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Physical & Occupational Therapy in Pediatrics

Susan Taylor, Sonya Girdler, Sara McCutcheon, Belinda McLean, Richard Parsons, Torbjorn Falkmer, Peter Jacoby, Leeanne Carey, Catherine Elliott
AIMS: Compare haptic exploratory procedures (EPs) and exploratory movements (EMs) of children. This study also tested the interrater reliability of a novel digital recording method. METHODS: Participants were 31 children with typical development (TD) (aged 6 years 1 month to 15 years 9 months; 14 male) and 23 children with spastic unilateral cerebral palsy (CP) (aged 6 years to 15 years 5 months; 13 males; right hemiplegia, n = 12). RESULTS: There were no statistically significant differences between groups for expected EP (p = ...
June 26, 2018: Physical & Occupational Therapy in Pediatrics
Yu-Lun Chen, Hao-Ling Chen, Jeng-Yi Shieh, Tien-Ni Wang
AIMS: Constraint-induced therapy (CIT) is effective, but concerns have been repeatedly raised regarding the generalizability, feasibility, and potentially intrusive nature of restraining a child's unimpaired upper limb. We examined the feasibility and efficacy of friendly-CIT, which uses home-based model, a caregiver-determined schedule, and gentle restraint, in children with cerebral palsy. METHODS: In a one-group pre-post intervention trial, 15 children (median of age = 8 years, 4 months) participated in 8 weeks of friendly-CIT (36 hours)...
June 18, 2018: Physical & Occupational Therapy in Pediatrics
Lin-Ya Hsu, Tracy Jirikowic, Marcia A Ciol, Madisen Clark, Deborah Kartin, Sarah Westcott McCoy
AIMS: The purposes were to examine construct validity of the Motor Planning Maze Assessment (Maze) and three items from the Functional Gait Assessment (FGA) that were modified for children (pediatric modified FGA, pmFGA), by comparing performance of children with DCD and age matched peers with typical development (TD); the construct validity of total scores of the Dynamic Gait Index (DGI) and the FGA. METHODS: Twenty pairs of children with DCD and TD, age from 5 to 12 years, participated in this study...
May 31, 2018: Physical & Occupational Therapy in Pediatrics
Eduardo Vital de Carvalho, Fatima Aparecida Caromano, Priscila Santos Albuquerque Goya, Michele Emy Hukuda, Mariana Callil Voos
AIM: To determine the responsiveness of functional gait assessment of children with Duchenne muscular dystrophy (DMD). METHOD: A total of 160 films of 32 children (mean age: 9.5 ± 2.7) with DMD were scored by the gait domain of the Functional Evaluation Scale - DMD. Children were recorded every 3 months for 1 year (0, 3, 6, 9, and 12 months). Responsiveness was analyzed by the effect sizes (ES) and standardized response means (SRM). RESULTS: Responsiveness was low to moderate at the 3-month interval (ES 0...
May 31, 2018: Physical & Occupational Therapy in Pediatrics
Barbara Kelly, Marilyn MacKay-Lyons, Susan Berryman, Joe Hyndman, Ellen Wood
AIM: To study the effects of single versus serial casting post-Botulinum toxin A (BoNT-A) injections on hypoextensibility of triceps surae in children, 2-7 years old, with cerebral palsy and equinus gait. METHODS: A randomized, stratified, parallel, two-group trial was conducted at a pediatric health center with assessments at baseline, precast, postcast and, 1-, 2-, and 6-month follow-ups. One week following BoNT-A injections into triceps surae muscle, a single below-knee cast (n = 10) or 3 serial casts (n = 10) were applied for 3 weeks...
May 17, 2018: Physical & Occupational Therapy in Pediatrics
Gunfrid V Størvold, Reidun B Jahnsen, Kari Anne I Evensen, Ulla K Romild, Grete H Bratberg
AIM: To examine associations between interventions and child characteristics; and enhanced gross motor progress in children with cerebral palsy (CP). METHODS: Prospective cohort study based on 2048 assessments of 442 children (256 boys, 186 girls) aged 2-12 years registered in the Cerebral Palsy Follow-up Program and the Cerebral Palsy Register of Norway. Gross motor progress estimates were based on repeated measures of reference percentiles for the Gross Motor Function Measure (GMFM-66) in a linear mixed model...
