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Recent
Articles of Interest
Pediatric Physical Therapy
Volume 13, Number 1: Spring 2001
Quadriceps and Hamstring Strength Changes
as a function of Selective Dorsal Rhizotomy Surgery and Rehabilitation
Authors: Sandy Ross, Jack Engsberg, Kenneth
Olree, T. S. Park
This research compared the strength of the
quadriceps and hamstrings muscles before and after a selective dorsal
rhizotomy surgery and rehabilitation. The researchers determined
quadricep and hamstring peak torque and work significantly improved
post SDR and rehabilitation. The data also proved children with
cerebral palsy are weaker (pre and post SDR) when compared to children
without disabilities.
Reliability of the Gross Motor Function Measure
for Children with Osteogensis Imperfecta
Authors: Joanne Ruck-Gibis, Horacio Plotkin,
James Hanley, Sharon Wood-Dauphinee
The results demonstrate the GMFM
is a reliable and safe measure for children with osteogensis imperfecta
when tested by trained pediatric physical therapists. (Validity
of the GMFM on children with OI was not been addressed in this study)
Hip Abductor and Knee Extensor Muscle Strength
of Children with and without Down Syndrome
Authors: Vicki Stemmons Mercer, Cynthia Lewis
Hand held dynamometry can be
used to obtain reliable measurements of isometric muscle strength
in children with Down Syndrome.
Interrater Reliability
of the Active-Knee-Extension Test for Hamstring Length in School-Aged
Children
Authors: Diane Rakos, Kelly Shaw, Robyn Fedor, Maryalice LaManna,
Corrie Yocum, Kevin Lawrence
Active-Knee-Extension Test using
a stabilization device can be reliable to test hamstring length
in school-aged children ages 10-13 y/o.
Archives of Physical Medicine and
Rehabilitation
Volume 82, February 2001
Continuously Infused Intrathecal Baclofen
Over 12 Months for Spastic Hypertonia in Adolescents and Adults
with Cerebral Palsy
Authors: Jay Meythaler, Sharon Guin-Renfroe,
Charles Law, Paul Grabb, Mark Hadley
The research article proved continuous intrathecal
delivery of baclofen will control spastic hypertonia caused by long
standing cerebral palsy. Thirteen individuals with cerebral palsy
(avg age 25y/o) received a baclofen pump. Ashworth rigidity scores,
spasm scores, and deep tendon reflexes were assessed to prove the
results.
See
the full Abstract
Pediatric Physical Therapy
Volume 12, Number 4, Winter 2000
Effects of Group Motor Skill Intervention
on Five-to Six-Year-Old Children with Developmental Coordination
Disorders
Authors: Mia Pless, Marianne Carisson, Claes Sundelin, and Kristina
Persson
A ten week group motor skill intervention
class (conducted by a physical educator) had no significant effect
on children with developmental coordination disorder (DCD). However,
a subcategory of children with borderline DCD revealed improvements
in skills.
Teachers' Use of the MABC Checklist to Identify Children with Motor
Coordination Difficulties
Authors: Kate Junaid, Susan R Harris, K. Alison Fulmer, Anne Carswell
The study suggested teachers were unable to
accurately predict children's motor skills using the MABC Checklist
when compared by physical therapist. Teachers may require training
to become reliable users of the MABC.
Archives
of Physical Medicine and Rehabilitation
Volume 81, March 2000
Treadmill Training with Partial
Body Weight Support in Nonambulatory Patients with Cerebral Palsy.
Authors: Martin Schindl, Claudia Forstner, Helmut Kern, Stefan
Hesse
Ten nonambulatory children with cerebral palsy
ambulated on a treadmill with partial body weight support and lower
extremity guidance by two physical therapists. The intervention
occurred over 36 sessions in 3 months lasting 25 minutes per session.
Of the 10 children, six children (Category A) were nonambulatory;
4 children (Category B) required some assistance for long distance
ambulation. Their standing score sum of the GMFM increased by 47%.
Walking section scores increased by 50%.
Journal of
Child Neurology
October, 2000
NEUROLOGIC ASSESSMENT
PREDICTS DEVELOPMENTAL OUTCOME IN HIGH-RISK NEONATES
Neonatal assessment of somatosensory evoked
potentials can help identify neonatal intensive care unit (NICU)
infants who are at increased risk of poor developmental outcome
by the time they reach school age, according to a report in the
October issue of the Journal of Child Neurology.
