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Physical & Occupational Therapy in Pediatrics

Tram Nguyen, Robert J Palisano, Ian Graham
Engaging youth with disabilities and families in research is critical in facilitating knowledge utilization to impact processes and outcomes of services and interventions. Organizations such as INVOLVE in the United Kingdom, the Canadian Institutes of Health Research and the Patient-Centered Outcomes Research Institute in the United States advocate for engaging stakeholders in all aspects of the research process. Despite these efforts, there is a need for research to identify best practices and approaches for stakeholder engagement in research as current descriptions around processes are lacking...
September 14, 2018: Physical & Occupational Therapy in Pediatrics
Claire Marcroft, Ayaka Tsutsumi, Janice Pearse, Pat Dulson, Nicholas D Embleton, Anna P Basu
AIM: To determine current UK pediatric physiotherapist (PT) and occupational therapist (OT) management of perinatal stroke. DESIGN: Web-based cross-sectional survey. METHODS: Participants were members of the Association of Paediatric Chartered Physiotherapists and Occupational Therapists specialist section: children young people and families working with infants. Items covered prioritization of referrals, assessments, therapy approaches aimed at the upper limb, and parental support...
September 13, 2018: Physical & Occupational Therapy in Pediatrics
Evelina Pituch, Paula W Rushton, Myriame Ngo, Jessica Heales, Alexandra Poulin Arguin
AIM: In Québec, Canada, the prevalence of children using powered mobility (PM) is not reflective of evidence supporting its use and for achieving developmental milestones. The aim of this study was to explore the perceptions of four key stakeholder groups in a metropolitan area regarding daily use, barriers, facilitators, and clinical practice associated with use of PM. METHODS: Using convenience sampling, semi-structured qualitative interviews were conducted with children (n = 6), parents (n = 2), rehabilitation center occupational therapists (OTs; n = 4), and special needs school-based OTs (n = 6)...
September 11, 2018: Physical & Occupational Therapy in Pediatrics
Adam J Swatt, Ariel E Schwartz, Jessica M Kramer
AIMS: There is a need to develop self-reports that measure youth's responsibility for major life tasks. We examined if the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test's (PEDI-CAT) operationalization of responsibility is salient to youth with developmental disabilities (DD). The PEDI-CAT defines responsibility as, "the extent to which the young person…take[s] control over organizing and managing major life tasks." METHODS: During six focus groups (n = 43), youth generated examples of behaviors and actions that demonstrated responsibility...
September 11, 2018: Physical & Occupational Therapy in Pediatrics
Angela Shierk, A Cecilia Jiménez-Moreno, Heather Roberts, Shirley Ackerman-Laufer, Gretchen Backer, Rachel Bard-Pondarre, Cigdem Cekmece, Weronika Pyrzanowska, Claire Vilain, Mauricio R Delgado
AIMS: To create a standardized home exercise therapy program that could be implemented by international sites to provide a consistent level of therapeutic intervention for pediatric patients participating in an ongoing Phase-III, randomized, controlled trial of repeat abobotulinumtoxinA injections for pediatric upper limb spasticity (NCT02106351). METHODS: Physical therapists, occupational therapists, and medical doctors worked collaboratively to design an exercise therapy program to be implemented in the home setting...
September 11, 2018: Physical & Occupational Therapy in Pediatrics
Batel Wachspress, Adina Maeir, Tal Mazor-Karsenty
The Parentship protocol is a short-term intervention program in occupational therapy for parents of adolescents with High-Functioning Autism Spectrum Disorder (HFASD). Its purpose is to promote parental resilience and enhance adolescents' participation in daily life. AIMS: To explore and analyze the perceptions of occupational therapists and parents of individuals with HFASD, regarding the content of the protocol and its theoretical framework. METHODS: Implementation of a phenomenological qualitative approach using two focus groups (six occupational therapists and five parents)...
