Pediatric Physical Therapy - Pediatric Physical Therapy Podcast

• Volume 31, Issue 1

  01 Effects of Structured Exercise Training in Children and Adolescents with Juvenile Idiopathic Arthritis: A Systematic Review Susan Klepper PT, MS, PhD, former Assistant Professor Rehabilitation & Regenerative Medicine (Physical Therapy), Columbia University, New York, NY The purpose of this review was to update the evidence for safety and efficacy of structured exercise training in a variety of settings for children and adolescents with juvenile idiopathic arthritis. 02 The Timed Up and Go test in children: Does Protocol Choice Matter? A Systematic Review Evi Verbecque PT PhD, Post Doctoral Researcher, University of Hasselt, Limburg, Belgium Results on reliability and normative data for the Timed Up and Go test in children who are are systematically reviewed. 03 Effects of Instruction on Parent Competency during Infant Handling in a Neonatal Intensive Care Unit Eilish M. Byrne PT, DSc, PCS, CNT, Supervisor Physical Therapy Department, Lucile Packard Children's Hospital, Palo Alto, CA The purpose of this study was to investigate the effectiveness of three different methods for delivering instruction on infant handling to parents in the neonatal intensive care unit. 04 Developmental Trajectories and Reference Percentiles for the 6-Minute Walk Test for Children with Cerebral Palsy Alyssa LaForme Fiss PT PhD PCS, Associate Professor, Director of Physical Therapy Research, Mercer University, Atlanta, Georgia The purposes of this study were to: document longitudinal developmental trajectories in 6MWT distances and develop age-specific reference percentiles for children across different Gross Motor Function Classification System levels. 05 Progression of Ankle Plantarflexion Contractures and Functional Decline in DMD: Implications for Physical Therapy Management Michael Kiefer PT DPT, North Worcester, University of Massachusetts MA. Formerly: Pediatric Neuromuscular Unit, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This study characterizes the progressive loss of ankle dorsiflexion range of motion in boys with Duchenne muscular dystrophy, the relationship to functional decline, and the implications for physical therapy management. 06 Adapted dance improves motor abilities and participation in children with Down syndrome: A pilot study Michelle McGuire, PT MPT, Coordinator, Division of Occupational and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This pilot study measured effects of an adapted dance program on motor abilities and participation in children with Down syndrome and explored caregivers' qualitative feedback regarding its benefits. 07 Moving Toward Excellence in Pediatric Physical Therapy Education: A Scoping Review Deborah K. Anderson PT DPT PCS, Program Director, Physical Therapy, College of Health Sciences, Midwestern Universkity, Downers Grove, IL The purpose of this scoping review was to identify and map current evidence that underpins excellence in pediatric physical therapy education.

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• Volume 37, Issue 1

  “Fidelity Tool” Helps Pediatric Physical Therapists Implement Guidelines for Patients with Cerebral Palsy Findings from a study looking at a method of ensuring physical therapists can more easily implement evidence-based guideline therapy for children with cerebral palsy has been published in Pediatric Physical Therapy journal. First author Michelle Jackman PhD, Occupational Therapist & Research Fellow, at the Cerebral Palsy Research Institute of University of Sydney, Australia and the CP Alliance Research Foundation in Newcastle, New South Wales, Australia has been discussing her group’s findings in the latest edition of the Pediatric Physical Therapy podcast with correspondent Sarah Maxwell, in the company of Editor-in-Chief, Linda Fetters PhD PT FAPTA, University of Southern California, Los Angeles, USA. JOURNAL TITLE: Implementing Clinical Practice Guidelines for improving function in Cerebral Palsy: Development of a Fidelity Tool

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• Volume 30, Issue 4

  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 talks about the way functional, motor, balance and strength impairments children after inpatient anticancer therapy were assessed after training on a platform that vibrates. Feasibility, adherence, program acceptance and fields of effectiveness were assessed.

