Academic literature on the topic 'Infant physical therapy'
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Journal articles on the topic "Infant physical therapy"
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Hauck, Janet L., Isabella T. Felzer-Kim, and Kathryn L. Gwizdala. "Early Movement Matters: Interplay of Physical Activity and Motor Skill Development in Infants With Down Syndrome." Adapted Physical Activity Quarterly 37, no. 2 (April 1, 2020): 160–76. http://dx.doi.org/10.1123/apaq.2019-0012.
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This longitudinal study investigated monthly motor development and physical activity (PA) of infants with and without Down syndrome. Gross and fine motor skills (Bayley Scales of Infant Development-III) and PA (accelerometer) were assessed in 35 infants at eight time points during infancy. A multivariate mixed model identified time points when motor scores diverged between the groups. In infants with Down syndrome, bivariate correlations between monthly PA and motor changes were calculated, and multivariate analysis of variance probed the influence of early PA on motor-skill timing. Results indicate that differences in gross and fine motor skills first emerge at 2 and 4 months, respectively. In infants with Down syndrome, gross motor and PA changes between 4 and 6 months were positively correlated. Infants more active than the mean at 2 or 3 months achieved several prone and sitting skills earlier. These results highlight the adaptability of early infancy and the importance of early intervention.
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Lee, Hui-Min, and James Cole Galloway. "Early Intensive Postural and Movement Training Advances Head Control in Very Young Infants." Physical Therapy 92, no. 7 (July 1, 2012): 935–47. http://dx.doi.org/10.2522/ptj.20110196.
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Background Daily experiences are thought to play an important role in motor development during infancy. There are limited studies on the effect of postural and movement experiences on head control. Objective The purpose of this study was to quantify the effects of postural and movement experiences on head control through a comprehensive set of measurements beginning when infants were 1 month old. Design This was a prospective, longitudinal, 2-cohort study. Methods Twenty-two full-term infants who were healthy were randomly assigned to either a training group or a control group. Infants were observed every other week from 1 to 4 months of age. Head control was assessed using a standardized developmental assessment tool, the Test of Infant Motor Performance (TIMP), as well as behavioral coding and kinematics of infants' head postures and movements in a supported sitting position. Caregivers performed at least 20 minutes of daily postural and movement activities (training group), or social interaction (control group) for 4 weeks. Results The training group had higher TIMP scores on head control–related items during the training period and after training stopped compared with the control group. Starting from the during training phase, the training group infants had their heads in a vertical and midline position longer compared with the control group infants. After training stopped, the training group infants actively moved their heads forward more often and for larger distances. Limitations The experiences outside daily training were not monitored, and the results may be specific to the experimental setup for infants with typical development. Conclusions Young infants are able to take advantage of postural and movement experiences to rapidly advance their head control as early as 4 to 6 weeks of postnatal life. Infant positioning, caregiver handling, and caregiver-infant interactions were likely contributing factors. This database of comprehensive measures may be useful in future trials focused on head control in infants with special needs.
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van Wijk, Renske M., Maaike Pelsma, Catharina G. M. Groothuis-Oudshoorn, Maarten J. IJzerman, Leo A. van Vlimmeren, and Magda M. Boere-Boonekamp. "Response to Pediatric Physical Therapy in Infants With Positional Preference and Skull Deformation." Physical Therapy 94, no. 9 (September 1, 2014): 1262–71. http://dx.doi.org/10.2522/ptj.20130304.
