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Physical & Occupational Therapy in Pediatrics

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
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
Tracy Lee, Andrea Norton, Sue Hayes, Keith Adamson, Heidi Schwellnus, Cathy Evans
AIMS: To explore parents' perceptions of their youth's transition from rehabilitation to school following an Acquired Brain Injury (ABI) and how physiotherapy influenced the youth's participation and physical function during the transition. METHODS: The study utilized phenomenological qualitative methodology using semi-structured interviews with 11 parents of youth 10 to 18 years of age recruited from one pediatric rehabilitation hospital in Ontario. Each interview was audiotaped, transcribed verbatim, and thematically analyzed...
January 25, 2017: Physical & Occupational Therapy in Pediatrics
Tracy Kornafel, Elaine Y Tsao, Emily Sabelhaus, Lori Surges, Susan D Apkon
AIMS: The purpose of this case report is to describe the inpatient rehabilitation program of a 13-year-old boy with acute flaccid myelitis (AFM), specific to physical and occupational therapy examination, treatment, and outcomes. CASE DESCRIPTION: AFM is a rare, acute neurologic illness in children and young adults who present with weakness and/or paralysis of unknown etiology. The teenager was admitted to the program, dependent for all mobility and self-care. Interventions focused on range of motion, transfer training, self-care, power wheelchair mobility, and environmental adaptations...
January 17, 2017: Physical & Occupational Therapy in Pediatrics
Lesley Pritchard-Wiart
No abstract text is available yet for this article.
January 12, 2017: Physical & Occupational Therapy in Pediatrics
Ling-Yi Lin, Rong-Ju Cherng, Yung-Jung Chen
AIM: To investigate the effects of touch-screen tablet use on the fine motor development of preschool children without developmental delay. METHODS: 40 children who used a touch-screen tablet more 60 minutes per week for at least 1 month received a 24-week home fine motor activity program using a touch-screen-tablet. 40 children matched for age (mean = 61.0 months) and sex who did not meet the criteria for previous tablet use received a 24-week program consisting of manual play activities...
January 10, 2017: Physical & Occupational Therapy in Pediatrics
Kristin E Musselman, Patricia Manns, Jaclyn Dawe, Rhina Delgado, Jaynie F Yang
AIMS: To evaluate the effectiveness and feasibility (i.e. tolerability, adherence) of functional electrical stimulation (FES) for the upper extremity (UE) in a two-year-old child with perinatal stroke. METHODS: Forty hours of FES over eight weeks was prescribed. FES to the hemiplegic triceps, extensor carpi radialis longus and brevis, extensor carpi ulnaris and extensor digitorum was timed with reaching during play. Assessments were performed before, during, and two months post-intervention...
January 10, 2017: Physical & Occupational Therapy in Pediatrics
Jia Ling Tan, Nicole Maree Thomas, Leanne Marie Johnston
AIMS: Examine the inter-rater reliability of the Daniels and Worthingham (D&W) manual muscle test (MMT) protocol for children with spina bifida between experienced and novice physiotherapists. METHODS: Thirteen children with spina bifida (two males) aged 6 to 18 years were recruited from a spina bifida service in a state-wide tertiary children's hospital. Each child had the muscle strength of 19, and lower limb muscles were measured bilaterally by one experienced and one novice physiotherapist using the D&W MMT protocol...
December 27, 2016: Physical & Occupational Therapy in Pediatrics
Meysam Roostaei, Hamzeh Baharlouei, Hamidreza Azadi, Maria A Fragala-Pinkham
AIMS: To review the literature on the effects of aquatic intervention on gross motor skills for children with cerebral palsy (CP). DATA SOURCES: Six databases were searched from inception to January 2016. REVIEW METHODS: Aquatic studies for children aged 1-21 years with any type or CP classification and at least one outcome measuring gross motor skills were included. Information was extracted on study design, outcomes, and aquatic program type, frequency, duration, and intensity...
December 14, 2016: Physical & Occupational Therapy in Pediatrics
Odochi Nwabara, Cynthia Rogers, Terrie Inder, Roberta Pineda
AIMS: To (1) characterize early therapy services for preterm infants in the first two years of life, and (2) define factors related to accessing early therapy services. METHODS: Therapy utilization after discharge from the neonatal intensive care unit (NICU) was tracked in 57 infants born ≤30 weeks gestation from 2007 to 2010. Participants returned for developmental testing at two years. Factors related to early therapy utilization were explored. RESULTS: Fifty-two (91%) infants received a referral for therapy at NICU discharge but only 44 (77%) received at least one type of therapy during the first two years of life...
