ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PurposeThis study documented ankle dorsiflexion range of motion (DF-ROM) in children during treatment for leukemia and studied the effects of preventative education and individualized intervention as a standard of care.MethodsActive and passive DF-ROM were measured throughout a two-year treatment period and one year after treatment in 40 subjects. Children without health problems and historical controls who had not received therapeutic input were used for comparison.ResultsActive DF-ROM showed an average tendency to decline significantly during treatment, whereas passive DF-ROM did not. Both increased significantly following the end of treatment. There were substantial individual differences around these patterns of average change. Gender (female) was a predictor of negative change in DF-ROM during treatment. Average DF-ROM one year after treatment was significantly greater than for the historical controls and not significantly different from the healthy controls. None of the children required surgical intervention, in contrast to the historical controls.ConclusionsEducation and intervention appears to have improved DF-ROM outcome in children treated for leukemia.

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PurposeTo examine the effects of neuromuscular electrical stimulation (NMES) on impairments and functional skills of a 13-year-old child with spastic diplegic cerebral palsy (CP).MethodsNMES was administered to the right quadriceps muscles every other day for six weeks. Pre- and posttesting included assessment of strength using a hand-held dynamometer, spasticity using a KinCom® isokinetic dynamometer, gait spatiotemporal parameters using GAITRite®, and functional motor performance with the use of the Pediatric Evaluation of Disability Inventory (PEDI).ResultsAfter intervention, right quadriceps strength increased from 16.3 ± 3.06 to 41.7 ± 4.2 Newtons. Right hamstring spasticity decreased at three tested velocities. In the untreated left lower extremity, strength remained unchanged but spasticity increased. The PEDI showed development of new skills, including the ability to climb stairs with less assistance.ConclusionThese findings indicate that NMES was an effective therapeutic technique to improve strength and motor function of a child with spastic diplegic CP.

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PurposeThe aim of this study was to establish consensus among a sample of expert occupational therapy and physical therapy practitioners on characteristics necessary for individualized education program (IEP) objectives to be educationally relevant, measurable, and appropriate in content.MethodsThe Delphi technique was used to survey 38 board-certified clinical specialists from New Jersey, Pennsylvania, and New York. Nine physical therapists and 29 occupational therapists agreed to participate.ResultsThe results of a three-round survey process revealed six characteristics of measurability, six characteristics of educational relevance, and seven characteristics related to content that were agreed on by 75% or more of the respondents.ConclusionsWhile IDEA is being readied for its next reauthorization, knowledge of these characteristics may be helpful to related service professionals in their participation for developing higher quality IEPs.

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PurposeThe purpose of this pilot study was to investigate changes in passive range of motion (PROM) of children with severe limitations in self-mobility during periods of physical therapy intervention and naturally occurring periods of no intervention (school vacations).MethodsA multiple-case time-series design was used to monitor hip and knee PROM over a seven-month period for seven students aged four to 18 years receiving physical therapy in a school setting. PROM measurements were graphed and the Wilcoxon signed rank test was used to evaluate the PROM changes during intervention and nonintervention phases for each individual student and for the students as a group.ResultsWhen PROM changes were pooled for all subjects and all joint motions, the Wilcoxon signed rank test revealed a significant decrease in PROM only after the first nonintervention phase. Significant decreases in PROM were observed in only two of the students after the first nonintervention phase.ConclusionChildren and youth with severe limitations in self-mobility may lose PROM during nonintervention periods lasting more than five weeks.

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

PurposeThe Toddler and Infant Motor Evaluation (T.I.M.E., The Psychological Corporation, San Antonio, Tex) is a norm-referenced, comprehensive qualitative assessment of the motor abilities of children between the ages of four months and 3.5 years. The purpose of this article is to describe the strengths and the limitations of the primary subtests of the T.I.M.E. on the basis of the previously published reviews, the authors’ clinical experience, and two A-B-A single-subject studies.Summary of Key PointsFive primary subtests of the T.I.M.E. and their possible modifications for the future use by pediatric clinicians are discussed.ConclusionsThe T.I.M.E. is a family-friendly assessment tool that can be used by pediatric clinicians who work with infants and toddlers. Although it has high test-retest and interrater reliability, our use of the instrument in two case studies has revealed several structural and scoring problems. Physical therapists using the T.I.M.E. for research and in clinical practice should be aware of its strengths and limitations.

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2003

数据来源: OVID