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Background Pediatric physical therapy seems to reduce skull deformation in infants with positional preference. However, not all infants show improvement. Objective The study objective was to determine which infant and parent characteristics were related to responses to pediatric physical therapy in infants who were 2 to 4 months old and had positional preference, skull deformation, or both. Design This was a prospective cohort study. Methods Infants who were 2 to 4 months old and had positional preference, skull deformation, or both were recruited by pediatric physical therapists at the start of pediatric physical therapy. The primary outcome was a good response or a poor response (moderate or severe skull deformation) at 4.5 to 6.5 months of age. Potential predictors for responses to pediatric physical therapy were assessed at baseline with questionnaires, plagiocephalometry, and the Alberta Infant Motor Scale. Univariate and multiple logistic regression analyses with a stepwise backward elimination method were performed. Results A total of 657 infants participated in the study. At follow-up, 364 infants (55.4%) showed a good response to therapy, and 293 infants (44.6%) showed a poor response. Multiple logistic regression analysis resulted in the identification of several significant predictors for a poor response to pediatric physical therapy at baseline: starting therapy after 3 months of age (adjusted odds ratio [aOR]=1.50, 95% confidence interval [95% CI]=1.04–2.17), skull deformation (plagiocephaly [aOR=2.64, 95% CI=1.67–4.17] or brachycephaly [aOR=3.07, 95% CI=2.09–4.52]), and a low parental satisfaction score (aOR=2.64, 95% CI=1.67–4.17). A low parental satisfaction score indicates low parental satisfaction with the infant's head shape. Limitations Information about pediatric physical therapy was collected retrospectively and included general therapy characteristics. Because data were collected retrospectively, no adjustment in therapy for individual participants could be made. Conclusions Several predictors for responses to pediatric physical therapy in infants who were 2 to 4 months old and had positional preference, skull deformation, or both were identified. Health care professionals can use these predictors in daily practice to provide infants with more individualized therapy, resulting in a better chance for a good outcome.
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Marinela, Rata. "Early Physical Therapy Intervention in Infant Hip Dysplasia." Procedia - Social and Behavioral Sciences 76 (April 2013): 729–33. http://dx.doi.org/10.1016/j.sbspro.2013.04.195.
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Dusing, Stacey C., Theresa Izzo, Leroy R. Thacker, and James Cole Galloway. "Postural Complexity Influences Development in Infants Born Preterm With Brain Injury: Relating Perception-Action Theory to 3 Cases." Physical Therapy 94, no. 10 (October 1, 2014): 1508–16. http://dx.doi.org/10.2522/ptj.20140023.
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Background and Purpose Perception-action theory suggests a cyclical relationship between movement and perceptual information. In this case series, changes in postural complexity were used to quantify an infant's action and perception during the development of early motor behaviors. Case Description Three infants born preterm with periventricular white matter injury were included. Outcomes Longitudinal changes in postural complexity (approximate entropy of the center of pressure), head control, reaching, and global development, measured with the Test of Infant Motor Performance and the Bayley Scales of Infant and Toddler Development, were assessed every 0.5 to 3 months during the first year of life. All 3 infants demonstrated altered postural complexity and developmental delays. However, the timing of the altered postural complexity and the type of delays varied among the infants. For infant 1, reduced postural complexity or limited action while learning to control her head in the midline position may have contributed to her motor delay. However, her ability to adapt her postural complexity eventually may have supported her ability to learn from her environment, as reflected in her relative cognitive strength. For infant 2, limited early postural complexity may have negatively affected his learning through action, resulting in cognitive delay. For infant 3, an increase in postural complexity above typical levels was associated with declining neurological status. Discussion Postural complexity is proposed as a measure of perception and action in the postural control system during the development of early behaviors. An optimal, intermediate level of postural complexity supports the use of a variety of postural control strategies and enhances the perception-action cycle. Either excessive or reduced postural complexity may contribute to developmental delays in infants born preterm with white matter injury.
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Van Hus, Janeline W. P., Martine Jeukens-Visser, Karen Koldewijn, Loekie Van Sonderen, Joke H. Kok, Frans Nollet, and Aleid G. Van Wassenaer-Leemhuis. "Comparing Two Motor Assessment Tools to Evaluate Neurobehavioral Intervention Effects in Infants With Very Low Birth Weight at 1 Year." Physical Therapy 93, no. 11 (November 1, 2013): 1475–83. http://dx.doi.org/10.2522/ptj.20120460.
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Background Infants with very low birth weight (VLBW) are at increased risk for motor deficits, which may be reduced by early intervention programs. For detection of motor deficits and to monitor intervention, different assessment tools are available. It is important to choose tools that are sensitive to evaluate the efficacy of intervention on motor outcome. Objective The purpose of this study was to compare the Alberta Infant Motor Scale (AIMS) and the Psychomotor Developmental Index (PDI) of the Bayley Scales of Infant Development–Dutch Second Edition (BSID-II-NL) in their ability to evaluate effects of an early intervention, provided by pediatric physical therapists, on motor development in infants with VLBW at 12 months corrected age (CA). Design This was a secondary study in which data collected from a randomized controlled trial (RCT) were used. Methods At 12 months CA, 116 of 176 infants with VLBW participating in an RCT on the effect of the Infant Behavioral Assessment and Intervention Program were assessed with both the AIMS and the PDI. Intervention effects on the AIMS and PDI were compared. Results Corrected for baseline differences, significant intervention effects were found for AIMS and PDI scores. The highest effect size was for the AIMS subscale sit. A significant reduction of abnormal motor development in the intervention group was found only with the AIMS. Limitations No Dutch norms are available for the AIMS. Conclusions The responsiveness of the AIMS to detect intervention effects was better than that of the PDI. Therefore, caution is recommended in monitoring infants with VLBW only with the PDI, and the use of both the AIMS and the Bayley Scales of Infant Development is advised when evaluating intervention effects on motor development at 12 months CA.
