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Physical & Occupational Therapy in Pediatrics

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https://www.readbyqxmd.com/read/28509591/current-practice-constraints-in-the-uptake-and-use-of-intensive-upper-extremity-training-a-canadian-perspective
#1
Keiko Shikako-Thomas, Darcy Fehlings, Manon Germain, Andrew M Gordon, Doug Maynard, Annette Majnemer
BACKGROUND: Intensive upper extremity training (IUET) has demonstrated efficacy in clinical and functioning outcomes in children with hemiplegia. However, implementation in the clinical context requires novel service models and knowledge translation. AIMS: To map implementation of IUET in Canada, to identify factors associated with the implementation and best practices for implementation. METHODS: Mixed-methods design; descriptive statistics, chi-square tests...
May 16, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28481670/family-quality-of-life-survey-fqols-2006-evaluation-of-internal-consistency-construct-and-criterion-validity-for-socioeconomically-disadvantaged-families
#2
Preethy S Samuel, Wassim Tarraf, Christina Marsack
AIMS: The purpose of this study was to test the psychometric properties of the Family Quality of Life Survey (FQOLS-2006) when used with urban families predominantly from socioeconomically disadvantaged backgrounds. METHODS: Data gathered from 193 family caregivers using the FQOLS-2006 were subjected to reliability analyses, confirmatory factor analyses, and correlational analyses to test the internal consistency of the scales (reliability), factor structure of the scales (construct validity), and convergence between the long and short versions of the tool (criterion validity)...
May 8, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28467140/development-and-validation-of-the-both-hands-assessment-for-children-with-bilateral-cerebral-palsy
#3
Ann-Kristin G Elvrum, Britt-Marie Zethræus, Torstein Vik, Lena Krumlinde-Sundholm
AIMS: To develop a hand function test for children with bilateral cerebral palsy (CP) measuring bimanual performance, including quantification of possible asymmetry of hand use. METHOD: The Both Hands Assessment (BoHA) content was developed through adaptation of the Assisting Hand Assessment (version 5.0). Data from 171 children with bilateral CP, 22-months to 13 years olds (75 females; mean age: 6 years and 6 months) classified at Manual Ability Classification System (MACS) levels I-III, was entered into Rasch measurement model analyses to evaluate internal scale validity and aspects of reliability...
May 3, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28467126/young-children-s-participation-and-environment-measure-swedish-cultural-adaptation
#4
Frida Marie Åström, Mary Khetani, Anna Karin Axelsson
AIM: To culturally adapt and evaluate the psychometric properties of the Young Children's Participation and Environment Measure (YC-PEM) for use by caregivers of Swedish children with and without disabilities, aged 2-5 years. METHODS: Thirteen cognitive interviews and two focus groups with caregivers of children with and without disabilities were conducted to evaluate the cultural relevance of YC-PEM content for use in Sweden. Per participant feedback, a revised version of the Swedish YC-PEM was created and pilot tested with caregivers of children with disabilities (n = 11) and children with typical development (n = 22)...
May 3, 2017: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/28430014/pediatric-oral-motor-feeding-assessments-a-systematic-review
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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/27384880/the-role-of-the-therapist-in-therapeutic-change-how-knowledge-from-mental-health-can-inform-pediatric-rehabilitation
#12
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
#13
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
#14
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
#15
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
https://www.readbyqxmd.com/read/27282077/cognitive-orientation-to-daily-occupational-performance-co-op-a-new-approach-for-children-with-cerebral-palsy
#16
RANDOMIZED CONTROLLED TRIAL
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
https://www.readbyqxmd.com/read/27074592/rehabilitation-of-conjoined-twins-pre-and-postsurgical-separation
#17
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
https://www.readbyqxmd.com/read/27065199/hand-function-in-young-children-with-cerebral-palsy-current-practice-and-parent-reported-benefits
#18
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
https://www.readbyqxmd.com/read/27058012/adaptation-and-preliminary-testing-of-the-developmental-coordination-disorder-questionnaire-dcdq-for-children-in-india
#19
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
https://www.readbyqxmd.com/read/28318401/hand-function-in-a-population-based-sample-of-young-children-with-unilateral-or-bilateral-cerebral-palsy
#20
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
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