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Physical & Occupational Therapy in Pediatrics

A Hines, A C Bundy, D Black, M Haertsch, M Wallen
AIMS: To examine changes in upper limb function, and performance in everyday tasks, for children with unilateral cerebral palsy who participated in a magic-themed hand-arm bimanual intensive therapy (HABIT). METHODS: Twenty-eight children participated; mean age 10 y 6 mo (SD 2 y 2 mo), n = 15 male and n = 13 female. Using a single group, pre-and post-test design, the magic-themed HABIT was delivered for 60 hours over 10 days. Bimanual and unimanual hand function were measured using the Assisting Hand Assessment (AHA) and Box and Blocks Test (BBT)...
January 16, 2019: Physical & Occupational Therapy in Pediatrics
Deanne Fay, Tawna Wilkinson, A Dawn Anderson, Megan Hanyzewski, Kelli Hellwig, Cherish Meador, Karli Schultz, Janelle Wong
AIMS: The current study assessed whether modifying instructions on the Peabody Developmental Motor Scales, Second Edition (PDMS-2) affected scores in children with typical development. METHODS: The gross motor portion of the PDMS-2 was administered twice, 2-10 days apart, to 38 children. Age- and gender-matched groups received instructions in both standard and modified formats, with order depending on group assignment. RESULTS: Gross Motor Quotient results showed an effect for instruction type (p = ...
January 16, 2019: Physical & Occupational Therapy in Pediatrics
Kimberly D Wynarczuk, Lisa A Chiarello, Kathleen Fisher, Susan K Effgen, Robert J Palisano, Ed J Gracely
AIMS: Individualized goals are the foundation for physical therapy services and outcomes. This research describes school-based physical therapists' (PTs) experiences and perceptions of how student goals impact services and outcomes. METHODS: Twenty school-based PTs participated in one of five semi-structured focus groups on goal development and use. Therapists were recruited from 113 therapists who participated in a study of school-based physical therapy outcomes...
January 15, 2019: Physical & Occupational Therapy in Pediatrics
Sydney Martin, Lisa Cordeiro, Pamela Richardson, Shanlee Davis, Nicole Tartaglia
AIMS: Klinefelter (XXY) and XXYY syndromes are genetic disorders in males characterized by additional sex chromosomes compared to the typical male karyotype of 46, XY. Both conditions have been previously associated with motor delays and motor skills deficits. We aimed to describe and compare motor skills in males with XXY and XXYY syndromes, and to analyze associations with age, cognitive abilities, and adaptive functioning. METHODS: Sixty-four males with XXY and 46 males with XXYY, ages 4-20 were evaluated using the Beery Test of Visual Motor Integration and the Bruininks-Oseretsky Test of Motor Proficiency - 2nd Edition assessments, Vineland-2 adaptive scales, and cognitive testing...
December 28, 2018: Physical & Occupational Therapy in Pediatrics
Dawn James, Jacklin Pfaff, Lynn M Jeffries
AIM: This study aims to systematically examine and map current available evidence describing the benefits of modified ride-on car use for young children with mobility limitations and identify potential applications to occupational and physical therapy practice while illuminating gaps in knowledge to be explored in future research. METHODS: An electronic database search, manual search of bibliographies, contact with existing networks and organizations were used to identify all relevant literature...
December 28, 2018: Physical & Occupational Therapy in Pediatrics
Kamaldeep Gill, Alan Osiovich, Anne Synnes, Jennifer A Agnew, Ruth E Grunau, Steven P Miller, Jill G Zwicker
AIM: To determine concurrent validity between the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-III) and the Peabody Developmental Motor Scales, 2nd edition (PDMS-2). METHODS: Both assessments were administered to 184 preterm children at 18 months corrected age; standard scores for total score, gross motor, and fine motor were calculated for each child. Cross-tabulation and Pearson correlation coefficient (r) determined concurrent validity between the Bayley-III and the PDMS-2 motor domains...
December 12, 2018: Physical & Occupational Therapy in Pediatrics
Tatiana Ogourtsova, Maureen O'Donnell, Annette Majnemer
No abstract text is available yet for this article.
November 20, 2018: Physical & Occupational Therapy in Pediatrics
Mellanie Geijen, Eugene Rameckers, Marlous Schnackers, Carolien Bastiaenen, Andrew Gordon, Lucianne Speth, Rob Smeets
AIM: To examine reproducibility of the arm-hand strength measured while performing the bimanual crate task and the unimanual pitcher task. METHODS: 105 children diagnosed with unilateral Cerebral Palsy, aged between 6 and 18 years, participated in this study. The test-retest reliability of the force generated during bimanual crate task and unimanual pitcher task of the Task-oriented Arm-hAnd Capacity instrument was investigated using intraclass correlation two-way random model with absolute agreement...
November 13, 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
Debra Teitelbaum
Patients and their families have expressed that they want information (Hendricks, 2000) and as a result often turn to Google for health and medical information. Society as a whole is more informed than ever and no longer rely only on medical practitioners as in previous generations. Instead, and rightly so, they question medical experts and want to know the reasoning and rationale behind everything they experience. This combined with the shift towards family-centred principles over the last 20 years underscores the need to provide comprehensive and effective education to families...
October 15, 2018: Physical & Occupational Therapy in Pediatrics
Niamh de Hóra, Louise Larkin, Amanda Connell
AIMS: To examine whether group-based or individual-based treatment programs are more effective for quality of life (QOL) outcomes in children with developmental coordination disorder (DCD). METHODS: A systematic search of the literature was conducted, in accordance with the PRISMA guidelines. Quality of the papers was assessed using the Modified Downs and Black Checklist. Peer-reviewed clinical experimental studies of children diagnosed with DCD with any QOL related outcome measure were included, of all years, languages, and approaches of intervention...
September 28, 2018: Physical & Occupational Therapy in Pediatrics
Pamela Borges Nery, Laurie Snider, José Simon Camelo, Boychuck Zachary, Khodary Fatima, Goldschleger Jessica, Majnemer Annette
Rehabilitation specialists are an integral part of the team in the neonatal intensive care unit (NICU). New approaches to rehabilitation practice in the NICU have evolved over the past decade that aim to promote child health and development. AIMS: The aim of this study was to describe the current roles of the occupational therapist (OT), physical therapist (PT) and speech-language pathologist (SLP) in Canadian NICUs as compared to the roles documented in an earlier national survey conducted 15 years ago...
September 28, 2018: Physical & Occupational Therapy in Pediatrics
Beth Pfeiffer, Shelly Raee Erb, Laura Slugg
AIM: The purpose of this study was to conceptualize the benefits and limitations of using noise-attenuating headphones for children with autism spectrum disorder (ASD) on participation in home, community, and school environments from the perspective of parents and teachers. METHODS: Grounded theory methodology was used to guide data collection and analysis. Ten parents and five teachers of children with ASD and auditory hypersensitivity aged 6-12 completed recorded interviews...
September 28, 2018: Physical & Occupational Therapy in Pediatrics
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