May 1, 2018: Physical & Occupational Therapy in Pediatrics
Kyra J Kane, Joel L Lanovaz, Kristin E Musselman
AIMS: To examine how physical therapists (PTs) use evaluation measures to guide prescription and re-assessment of ankle-foot orthoses (AFOs) for children with CP. METHODS: PTs in Canada who work with children with CP were invited to complete an online survey. Survey questions examined PT evaluation and interpretation of findings at initial AFO prescription and re-assessment. Closed-ended responses were analyzed using descriptive statistics, and a conventional content analysis examined responses to open-ended questions...
April 27, 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
Lavan Sivarajah, Kyra J Kane, Joel Lanovaz, Derek Bisaro, Alison Oates, Ming Ye, Kristin E Musselman
AIMS: The 10-meter walk test (10 mWT) and Timed Up and Go (TUG) are assessments of speed/time with a ceiling effect in pediatric populations. This study aimed to (1) determine whether collecting spatiotemporal data with inertial sensors (Mobility Lab, APDM Inc.) during these tests improves their discriminative validity, and (2) evaluate the clinical feasibility of Mobility Lab. METHODS: Fifteen children with spina bifida (SB) or cerebral palsy (CP) (7.9 ± 3.1 years old) and fifteen age- and sex-matched typically-developing (TD) children completed the 10 mWT and TUG wearing Mobility Lab...
August 2018: Physical & Occupational Therapy in Pediatrics
Chun Yi Lim, Mary Law, Mary Khetani, Peter Rosenbaum, Nancy Pollock
AIMS: To estimate the psychometric properties of a culturally adapted version of the Young Children's Participation and Environment Measure (YC-PEM) for use among Singaporean families. METHODS: This is a prospective cohort study. Caregivers of 151 Singaporean children with (n = 83) and without (n = 68) developmental disabilities, between 0 and 7 years, completed the YC-PEM (Singapore) questionnaire with 3 participation scales (frequency, involvement, and change desired) and 1 environment scale for three settings: home, childcare/preschool, and community...
August 2018: Physical & Occupational Therapy in Pediatrics
Lisbeth Hansen, Katrine Thingholm Erhardsen, Jesper Bencke, Stig Peter Magnusson, Derek John Curtis
AIMS: To assess the live-versus-video, intrarater interday and interrater interday reliability of the test Segmental Assessment of Trunk Control (SATCo), which seeks to estimate the degree of sitting trunk control in children with cerebral palsy (CP). METHOD: Thirty-one children with CP between 9 months and 16 years of age (22 males, mean age 8y 10mo [SD 3y 5mo], Gross Motor Function Classification System level I [n = 13], II [n = 4], III [n = 4], IV [n = 3], and V [n = 7]) were included...
August 2018: Physical & Occupational Therapy in Pediatrics
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)...
August 2018: Physical & Occupational Therapy in Pediatrics
Carlyne Arnould
No abstract text is available yet for this article.
May 2018: Physical & Occupational Therapy in Pediatrics
Tina S Fletcher, Jennifer L Parrish, Michelle L Sherman
AIM: Increasing usage of cultural arts venues by children with special needs has created a need to optimize participation planning. A team of three occupational therapy graduate students and one faculty researcher was invited to provide a local children's theater staff with training for supporting children with special needs. The team aimed to determine how their collaboration with the theater could contribute to understandings of best practices in community participation planning. METHOD: The team participated in theater events, conducted a facility assessment, interviewed staff members with varying role responsibilities, and surveyed staff before and after conducting a participation-planning workshop...
May 2018: Physical & Occupational Therapy in Pediatrics
Barbara Sargent, Masayoshi Kubo, Linda Fetters
AIMS: Preterm infants at increased risk for neurodevelopmental disabilities, including cerebral palsy, demonstrate reduced selective leg joint coordination. Full-term infants demonstrate more selective hip-knee coordination when specific leg actions are reinforced using an overhead infant mobile. The purpose of this pilot study was to determine the ability of preterm infants to: (1) perform and learn through discovery, the contingency between leg action and mobile activation, and (2) demonstrate more selective hip-knee coordination when leg actions are reinforced with mobile activation...
May 2018: Physical & Occupational Therapy in Pediatrics
Karin van Niekerk, Shakila Dada, Kerstin Tönsing, Kobie Boshoff
BACKGROUND: The use of Assistive Technology (AT) by children with disabilities has been associated with significant development and improvement in outcomes within all spheres of life. However, AT is often underutilized. Appropriate selection of AT by rehabilitation professionals could improve the satisfaction of the user and their family with their AT. DATA SOURCES: A systematic search identified six studies that investigate the factors that occupational therapists, physiotherapists, as well as speech and language pathologists perceive to influence their provision of AT to children...
May 2018: Physical & Occupational Therapy in Pediatrics
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