However, repeated trials did not show a statistically significant difference from a single trial (Q = 2.95, P = .086). Conclusion: Hippotherapy and THR can be used to treat lower-limb muscle spasticity in children with CP. However, repeated sessions did not show a better effect in reducing spasticity. What this adds to the evidence: This is the first meta-analysis to confirm that hippotherapy or THR can reduce lower-limb muscle spasticity in children with CP in the short term, but long-term effects on function still require further studies.