Pediatric Physical Therapy - Pediatric Physical Therapy Podcast

<p><strong>Burning Topic for Pediatric Physical Therapists: In the USA and Globally</strong> Pediatric Physical Therapy Editor-in-Chief Linda Fetters PhD, PT, FAPTA, gives reporter Peter Goodwin her assessment of the organizational crisis that has enveloped pediatric and other clinicians in the USA and globally since the new Administration took office in 2025.</p><p><strong>Predictors of Length of Physical Therapy Care for Infants With Congenital Torticollis.</strong> We talk with Pediatric Physical Therapy author Heather R Aker PT DHSc, Physical Therapist, at the Children’s Hospital, Philadelphia, about her research findings published in Pediatric Physical Therapy on: Predictors of Length of Physical Therapy Care for Infants with Congenital Torticollis. Pediatric Physical Therapy Editor-in-Chief Linda Fetters adds her comments.</p><p><strong>PLEASE JOIN THE CONVERSATION!!</strong> We need to know your views, and we would love you to take part in the podcast. Please send us your perspectives and interpretations of the issues you would like us to air on the podcast. You can contact us at: E-mail: [email protected] Messages, WhatsApp, What’s App Video or Audio: +44 7771 642 333</p>

<p><strong>“Fidelity Tool” Helps Pediatric Physical Therapists Implement Guidelines for Patients with Cerebral Palsy</strong></p> <p>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.</p> <p>JOURNAL TITLE: Implementing Clinical Practice Guidelines for improving function in Cerebral Palsy: Development of a Fidelity Tool </p>

<p><strong>The Pediatric Physical Therapy Podcast, September, 2024</strong></p> <p>This special edition of the Pediatric Physical Therapy podcast is reviewed by Pediatric Pediatric Physical Therapy Journal Editor-in-Chief,<strong> Linda Fetters</strong> PhD PT FAPTA, University of Southern California, Los Angeles.</p> <p>This podcast examines the 2024 Updated Evidence-Based Clinical Practice Guideline on the Physical Therapy Management of Congenital Muscular Torticollis.</p> <p> Podcast host Sarah Maxwell is joined by first author of the Updated Guideline, <strong>Dr. Barbara Sargent</strong> and clinician author, <strong>Dr. Jill Cannoy</strong> PT, DPT, PCS.</p> <P>Podcast Speakers:</p> <p><strong>JILL CANNOY</strong> PT, DPT, PCS, Orthotics and Prosthetics Department, Children’s Healthcare of Atlanta, Atlanta, Georgia.</p> <p><strong>BARBARA SARGENT</strong> PhD, PT, Associate Professor of Physical Therapy, University of Southern California</p> <p>Journal Abstract:</p> <div>Physical Therapy Management of Congenital Muscular Torticollis: A 2024 Evidence-Based Clinical Practice Guideline From the American Physical Therapy Association Academy of Pediatric Physical Therapy Barbara Sargent, PT, PhD, PCS; Colleen Coulter, PT, DPT, PhD, PCS; Jill Cannoy, PT, DPT, PCS; Sandra L. Kaplan, PT, DPT, PhD, FAPTA Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California (Dr Sargent), Los Angeles, California; Orthotics and Prosthetics Department (Drs Coulter and Cannoy), Children’s Healthcare of Atlanta, Atlanta, Georgia; Department of Rehabilitation and Movement Sciences, Rutgers (Dr Kaplan), The State University of New Jersey, Newark, New Jersey</div> <div>Background: Congenital muscular torticollis (CMT) is a postural condition evident shortly after birth. The 2013 CMT Clinical Practice Guideline (2013 CMT CPG) set standards for the identification, referral, and physical therapy management of infants with CMT, and its implementation resulted in improved clinical outcomes. It was updated in 2018 to reflect current evidence and 7 resources were developed to support implementation.</div> <div>Purpose: This 2024 CMT CPG is intended as a reference document to guide physical therapists, families, health care professionals, educators, and researchers to improve clinical outcomes and health services for children with CMT, as well as to inform the need for continued research.</div> <div>Results/Conclusions: The 2024 CMT CPG addresses: education for prevention, screening, examination and evaluation including recommended outcome measures, consultation with and referral to other health care providers, classification and prognosis, first- choice and evidence-informed supplemental interventions, discontinuation from direct intervention, reassessment and discharge, implementation and compliance recommendations, and research recommendations.</div> <div>(Pediatr Phys Ther 2024;00:1–45)Key words: clinical practice guideline, congenital muscular torticollis, infant, pediatrics, physical therapy</div>

