Pediatric Physical Therapy - Pediatric Physical Therapy Podcast

In this Spring 2013 podcast for Pediatric Physical Therapy: Exercise-Deficit Disorder in youth, the Fitkids exercise therapy program in the Netherlands, postural compensations due to backpack loads in schoolchildren, and more!

Interviews in this edition:
1. Andrea Baraldi Cunha, Research Associate, Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE. Title: “A Novel Means-End Problem-Solving Assessment Tool for Early Intervention: Evaluation of Validity, Reliability, and Sensitivity” Introduction: A new, simple tool could potentially help screen for motor delay quickly and easily. The “Means-End Problem-Solving Assessment Tool”—MEPSAT for short—has been assessed by comparing a group of children with developmental delay with a control group who were typically developing.
2: Halil Alkan PT, PhD, Physical Therapist, Muş Alparslan University, Muş and Hacettepe University, Ankara, Turkey. Title: “Early Spontaneous Movements of Infants With Hypoxic-Ischemic Encephalopathy” Introduction: Hypoxic ischemic encephalopathy investigated in 38 infants between three and five months old and compared with typically developing children and scored for a range of indicators of motor delay found Halil Alkan hypoxic brain injury was strongly associated with the overall adequacy of infants’ motor repertoires, and the frequency of their so-called “fidgety movements”.
3: Casey (Mary C) Hooke PhD, University of Minnesota School of Nursing, Minneapolis, Minnesota Title “Testing the Child PROMIS Physical Activity Measurement in Youth Attending a Large Community Event”
Introduction Patient-reported outcome measures were successfully used to assess health-care interventions, by collecting data from child-patients using the system known as: PROMIS — the Child Patient Reported Outcomes Measurement Information System.
4: Gunfrid Vinje Størvold, PT PhD, Department of Habilitation, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway
Title: “Current Physical Therapy Practice in Norway for Children With Cerebral Palsy”
Introduction: A survey of real-world pediatric physical therapy practice for cerebral palsy in Norway found strong adherence to recommended evidence-based practice.
5: Marcelo R Rosales, Biokinesiology Program, Infant Neuromotor Control Laboratory, University of Southern California, Children's Hospital, Los Angeles, CA
Title: Collecting Infant Environmental and Experiential Data Using Smartphone Surveys
Introduction: Promising early research has found smartphones could help physical therapists monitor infant development in a range of clinical situations.
6: Brittany Anderson PT DPT, Associate Professor in Physical Therapy, University of Jamestown, Fargo, ND
Title: Using a 3D-Printed Prosthetic to Improve Participation in a Young Gymnast
Introduction: A prosthetic hand that can grip, inexpensively customised with the help of a 3-D printer, helps a nine-year old girl do gymnastics despite her lack of functioning fingers on one of her hands.
7: James Shanandore, Asst Prof of Anatomy & Physiology, Univ of Jamestown Physical Therapy Prog, Fargo ND
Title: “3-D Printed Prosthetic Hand Helps Junior Gymnast: The Back Story”
Introduction: How physical therapists can harness 3-D printing to individualise a functioning prosthetic hand.
8: Mary Gannotti PT PhD, Professor, Department of Rehabilitation Services, University of Hartford, West Hartford, CT, Research Scientist, Shriners Hospital, Springfield, MA
Title: Designing Exercise to Improve Bone Health Among Individuals With Cerebral Palsy
Introduction: Combining mechanical theory and practical experience can help young patients with cerebral palsy avoid painful morbidity late in life by directing good exercise patterns in pre-puberty and adolescence to specifically target the skeleton and rather than muscle alone.

Pediatric Physical Therapy July 2020, Volume 32, Issue 3;

INTERVIEWS IN THIS EDITION:

Agnes McConlogue Ferro, DPT, PCS, Clinical Associate Professor, Stony Brook University, Stony Brook, New York State.

TITLE: A Structured Goal-Setting Process to Promote Functional and Measurable Outcomes in School-Based Physical Therapy: A Knowledge Translation Study

The aims of this knowledge translation study were to evaluate implementation of a goal setting method for school-based therapists.

Kimberly B Klug PT, DSc, Cooperative Educational Service Agency 1, Pewaukee, Wisconsin

Concurrent Validity of the School Outcomes Measure and the School Function Assessment in Elementary Students

Examine the concurrent validity of the School Outcomes Measure and the School Function Assessment in students’ kindergarten through sixth grade.

Elise L Townsend PT, DPT, PhD, PCS, Associate Professor, MGH Institute of Health Professions, School of Health & Rehabilitation Sciences, Boston MA

TITLE: Stander Use in Spinal Muscular Atrophy: Results From a Large Natural History Database

The purpose of this study was to describe stander use in a natural history cohort of drug therapy naïve, children not walking and with SMA and identify factors associated with consistent stander use.