September 6, 2018: Physical & Occupational Therapy in Pediatrics
Mihee An, Robert J Palisano, Chung-Hwi Yi, Lisa A Chiarello, Carl J Dunst, Edward J Gracely
AIM: To determine whether a collaborative intervention process facilitates parent-therapist interactions. METHODS: Participants were 18 children with physical disabilities, their mothers, and 16 physical therapists. Therapists randomized to the experimental group were instructed in strategies for collaboration (working together) with parents in goal setting, planning, and implementing interventions. Family-therapist dyads participated in 6 weekly sessions. Four sessions were videotaped and combined (1st and 2nd for goal-setting/planning, 3rd and 5th for implementation) to code behaviors using Response Class Matrix...
August 20, 2018: Physical & Occupational Therapy in Pediatrics
Jeri Hahn-Markowitz, Itai Berger, Iris Manor, Adina Maeir
AIM: The family context of children with ADHD plays a role in intervention outcomes, especially when parents are involved in treatment. Parental participation in evidence-based treatment for ADHD may play a role in improving their own parenting self-efficacy (PSE) as well as child outcomes. This study examined the impact of Cognitive-Functional (Cog-Fun) intervention in occupational therapy (OT) for school-aged children with ADHD, on PSE. METHODS: In this randomized controlled trial with crossover design, 107 children were allocated to intervention and waitlist control groups...
November 2018: Physical & Occupational Therapy in Pediatrics
Hazel Killeen, Agnes Shiel, Mary Law, Donough J O'Donovan, Ricardo Segurado, Dana Anaby
AIM: To examine the extent to which personal factors (age, socioeconomic grouping, and preterm birth) and adaptive behaviour explain the participation patterns of young children. METHODS: 65 Children 2-5 years old with and without a history of preterm birth and no physical or intellectual disability were selected by convenience sampling from Galway University Hospital, Ireland. Interviews with parents were conducted using the Adaptive Behaviour Assessment System, Second Edition (ABAS-II) and the Assessment of Preschool Children's Participation (APCP)...
November 2018: Physical & Occupational Therapy in Pediatrics
Gerasimos Taflampas, Cherry Kilbride, Wendy Levin, Grace Lavelle, Jennifer M Ryan
OBJECTIVES: To describe physiotherapy management to improve or maintain lower-limb function among adolescents with cerebral palsy, classified in Gross Motor Function Classification System levels I-III, in the United Kingdom (UK). METHODS: A list of interventions was identified using a nominal group technique and developed into a survey, which was distributed to approximately 2,100 pediatric physiotherapists in the UK through the Association of Pediatric Chartered Physiotherapists and a private physiotherapy clinic in London between April and June 2015...
November 2018: Physical & Occupational Therapy in Pediatrics
F Virginia Wright, Chun Ying Lam, Bhavnita Mistry, Joan Walker
AIMS: The Challenge was designed as an extension to the GMFM-66 to assess advanced motor skills of children with cerebral palsy (CP) who walk/run independently. This study evaluated the Challenge's inter-rater and test-retest reliability. METHODS: Thirty children with CP (GMFCS level I [n = 24] and II [n = 6]) completed the Challenge, with re-testing one to two weeks later. Seven physiotherapist assessors passed the Challenge criterion test pre-administration. A single assessor administered and scored test and retest sessions (test-retest reliability)...
November 2018: Physical & Occupational Therapy in Pediatrics
Hannah Wells, Jodie Marquez, Luke Wakely
AIMS: To conduct a systematic review asking, does garment therapy improve motor function in children with cerebral palsy? METHODS: A systematic review with meta-analysis was conducted to review the literature. Inclusion criteria involved the wearing of therapy suits/garments in children with cerebral palsy. The primary outcome of interest was movement related function and secondary outcomes included impairment, participation, parental satisfaction and adverse outcomes of garment wear...
November 2018: Physical & Occupational Therapy in Pediatrics
Ya-Ching Hung, Claudio L Ferre, Andrew M Gordon
AIMS: To evaluate the effects of home-based intensive bimanual training for children with unilateral spastic cerebral palsy (USCP) on bimanual coordination using 3-D kinematic analyses. METHODS: Seven children with USCP (aged 29-54 months, MACS level: I-III) received 90 hours (2 hrs/day, 5days/week for 9 weeks) of Home Hand-Arm Bimanual Intensive Training (H-HABIT) provided by trained caregivers. A bimanual drawer-opening task was evaluated with eight infrared cameras using VICON workstation4...