December 14, 2016: Physical & Occupational Therapy in Pediatrics
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
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
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
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
Debra Cameron, Tammy Craig, Brydne Edwards, Cheryl Missiuna, Heidi Schwellnus, Helene J Polatajko
AIMS: The results of a small single-case study series suggested that Cognitive Orientation to daily Occupational Performance (CO-OP) may be a successful approach for children with cerebral palsy (CP). Therefore a pilot randomized controlled trial was conducted with the following research questions-is CO-OP a feasible approach to use with children with CP, what are the effects of CO-OP when compared to usual practice, and is a larger study warranted? METHODS: 18 children between age 7 and 12 (nine in CO-OP group and nine in Current Usual Practice Approach (CUPA) group) received ten 1-hour sessions of intervention on average once per week at home...
May 2017: Physical & Occupational Therapy in Pediatrics
Maria Tozzi, R Scott Van Zant
PURPOSE: Describe the rehabilitation, including two episodes of inpatient rehabilitation, early intervention, and outpatient services, of conjoined twins. CASE DESCRIPTION: The patients were 14-month-old female ischiopagus tripus twins that received 3 months of rehabilitation (mobility, feeding, communication, developmental skill training, developing adaptive equipment, educating caregivers) preseparation surgery. Surgery occurred at 24 months. At 27 months, the twins were admitted to inpatient rehabilitation, receiving 4 months of rehabilitation promoting strength, endurance, gait training, feeding, communication, developmental skill training, orthotics, adaptive equipment, and caregiver education...
May 2017: Physical & Occupational Therapy in Pediatrics
Gunvor Lilleholt Klevberg, Sigrid Østensjø, Sonja Elkjær, Ingvild Kjeken, Reidun Birgitta Jahnsen
AIMS: To (1) describe characteristics of current interventions to improve hand function in young children with Cerebral Palsy (CP), and explore factors associated with (2) increased likelihood of hand and ADL training and (3) child benefits of training. METHODS: A cross-sectional design was used with parent-reported data and data from the Norwegian CP Follow-up Program (CPOP). A total of 102 children (53% of the cohort of newly recruited children in the CPOP, mean age: 30...
May 2017: Physical & Occupational Therapy in Pediatrics
Priya Patel, Carl Gabbard
AIMS: While Developmental Coordination Disorder (DCD) has gained worldwide attention, in India it is relatively unknown. The revised DCD Questionnaire (DCDQ'07) is one of the most utilized screening tools for DCD. The aim of this study was to translate the DCDQ'07 into the Hindi language (DCDQ-Hindi) and test its basic psychometric properties. METHODS: The DCDQ'07 was translated following guidelines for cross cultural adaptation of instruments. Parents of 1100 children (5-15 years) completed the DCDQ-Hindi, of which 955 were considered for data analysis and 60 were retested randomly after 3 weeks for test-retest reliability...
May 2017: Physical & Occupational Therapy in Pediatrics
Abbey L Eeles, Joy E Olsen, Jennifer M Walsh, Emma K McInnes, Charlotte M L Molesworth, Jeanie L Y Cheong, Lex W Doyle, Alicia J Spittle
: Neurobehavioral assessments provide insight into the functional integrity of the developing brain and help guide early intervention for preterm (<37 weeks' gestation) infants. In the context of shorter hospital stays, clinicians often need to assess preterm infants prior to term equivalent age. Few neurobehavioral assessments used in the preterm period have established interrater reliability. AIM: To evaluate the interrater reliability of the Hammersmith Neonatal Neurological Examination (HNNE) and the NICU Network Neurobehavioral Scale (NNNS), when used both preterm and at term (>36 weeks)...
February 2017: Physical & Occupational Therapy in Pediatrics
V Prakash, Anjali M Patel, K Hariohm, Robert J Palisano
AIM: Describe and compare the caregiver strain experienced among Indian mothers of children and young adults with cerebral palsy (CP) living in low resource settings. METHODS: 62 consecutive children and young adults with spastic CP (mean age 6.0 ± 4.5, range 2-21) and their parents were recruited from an outpatient physiotherapy department for this cross-sectional study. Ability to walk was classified using the Gross Motor Function Classification System and mother's caregiver strain was measured using caregiver strain index (CSI)...
February 2017: Physical & Occupational Therapy in Pediatrics
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