Megan Flores PT, PhD, Assistant Professor, University of St Augustine for Health Sciences, Austin, TX

TITLE: Psychometric Properties of Segmental Assessment of Trunk Control in Infants and Toddlers With Down Syndrome

This study investigated infants and toddlers with Down syndrome to determine: reliability of the Segmental Assessment of Trunk Control (SATCo), concurrent validity of the SATCo with Gross Motor Function Measure, and whether age and SATCo score predict GMFM score.

Antonette Doty PT, PhD, PCS, Walsh University, North Canton, Ohio

TITLE: Evidence-Based Secondary Transition Predictors for Physical Therapists Working With High School Students

This study investigates how physical therapy services provided during secondary education impacts the post-school outcomes of youth with physical disabilities.

Doreen J. Bartlett, PT, PhD, Doreen J. Bartlett, PT, PhD Professor Emerita, School of Physical Therapy, Western University, London, Ontario, Canada

TITLE: Advancing the Evidence Base of Pediatric Physical Therapy: “Sincerely, From the Heart”: The Ann Van Sant Global Scientific Writing Lectureship

Egmar Longo PT PhD, Department of Health of Children, Federal University of Rio Grande do Norte UFRN/FACISA, Santa Cruz, Brazil

TITLE: I Want to Play: Children With Cerebral Palsy Talk About Their Experiences on Barriers and Facilitators to Participation in Leisure Activities

To explore how children with cerebral palsy experience participation in leisure activities and to describe the environmental barriers and facilitators.

1. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline from the American Physical Therapy Association Academy of Pediatric Physical Therapy
AUTHORS: Sandra L. Kaplan, Colleen Coulter and Barbara Sargent
(https://journals.lww.com/pedpt/Fulltext/2018/07000/Informing_the_Update_to_the_Physical_Therapy.2.aspx)
This update of the 2013 CMT clinical practice guideline informs clinicians and families as to whom to monitor, treat, and/or refer, and when and what to treat. It links 17 action statements with explicit levels of evidence and expert opinion to implementation recommendations. Pediatric Physical Therapy journal Editor-in-Chief Linda Fetters PhD PT FAPTA of the University of Southern California, Los Angeles, reviews the guideline and pinpoints key clinical messages.

2. Effects of a gaming platform on balance training for children with cerebral palsy
(Pediatr Phys Ther 2018;00:1–6)
Hsieh, Hsieh-Chun, PhD, OTR, Department of Special Education, National Tsing Hua University, Hsinchu City, Taiwan talks about her study using a platform requiring multi-dimensional trunk movement that facilitated postural balance in children with cerebral palsy.

3. Physical Therapist Coaching to Improve Physical Activity in Children with Brain Tumors: A Pilot Study
(Pediatr Phys Ther 2018;0:1–8)
Jessica Ovans PT DPT, Physical Therapist, Department of Rehabilitation, Children’s Hospitals and Clinics of Minnesota, Minneapolis discusses the use of a fitness tracker intervention combined with tailored coaching by a physical therapist to increase physical activity and quality of life and decrease fatigue in children with brain tumors.

4. Physical therapists’ use and alteration of standardized assessments of motor function in children.
(Pediatr Phys Ther 2018;0:1–8)
Deanne Fay, PT, DPT, PhD, Professor & Director of Curriculum, Physical Therapy Program, AT Still University, Mesa, Arizona reports on how physical therapists in the real world are assessing motor function in children with disability. This study presents survey responses of pediatric physical therapists’ use and alteration of standardized assessments of motor function in children aged 2-10 years.

5. Adapted Motivational Interviewing to Promote Exercise in Adolescents with Congenital Heart Disease: A Pilot Trial
(Pediatr Phys Ther 2018;0:1–9)
Adam McKillop PhD, Hospital for Sick Children, Toronto, Canada, describes his study to assess a motivational interviewing intervention to improve moderate-to-vigorous physical activity in adolescents with congenital heart disease. Although their standard approach using telephone calls was achievable and accepted he expects electronic methods and social media to beckon in the future—especially with young patients.

6. The Effect of Transcranial Direct Current Stimulation (Tdcs) on Motor Function, in Pediatric Cerebral Palsy: A Systematic Review
(Pediatr Phys Ther 2018;00:1–11)
A bold approach to therapy for children with cerebral palsy that uses transcranial electrical stimulation has analyzed findings from nine published articles. First author Angela Hamilton, University of Newcastle, New South Wales, Australia explains how determining the effects of transcranial direct-current stimulation (tDCS) on motor function for children with cerebral palsy could help their brains develop.