Read
more about it on the internet : Click here for Medscape (click cancel
at the password prompt and register at Medscape)
Pediatric
Physical Therapy
Volume 13, Fall
2000
Factors Affecting the termination of physical therapy services
for children in school settings. Author: Susan Effgen
325 experienced, mature, school based American
pediatric physical therapists agreed on the primary reason (actual
and ideal) for discharge of physical therapy in a school system
was the patient met their functional goals. Despite research suggesting
students with severe cognitive limitations could benefit from physical
therapy, the physical therapist in the study reported a subject's
cognitive disability was important or very important in limiting
physical therapy progress. Recommendations from school administrators
to terminate a student's physical therapy did not appear to be a
primary issue for these pediatric physical therapist.
Comparison of Two Methods of Training Student Physical Therapists
to Score the Gross Motor Function Measure
Author: Helen Lim, David Marriott, Paul Postter, and Debra Clayton-Krasinski
Two groups of physical therapy students trained
to become component testers of the Gross Motor Functional Measure
(GMFM). One group trained using the manual and the other group trained
using the manual and a CD-ROM training package. The results suggest
no significance in effectiveness between the two training methods.
Developmental
Medicine and Child Neurology
June 2000, Vol 42,
No 6
Perinatal Infection is an Important Risk Factor for Cerebral Palsy
in Very-Low-Birthweight Infants
Author: Mary Wheater, Janet Rennie
Neonatal history of sepsis increased the risk
of cerebral palsy by approximately four-fold. The role of antibiotic
prophylaxis may prove an important role in the prevention of cerebral
palsy.
Pediatric
Physical Therapy
Volume 13, Summer
2000
Prader-Willi Syndrome: A Review for Pediatric Physical Therapists:
Lewis, Cynthia
The multi-system effects of Prader-Willi Syndrome
are discussed. Exercise response and considerations in designing
a physical therapy program for children with Prader-Willi Syndrome
are especially useful. A great review of Prader-Willi Syndrome for
pediatric physical therapist.
Intrathecal Baclofen Therapy and the Role of the Physical Therapist:
Barry, Margaret; Ablright, Leland; Shultz, Barbara
A wonderful review article on the use of Baclofen
Therapy in children with spasicity. The article provides outcome
measures, pre/post operative rehabilitation, and explains the role
of the pediatric physical therapists. I recommend it highly if you
are working with children utilizing the baclofen pump.
Limb Stiffness in Active Leg Swinging of Children with Spastic
Hemiplegic Cerebral Palsy: Holt, Kenneth; Butcher, Rebecca;
Fonseca, Sergio
Achievement of Gross Motor Skills in Two Children with Cerebrellar
Hypoplasia:Longitudinal Case Reports: Montgomery, Patricia
Dr. Patricia Montgomery presents the 114 month
gross motor development of two children with cerebellar hypoplasia
(ataxia). The article provides the pediatric physical therapist
with a framework for treatment strategies, clinical observations,
and gross motor development when treating children with ataxia.
Pediatric
Physical Therapy
Volume 12, Spring
2000
Concurrent Validity
of the test of infant motor performance with the Alberta Infant
Motor Scale: Campbell, S., Kolobe, T.
Relationship of hypotonia
and joint laxity to motor development during infancy: Pilon,
J., Sadler, G., Bartlett, D.
Discriminate power
of the Alberta Infant Motor Scale and the Movement Assessment of
Infants for prediction of Peabody Gross Motor Scale Scores of infants
exposed in utero to cocaine: Fetters, L., Tronick, E.
Development and validation
of a measure of motor and sensory function in children with Epilepsy:
Beckung, E.
Journal of
Developmental and Behavioral Pediatrics
Volume
21, No. 1, February 2000
Thirty-six month outcome
of prenatal cocaine exposure for term or near-term infants: Impact
of early case management: Kilbride, H., Castor, C., Hoffman,
E., Fuger, K.
Archives
of Physical Medicine and Rehabilitation
Volume 81, No. 3, March 2000
Treadmill training
with partial body weight support in nonambulatory patients with
cerebral palsy: Schindl, M., Forstner, C., Kern, H., Hesse,
S.
Measuring Functional
Status and Family support in older school-aged children with cerebral
palsy: Comparison with three instruments: Azaula, M., et al
Predicting elementary
school participation in children with disabilities: Mancini,
M., et al
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