November 2018: Physical & Occupational Therapy in Pediatrics
Nihad A Almasri, Mihee An, Robert J Palisano
AIMS: Understanding parent perceptions of family-centered care (FCC) is important to improve processes and outcomes of children's services. OBJECTIVE: A systematic review and meta-analysis of research on the Measures of Processes of Care (MPOC-20) were performed to determine the extent parents of children with physical disabilities perceive they received FCC. METHODS: A comprehensive literature search was conducted using four databases. A total of 129 studies were retrieved; 15 met the criteria for the synthesis...
November 2018: Physical & Occupational Therapy in Pediatrics
Barbara E Gibson, Bhavnita Mistry, F Virginia Wright
AIMS: This article describes a qualitative study aimed at producing child-centered guidelines for the administration of a measure of children's advanced gross motor skills, the Challenge. The purpose of the guidelines is to promote collaborative interpretation and application of results. METHODS: The study was conducted in three Canadian cities and included 31 children with cerebral palsy (GMFCS Level I or II) ages 8 to 18 and one parent/caregiver per child (N = 62 participants)...
November 2018: Physical & Occupational Therapy in Pediatrics
Claire Kerr, Steven J Bowe, Koki Miyazaki, Christine Imms
AIM: To understand whether knowledge translation activities are effective, good measurement of practice is required. This study investigated the psychometric properties of a self-report measure of allied health practitioner (AHP) evidence-based behaviors when working with children with cerebral palsy. METHODS: Construct validity and reliability studies were undertaken for the 12-item Evidence Based Practice Competency Questionnaire - Cerebral Palsy (EBP-CQ-CP) using the Consensus-based Standards of Measurement Instruments methods...
August 2018: Physical & Occupational Therapy in Pediatrics
Marina B Brandão, Marisa C Mancini, Claudio L Ferre, Priscilla R P Figueiredo, Rachel H S Oliveira, Shirley C Gonçalves, Miriam C S Dias, Andrew M Gordon
AIM: We compared the efficacy of hand-arm bimanual intensive training (HABIT) in two doses (90 vs. 45 hours) and two schedules of the same dose (90 vs. 2 × 45 hours) on hand and daily functioning. METHOD: Eighteen children with unilateral cerebral palsy were randomized to receive 6 hours of daily training over 3 weeks, totaling 90 hours (Group 90, n = 9) or receive 6 hours of daily training over 1.5 weeks, totaling 45 hours (Group 2 × 45, n = 9). After 6 months, Group 2 × 45 received an additional 45 hours...
August 2018: Physical & Occupational Therapy in Pediatrics
Lauren M Little, Evan Dean, Scott Tomchek, Winnie Dunn
AIMS: The purpose of this study was to examine sensory processing in children ages 3-14 years with autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and typical development (TD) using the Sensory Profile 2nd Edition (Dunn, 2014). METHODS: Participants included 239 children (ASD = 77; ADHD = 78; TD = 84) matched on age and gender. Multivariate analysis of covariance was used to compare the extent to which the three grsoups differed on sensory processing patterns (i...
August 2018: Physical & Occupational Therapy in Pediatrics
Eileen Ricci, Christa Einspieler, Alexa K Craig
AIMS: To pilot the practicality of administering the Prechtl General Movements Assessment of infants (GMA) in the Neonatal Intensive Care Unit (NICU) setting and at home to infants at risk for developing cerebral palsy (CP). Additional aims included assessing inter-rater reliability and comparing GMA predictions to AIMS motor assessment at 12 months. METHODS: 12 "at risk" infants were recruited by convenience sample. Video recordings were obtained in the NICU and provided by parents after discharge...
August 2018: Physical & Occupational Therapy in Pediatrics
Parimala S Kanagasabai, Brigit Mirfin-Veitch, Leigh A Hale, Hilda Mulligan
AIMS: Children are increasingly included in qualitative research and new methods for interviewing children are emerging. The aim of this article is to describe and discuss the strategies of a child-centered method of data collection for interviewing children with movement impairments to explore their leisure participation experiences. METHODS: A study was conducted using an Interpretative Phenomenological Approach (IPA) to explore leisure participation experiences of children with movement impairments aged 6 to 12 years...
August 2018: Physical & Occupational Therapy in Pediatrics
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