7. Stepping activity in children with congenital myotonic dystrophy
(Pediatr Phys Ther 2018;00:1–5)
Heather A. Hayes, DPT, PhD NCS, Utah Neurological Physical Therapy Residency Director and Associate Clinical Professor, Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City discusses her observational research on therapy for the rare condition congenital myotonic dystrophy (CDM) and explains how their investigation of physical activity levels in children who have CDM could determine whether clinical and functional characteristics correlate to physical activity and help find keys to improving activity levels and quality of life.

8. Whole-body vibration training designed to improve functional impairments after pediatric inpatient anticancer therapy: pilot study
(Pediatr Phys Ther 2018;00:1–9)
A new form of physical therapy called whole body vibration has been investigated as a way of helping children to recover good physical activity after treatment for cancer. Vanessa Oschwald (née Rustler) MA, Molecular & Cellular Sports Medicine Department, Sports and Exercise Science Department, Institute of Cardiovascular Research & Sports Medicine, German Sport University, Cologne, Germany...

INTERVEWS IN THIS EDITION

Pediatric Physical Therapy October 2019 Volume 31 Issue 4

1. Providing Best Practice in Neonatal Intensive Care and Follow up: A clinician-researcher collaboration

RICMOND, VA—Experience from the NICU on communicating and implementing new research into the clinic (knowledge translation) shows that clinicians and researchers can benefit from working together.

INTERVIEWEE: Shaaron E. Brown Clinical Physical Therapist, Children's Hospital, Virginia Commonwealth University, Richmond VA

“This invited lecture supports the importance of clinician-researchers collaborations for best practice.”

1. The Effect of Inspiratory Muscle Training on Duchenne Muscular Dystrophy: A Meta-Analysis

SPRINGFIELD, MI—Outcomes from physical therapy training interventions have been quantified in a meta-analysis of benefits from a physical approach to improving respiratory muscle performance in patients with Duchenne Muscular Dystrophy, many of whom are not typically candidates for physical therapy now that medical treatments are so effective.

INTERVIEWEE: Elizabeth Williamson PT PhD, Associate Professor, Department of Physical Therapy, Missouri State University, Springfield MI

“This study reports the respiratory muscle training effect on strength and endurance in individuals with Duchenne muscular dystrophy.”

1. Pediatric Physical Therapists’ Use of the Congenital Muscular Torticollis Clinical Practice Guidelines: Qualitative Implementation Study

PITTSBURGH, PA—More than a year after release of the new physical therapy Guideline on Congenital Muscular Torticollis a new analysis gives insights to help clinicians implement it optimally.

INTERVIEWEE: Joseph Schreiber PT PhD,Professor and Program Director, Doctor of Physical Therapy Program, Chatham University, Pittsburgh PA

“This study is a follow-up to the quantitative survey to examine the perceptions of pediatric physical therapists on the application of the 2013 guidelines.”

1. Physical Therapy Intervention to Advance Cognitive and Motor Skills: A Single Subject Study of a Young Child with Cerebral Palsy

RICHMOND, VA—A single subject study of a young child with cerebral palsy looked at cognitive and motor outcomes and their inter-relationship after a new kind of physical therapy intervention.

INTERVIEWEE: Stacey Dusing PT PhD PCS, Professor, Department of Physical Therapy, Director of the Motor Development Laboratory, Virginia Commonwealth University, Richmond

“This study evaluated the change in motor and cognitive abilities of a single child during participation in the START-Play intervention.”

1. Cross-cultural validity: Canadian norm values of the Alberta Infant Motor Scale evaluated for Dutch infants

UTRECHT, NL—The potential for cross-cultural variability (between different populations around the world) in developmental assessment with the Alberta Infant Motor Scale has been revealed in a new study.

INTERVIEWEE: Imke Suir, Department of Lifestyle and Health, Institute of Human Movement Studies, HU University of Applied Sciences, Utrecht, The Netherlands.

“To examine if the Canadian normative values of the Alberta Infant Motor Scale are appropriate for Dutch infants.”

1. Considering Propulsion Pattern in Therapeutic Outcomes for Children who use Manual Wheelchairs

MILWAUKEE, WI—Patients who use manual wheelchairs have been investigated to assess the benefit of intensive physical therapy.

INTERVIEWEE—Jacob R. Rammer PhD, Assistant Professor of Biomedical Engineering, Orthopaedic and Rehabilitation Engineering Center, Marquette University, Milwaukee, WI

“This study assesses the effect of community-based intensive physical and occupational therapy on functional outcomes over a 7-week period for children who use manual wheelchairs.”