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Physical & Occupational Therapy in Pediatrics

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https://www.readbyqxmd.com/read/28430014/pediatric-oral-motor-feeding-assessments-a-systematic-review
#1
C Barton, M Bickell, S Fucile
AIM: To describe the clinical properties and psychometric soundness of pediatric oral motor feeding assessments. METHODS: A systematic search was conducted using Medline, CINAHL, EMBASE, PsycInfo, and HAPI databases. Assessments were analyzed for their clinical and psychometric characteristics. RESULTS: 12 assessment tools were identified to meet the inclusion/exclusion criteria. Clinical properties varied from assessments evaluating oral-motor deficits, screening to identify feeding problems, and monitoring feeding progress...
April 21, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28426263/using-contingent-reinforcement-to-augment-muscle-activation-after-perinatal-brachial-plexus-injury-a-pilot-study
#2
S V Duff, B Sargent, J J Kutch, J Berggren, B E Leiby, L Fetters
AIM: Examine the feasibility of increasing muscle activation with electromyographically (EMG)-triggered musical-video as reinforcement for children with perinatal brachial plexus injury (PBPI). METHODS: Six children with PBPI (9.3 ± 6.3 months; 5 female, 1 male) and 13 typically developing (TD) controls (7.8 ± 3.5 months; 4 female, 9 males) participated. The left arm was affected in 5/6 children with PBPI. We recorded the integral (Vs) of biceps activation with surface EMG during two conditions per arm in one session: (1) 100 second (s) baseline without reinforcement and (2) 300 s reinforcement (musical-video triggered to play with biceps activation above threshold [V])...
April 20, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28409696/collaborative-occupational-therapy-teachers-impressions-of-the-partnering-for-change-p4c-model
#3
A L Wilson, S R Harris
AIMS: Occupational therapists (OTs) often face barriers when trying to collaborate with teachers in school-based settings. Partnering for change (P4C), a collaborative practice model designed to support children with developmental coordination disorder, could potentially support all students with special needs. Therefore, the aim of this study was to explore how teachers experience OT services delivered using the P4C model to support children with a variety of special needs. METHODS: P4C was implemented at one elementary school in Courtenay, British Columbia...
April 14, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28394674/the-effect-of-visual-environmental-distraction-on-gait-performance-in-children
#4
F Bizama, A Medley, E Trudelle-Jackson, L Csiza
PURPOSE: Identify the effect of visual distraction on gait parameters in children and describe the role of walking experience (WE) in the management of visual distraction. METHODS: Forty-two typically developing children, mean age 43.2 months (SD = 22.9) participated and were divided into three groups according to WE: early walkers (6-11 months of WE), preschool walkers (12-37 months of WE), and experienced walkers (38-79 months of WE). Gait parameters measured under two conditions (no visual distraction and with visual distraction) included: velocity, step length, step width, and double limb support percentage (DLS%) of gait cycle...
April 10, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28375778/impact-of-parent-practices-of-infant-positioning-on-head-orientation-profile-and-development-of-positional-plagiocephaly-in-healthy-term-infants
#5
Amy Leung, Allison Mandrusiak, Pauline Watter, John Gavranich, Leanne M Johnston
AIMS: The influence of infant positioning on the development of head orientation and plagiocephaly is not clear. This study explored the relationship between infant body and head positioning, with the development of asymmetrical head orientation and/or positional plagiocephaly. Methods: Clinician measurement of head orientation profile and parent-reported infant positioning data were collected for 94 healthy term infants at 3, 6, and 9 weeks of age. Plagiocephaly was measured at 9 weeks with the modified Cranial Vault Asymmetry Index...
April 4, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28375682/active-video-gaming-for-children-with-cerebral-palsy-does-a-clinic-based-virtual-reality-component-offer-an-additive-benefit-a-pilot-study
#6
Danielle Levac, Anna McCormick, Mindy F Levin, Marie Brien, Richard Mills, Elka Miller, Heidi Sveistrup
AIMS: To compare changes in gross motor skills and functional mobility between ambulatory children with cerebral palsy who underwent a 1-week clinic-based virtual reality intervention (VR) followed by a 6-week, therapist-monitored home active video gaming (AVG) program and children who completed only the 6-week home AVG program. METHODS: Pilot non-randomized controlled trial. Five children received 1 hour of VR training for 5 days followed by a 6-week home AVG program, supervised online by a physical therapist...
April 4, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28375657/goal-development-practices-of-physical-therapists-working-in-educational-environments
#7
Kimberly D Wynarczuk, Lisa A Chiarello, Catherine L Gohrband
AIMS: The aims of this study were to (1) describe the practices that school-based physical therapists use in developing student goals, and (2) identify facilitators and barriers to development of goals that are specific to participation in the context of the school setting. METHODS: 46 school-based physical therapists who participated in a previous study on school-based physical therapy practice (PT COUNTS) completed a questionnaire on goal development. Frequencies and cross tabulations were generated for quantitative data...