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• Volume 32, Issue 4

  INTERVIEWS IN THIS EDITION: Physical Therapy Management of Children With Developmental Coordination Disorder: An Evidence-Based Clinical Practice Guideline From the Academy of Pediatric Physical Therapy of the American Physical Therapy Association First Evidence Based Clinical Practice Guideline for physical therapy management of childhood Developmental Coordination Disorder. Lisa Dannemiller tells clinicians how to use it, and talks about the benefits it can bring. Lisa Dannemiller PT, DSC, PCS, Associate Professor, Physical Therapy, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA Associations Between Congenital Muscular Torticollis Severity and Physical Therapy Episode Congenital muscular torticollis: Kathryn Knudsen talks about the associations her research found between the severity of congenital muscular torticollis and the use of physical therapy to treat it. Kathryn C R Knudsen PT, MPT, PCS, CNT, Providence Children’s Development Institute, Portland, OR, USA Experiences of Parents of Infants Diagnosed With Mild and Severe Grades of Congenital Muscular Torticollis Magdalena M Oledzka described findings and implications from her group’s comparison of the experiences reported by parents of infants diagnosed with congenital muscular torticollis at levels of severity ranging from mild to severe. Magdalena M Oledzka PT DPT MBA PCS, Director of Pediatric Rehab, Hospital for Special Surgery, New York Changes in Vestibular/Ocular-Motor Screen Scores in Adolescents Treated With Vestibular Therapy After Concussion The usefulness of the recently-developed Vestibular/Ocular-Motor Screen Score (that primarily measures dizziness) has been investigated for assessing recovery from concussion in adolescents. First author Bara Alsalaheen discusses the findings and clinical implications. Bara Alsalaheen PT, PhD, Departments of Physical Therapy & Neurology, University of Michigan-Flint, Flint, Michigan Sternal Precautions and Prone Positioning of Infants Following Median Sternotomy: A Nationwide Survey Findings on how to optimize physical therapy in children who’ve had chest surgery are reported by Amanda Clifton from her group’s research on the precautions needed when managing infants after sternal surgery. Amanda Clifton PT, DPT, Nicklaus Children’s Hospital, Miami FL “Contemporary Practice as a Board-Certified Pediatric Clinical Specialist: A Practice Analysis” The results of an analysis of current practice among board-certified pediatric clinical specialists are discussed by researcher Lisa Kenyon. Key knowledge areas, professional roles, and responsibilities were surveyed among 323 professionals as practiced in real-world settings. Kenyon explains how the new evidence informs revision of the Description of Specialty Practice—DSP—for pediatrics—the blueprint for maintaining and improving training quality. Lisa Kenyon PT, DPT, PhD, PCS, Associate Professor, Dept of Physical Therapy, Grand Valley State University, Grand Rapids, Michigan Sedentary Behavior in Children With Cerebral Palsy Between 1.5 and 12 Years: A Longitudinal Study Sarah Reedman talks about her findings on sedentary behavior among children with cerebral palsy as a health risk factor and as a guide to management. Sarah E Reedman PT, PhD, QCPRRC, Centre for Children’s Health Research, in South Brisbane, Queensland, Australia Measurement Properties of the Dizziness Handicap Inventory—Children and Adolescents for Children and Adolescents Postconcussion The Dizziness Handicap Inventory scoring system has been researched by a team lead by Devashish Tiwari as a means of assessing recovery from concussion among children and adolescents. Devashish Tiwari DPT, PhD, NCS, Department of Physical Therapy, Simmons University, Boston, MA Intraobserver Reliability and Construct Validity of the Squat Test in Children With Cerebral Palsy Researcher Maaike Eken talks about her findings comparing the quick and easy “squat test” with the more conventional dynamometer for checking development in children with cerebral palsy. Maaike Eken PhD, Department of Rehabilitation Medicine, Amsterdam University Medical Centers, Amsterdam, Netherlands, Department of Surgical Sciences, Faculty of Stellenbosch University, Tygerberg Campus, Tygerberg, South Africa,

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• Volume 23, Issue 4, Winter

  In this Winter 2011 podcast for Pediatric Physical Therapy: This month, validation of the Children's Hospital of Philadelphia Infant Test of Neuromuscular Disorders, gross motor development of children in a welfare system, and more!

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