<strong>Pediatric Physical Therapy Podcast</strong> <p>Volume 36, Issue 3, 2024 <p>Creator: Pediatric Physical Therapy <P> AN INTERVIEW WITH: <strong>Toby Long</strong> PhD, Department of Pediatrics, Center for Child and Human Development, Georgetown University, Washington DC, USA. <p> <strong>“Inclusion, Participation, Belonging = Surviving, Thriving, Flourishing”</strong> Toby Long PhD tells podcast anchor Sarah Maxwell about the role physical therapists play in helping children with impairments participate in day-to-day life: the theme she addressed in her lecture to the Academy of Pediatric Physical Therapy for the prestigious Ann Van Sant Global Scientific Writing Lectureship, now documented in her Pediatric Physical Therapy article. <p> Title: <strong>Inclusion, Participation, Belonging = Surviving, Thriving, Flourishing</strong> <p>Author: Toby Long, PT, PhD, FAPTA <p>Author affiliations: <p>Department of Pediatrics, Center for Child and Human Development, <p>Georgetown University, Washington, DC, USA <p>Conflict of Interest Statement: The author declares no conflict of interest. <p>Correspondence: <p>Toby Long, 2115 Wisconsin Avenue, NW, Suite 600, Washington, DC 20007. <p>Email: [email protected] <p>ABSTRACT<p> <p>Purpose: </p> To share my perspectives on how pediatric physical therapists support children with disabilities and their families to maximize their potential to flourish. <p>Key Points:</p> Best practice supports the inclusion of people with disabilities in all aspects of society. Policy statements from governmental agencies, research universities, advocacy, and non- governmental organizations all support inclusion. The concept of belonging and how pediatric physical therapists can promote belonging is less familiar to pediatric physical therapists than that promote belonging. <p>Key words: </p> International perspectives, inclusion, participation, belonging inclusion and participation.

The Pediatric Physical Therapy Podcast March, 2024 Edition: <br> <br> AN INTERVIEW WITH: <br> <br> Eilish M Byrne PT, DSc, PCS, CNT, Assistant Professor, Camino Hospital and Stanford Children's Hospital, California, Visiting Professor University of St Augustine, San Marcos, California. In conversation with Peter Goodwin, Editor, The Pediatric Physical Therapy Podcast (March, 2024 Edition) <br> <br> DESCRIPTION: Dr. Byrne discusses the research her ream has published in Pediatric Physical Therapy, Volume 36, Number 2, 2024 on: “Introducing the i-Rainbow- An evidence-based, parent-friendly care pathway designed for even the most critically ill infant in the Neonatal Intensive Care setting.” <br> <br> AUTHORS: Eilish M. Byrne, Katherine Hunt and Melissa Scala <br> <br> SUMMARY: This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by healthcare providers and parents in the neonatal intensive care setting. <br> <br> PURPOSE: This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by healthcare providers and parents in the neonatal intensive care setting (NICU). The iRainbow is based on current evidence and responds to individual infant health status. It is not base on infant age. <br> <br> METHODS: After development and implementation of the iRainbow, pre-and post- implementation nurse and parent survey data were collected, and pre- and post-developmental care rates were compared. <br> <br> RESULTS: After iRainbow implementation, disagreement among providers on appropriate developmental care interventions significantly decreased, total minutes of daily developmental care and swaddled holding increased significantly, and parents reported that they would recommend the tool. <br> <br> CONCLUSION: The iRainbow is a unique, parent-friendly, infant-based tool that guides sensory interventions in the NICU by staging infants based on cardiorespiratory status and physiologic maturity, not age. The iRainbow improved the delivery of developmental care activities in our unit and was well received by parents and nurses. <br> <br> KEYWORDS: iRainbow, Neonatal Intensive Care Unit, Neonatal Therapy, Developmental Care, Neonatal Sensory Interventions, Neonatal Care Path, Family Education <br> <br> WHAT THIS EVIDENCE ADDS: Current evidence: There are many studies and programs demonstrating the benefits of providing evidence-based developmental interventions for both neonates and caregivers.1-4 Gap in the evidence: There is less agreement regarding the safety and timing of developmental interventions7-9, and what does exist tends to rely on gestational age, while recommending performing activities per infant tolerance.5,6 However, this approach can be problematic because preterm infants progress at variable rates, and infant tolerance is not objectively defined. How does this study fill this gap? This study provides objective clinical criteria to define neonate tolerance for intervention guided by the cardiorespiratory stability of the infant, and in later stages, behavior cues of the infant, not gestational age. Implication of all the evidence: Optimal timing of and tolerance to evidence-based developmental interventions in the NICU is still being described. Relying solely on gestational ages may not be ideal for many infants. The iRainbow serves as a valuable tool to objectively identify an infant’s readiness to participate in a developmental care program.