April 4, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28318401/hand-function-in-a-population-based-sample-of-young-children-with-unilateral-or-bilateral-cerebral-palsy
#8
Gunvor L Klevberg, Sigrid Østensjø, Lena Krumlinde-Sundholm, Sonja Elkjær, Reidun B Jahnsen
AIM: To describe aspects of hand function in a population-based sample of young children with clinical signs of unilateral or bilateral cerebral palsy (CP). METHOD: A cross-sectional study with data from national CP registers in Norway. Manual ability was classified with the Manual Ability Classification System (MACS) or Mini-MACS. Hand use in bimanual activities was measured with the Assisting Hand Assessment (AHA) for unilateral CP or the newly developed Both Hands Assessment (BoHA) for bilateral CP...
March 20, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28300461/evaluation-of-serial-casting-for-boys-with-duchenne-muscular-dystrophy-a-case-report
#9
Kate Carroll, Katy de Valle, Andrew Kornberg, Monique Ryan, Rachel Kennedy
AIM: To report the effects of below-knee serial casting in two boys with Duchenne muscular dystrophy who presented with well-preserved strength and calf shortening. METHODS: Bilateral below-knee serial casts were applied over two weeks with follow-up of daily stretching and wearing of customized night splints. Outcome measures were performed at baseline, 1, 3, 6, and 12 months post-casting. These included measures of calf length, leg strength, motor function, endurance, and spatio-temporal gait parameters...
March 16, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28300457/having-fun-and-staying-active-children-with-disabilities-and-participation-in-physical-activity-a-follow-up-study
#10
Per Enok Baksjøberget, Astrid Nyquist, Thomas Moser, Reidun Jahnsen
AIM: This study investigated change in the participation profile of physical activity over 15 months after a three-week intensive rehabilitation that used physical activity as the main intervention. METHODS: The Children's Assessment of Participation and Enjoyment (CAPE) was used in a longitudinal prospective study (pre- and post-design) with three measurements over 15 months. Eighty children with physical disabilities (6-17 years old; mean score 11.1; SD 2.4), some with additional cognitive challenges, completed all three measurements...
March 16, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28296525/learning-experiences-and-strategies-of-parents-of-young-children-with-developmental-disabilities-implications-for-rehabilitation-professionals
#11
Karen Hurtubise, Christine Carpenter
AIM: To better understand the learning experiences of parents of children with developmental disabilities and the strategies they develop to support their caregiving role. METHODS: A qualitative secondary analysis of in-depth interviews with parents of children with developmental disability was conducted to better understand parents' learning experiences and the strategies they developed to use this learning in supporting their children. A foundational thematic analysis process was used to identify the main themes, and the interpretive process was influenced by adult education theories...
March 15, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28266885/the-design-implementation-and-evaluation-of-a-physiotherapist-led-clinic-for-orthopedic-surveillance-for-children-with-cerebral-palsy
#12
Karen Hurtubise, Robin Shanks, Laura Benard
AIM: To describe the development process and the evaluation results of a new physiotherapy-led clinic for orthopedic monitoring of secondary impairments for children with cerebral palsy (CP). METHODS: A new clinic model was developed and implemented, guided by the Framework for the Development of Advanced Practice Roles and the Model for Improvement. Patient visits and wait-time statistics were measured during the implementation phase. Once implemented, an evaluation of the clinic model objectives was conducted...
March 7, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28266881/the-effect-of-bimanual-training-with-or-without-constraint-on-hand-functions-in-children-with-unilateral-cerebral-palsy-a-non-randomized-clinical-trial
#13
Marilyn Cohen-Holzer, Michal Katz-Leurer, Shirley Meyer, Dido Green, Shula Parush
AIM: To compare the effect of bimanual training with or without constraint on manual functions in children with unilateral cerebral palsy (UCP). METHODS: Seventeen children aged 6-11 years with UCP participated in one of two intensive therapeutic camps: bimanual (n = 9) incorporating one hour of constraint ("Hybrid") or Bimanual (n = 8). Each camp met for 2 weeks, 5 days per week for 6 hours each day. The Assisting Hand Assessment (AHA) and the Jebsen Taylor Test of Hand Function (JTTHF) examined bimanual and unimanual functions pre, post- and 3-months post-intervention...
March 7, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28266879/measuring-participation-of-children-and-environmental-factors-at-home-school-and-in-community-construct-validation-of-the-korean-pem-cy
#14
Yunwha Jeong, Mary Law, Paul Stratford, Carol DeMatteo, Cheryl Missiuna
AIMS: To determine construct validity of the Korean Participation and Environment Measure for Children and Youth (KPEM-CY) in South Korea. METHODS: A total of 184 parents of children with (n = 80) and without disabilities (n = 104) aged 5 to 13 years completed the KPEM-CY. Construct validity was analyzed by assessing differences in the participation and environment scores for children with and without disabilities across age and gender. RESULTS: Validity of the KPEM-CY was supported by significant differences in participation and environmental factors for subgroups (p < ...
