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Changes in the Content of Pediatric Physical Therapy for Infants: A Quantitative, Observational Study.
- Source :
-
Physical & Occupational Therapy in Pediatrics . 2018, Vol. 38 Issue 5, p457-488. 32p. - Publication Year :
- 2018
-
Abstract
- Aims: The aim of our observational longitudinal study is to evaluate changes over time in standard pediatric physical therapy (PPT) for infants at risk of neurodevelopmental disorders. Methods: Treatment sessions in two time periods (2003-2005 [n = 22] and 2008-2014 [n = 16]) were video recorded and analyzed quantitatively in five categories: neuromotor actions, educational actions, communication, position, and situation of treatment session. Differences in percentages of time spent on therapeutic actions between periods were tested with Mann-Whitney U and Hodges Lehmann's tests. Results: No significant changes appeared in the main categories of neuromotor actions. Time spent on not-specified educational actions toward caregivers (median from 99% to 81%, p =.042) and not-specified communication (median from 72% to 52%, p =.002) decreased. Consequently, time spent on specific educational actions (caregiver training and coaching; median from 1% to 19%, p =.042) and specific communication (information exchange, instruct, provide feedback; median from 21% to 38%, p =.007) increased. Infant position changed only minimally: time spent on transitions—that is, change of position—decreased slightly over time (median from 7% to 6%, p =.042). Situation of treatment session did not change significantly over time. Conclusions: Neuromotor actions in PPT remained largely stable over time. Specific educational actions and communication increased, indicating larger family involvement during treatment sessions. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CURRICULUM evaluation
*ADAPTABILITY (Personality) in children
*CHI-squared test
*COMMUNICATION
*CONFIDENCE intervals
*DEVELOPMENTAL disabilities
*FAMILY medicine
*LONGITUDINAL method
*MANIPULATION therapy
*SCIENTIFIC observation
*PHYSICAL therapy education
*PHYSICAL therapy for children
*RESEARCH funding
*VIDEO recording
*EARLY intervention (Education)
*QUANTITATIVE research
*SOCIAL support
*INTER-observer reliability
*EARLY medical intervention
*DATA analysis software
*MANN Whitney U Test
*INTRACLASS correlation
Subjects
Details
- Language :
- English
- ISSN :
- 01942638
- Volume :
- 38
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- Physical & Occupational Therapy in Pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 133414374
- Full Text :
- https://doi.org/10.1080/01942638.2017.1405863