March 7, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28157417/analysis-of-reach-to-grasp-by-school-aged-children-with-down-syndrome-elucidates-limitations-in-upper-extremity-motor-control
#15
Joanne Valvano, Sara Hogy, Kate Worster, Julie Ma, Nancy Denniston, Patricia Winders, Mary Jane Rapport, Zhaoxing Pan, James J Carollo
AIMS: To identify limitations in preparatory planning (PP) and movement execution that constrain performance of reach-to-grasp (RTG) movements in school-aged children with Down syndrome (DS) and examine the effect of chronological age (CA) on performance. METHODS: Nine children with DS ages 6 to 12 years and nine with typical development (TD) participated in this pilot descriptive study. Three-dimensional kinematic analysis was applied to RTG movements performed in the context of two functional tasks...
February 3, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28129009/normative-two-minute-walk-test-distances-for-boys-and-girls-3-to-17%C3%A2-years-of-age
#16
Richard W Bohannon, Ying-Chih Wang, Deborah Bubela, Richard C Gershon
AIMS: To provide normative reference values for the 2-minute walk test (2MWT) for children and adolescents. METHODS: A population-based sample of 2,631 boys and girls (3-17 years) contributed data to this 2011 study which was part of the NIH Toolbox for the Assessment of Neurological and Behavioral Function Norming Project. The 2MWT was performed over a 50 foot (15.2 meter) out-and-back course. RESULTS: Overall, the mean (standard deviation) distance walked by the participants was 186...
January 27, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27384880/the-role-of-the-therapist-in-therapeutic-change-how-knowledge-from-mental-health-can-inform-pediatric-rehabilitation
#17
REVIEW
Gillian King
The therapist is a neglected and poorly understood variable in pediatric rehabilitation. Much more attention has been paid to the role of intervention on client change than the role of therapist-related variables. This article synthesizes what is known in the adult and child mental health literature about the role of the therapist, and integrates this with work in pediatric rehabilitation. The article reviews the mental health literature on the therapist as a random variable associated with client outcomes (role of the therapist alone) and the role of three other therapist-related constructs: the therapist-client relationship (therapist and client), treatment implementation (therapist and intervention), and therapy process (therapist, client, and intervention considered holistically)...
May 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27314415/reliability-and-construct-validity-of-the-6-minute-racerunner-test-in-children-and-youth-with-cerebral-palsy-gmfcs-levels-iii-and-iv
#18
Eline A M Bolster, Annet J Dallmeijer, G Sander de Wolf, Marieke Versteegt, Petra E M van Schie
AIM: To determine the test-retest reliability and construct validity of a novel 6-Minute Racerunner Test (6MRT) in children and youth with cerebral palsy (CP) classified as Gross Motor Function Classification System (GMFCS) levels III and IV. The racerunner is a step-propelled tricycle. METHODS: The participants were 38 children and youth with CP (mean age 11 y 2 m, SD 3 y 7 m; GMFCS III, n = 19; IV, n = 19). Racerunner capability was determined as the distance covered during the 6MRT on three occasions...
May 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27283785/assisting-hand-assessment-and-children-s-hand-use-experience-questionnaire-observed-versus-perceived-bimanual-performance-in-children-with-unilateral-cerebral-palsy
#19
COMPARATIVE STUDY
Ulrike C Ryll, Carolien H G Bastiaenen, Ann-Christin Eliasson
AIMS: To explore the differences, relationship, and extent of agreement between the Assisting Hand Assessment (AHA), measuring observed ability to perform bimanual tasks, and the Children's Hand-Use Experience Questionnaire (CHEQ), assessing experienced bimanual performance. METHODS: This study investigates a convenience sample of 34 children (16 girls) with unilateral cerebral palsy aged 6-18 years (mean 12.1, SD 3.9) in a cross-sectional design. RESULTS: The AHA and CHEQ subscales share 8-25% of their variance (R(2))...
May 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27282190/comparison-of-the-properties-of-the-handwriting-speed-test-hst-and-detailed-assessment-of-speed-of-handwriting-dash-an-exploratory-study
#20
COMPARATIVE STUDY
Anna Francis, Margaret Wallen, Anita Bundy
BACKGROUND: Handwriting speed is an important component of students' ability to adequately express their ideas, knowledge and creativity in a timely and effective manner. AIMS: Psychometric properties of the Handwriting Speed Test (HST) and Detailed Assessment of Speed of Handwriting (DASH) and accuracy of the norms for identifying current Australian students with handwriting speed difficulties were examined. METHODS: An exploratory, cross-sectional study was conducted involving students, with and without handwriting difficulties, in Years 3-12 (mean age: 12...
May 2017: Physical & Occupational Therapy in Pediatrics
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