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Syrengelas, Dimitrios, Vassiliki Kalampoki, Paraskevi Kleisiouni, Vassiliki Manta, Stavros Mellos, Roser Pons, George P. Chrousos, and Tania Siahanidou. "Alberta Infant Motor Scale (AIMS) Performance of Greek Preterm Infants: Comparisons With Full-Term Infants of the Same Nationality and Impact of Prematurity-Related Morbidity Factors." Physical Therapy 96, no. 7 (July 1, 2016): 1102–8. http://dx.doi.org/10.2522/ptj.20140494.
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Abstract Background Only a few studies have been conducted with the objective of creating norms of the Alberta Infant Motor Scale (AIMS) for the assessment of gross motor development of preterm infants. The AIMS performance of preterm infants has been compared with that of the Canadian norms of full-term infants, but not with that of full-term infants of the same nationality. Moreover, the possible impact of prematurity-related morbidity factors on AIMS performance is unknown. Objectives The aims of this study were: (1) to evaluate AIMS trajectory in a large population of Greek preterm infants and create norms, (2) to compare it with the AIMS trajectory of Greek full-term infants, and (3) to examine the possible influence of neonatal morbidity on AIMS scores in the preterm sample. Design This was a cross-sectional study. Methods Mean AIMS scores were compared, per month (1–19), between 403 preterm infants (≤32 weeks of age, corrected for prematurity) and 1,038 full-term infants. In preterm infants, the association of AIMS scores with respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH) of grade ≤III, bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), and sepsis was assessed by hierarchical regression analysis. Results Alberta Infant Motor Scale scores were significantly lower in preterm infants than in full-term infants. Mean AIMS scores in preterm infants were significantly associated with RDS (b=−1.93; 95% CI=−2.70, −1.16), IVH (b=−0.97; 95% CI=−1.69, −0.25), and ROP (b=−1.12; 95% CI=−1.99, −0.24) but not with BPD or sepsis in hierarchical regression analysis. Conclusions Alberta Infant Motor Scale norms were created for Greek preterm infants. This study confirms that AIMS trajectories of preterm infants are below those of full-term infants of the same nationality. The influence of morbidity factors, including RDS, IVH, and ROP, should be taken into account when administering the AIMS in preterm infants.
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Dusing, Stacey C., Jennifer C. Burnsed, Shaaron E. Brown, Amy D. Harper, Karen D. Hendricks-Munoz, Richard D. Stevenson, Leroy R. Thacker, and Rebecca M. Molinini. "Efficacy of Supporting Play Exploration and Early Development Intervention in the First Months of Life for Infants Born Very Preterm: 3-Arm Randomized Clinical Trial Protocol." Physical Therapy 100, no. 8 (April 24, 2020): 1343–52. http://dx.doi.org/10.1093/ptj/pzaa077.
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Abstract Objective The aim of this project is to study the effect of a physical therapist intervention provided in the first months of life on developmental outcomes of infants born very preterm. Secondary aims are to investigate the impact of intervention timing on the efficacy and impact of the intervention on infants with and without cerebral palsy. Methods This study is a multisite longitudinal controlled trial comparing developmental outcomes from infants in the Supporting Play, Exploration, and Early Development Intervention (SPEEDI)_Late or SPEEDI_Early group to a usual care group. Settings are urban Urban and rural areas surrounding 2 academic medical centers. There will be 90 preterm infants enrolled in this study born at <29 weeks of gestation. SPEEDI is a developmental intervention provided by collaboration between a physical therapist and parent to support a child’s motor and cognitive development. The primary outcome measure is the Bayley Scale of Infant and Toddler Development Cognitive and Gross Motor Scaled Scores. Secondary measures include behavioral coding of early problem solving skills, the Gross Motor Function Measure, and Test of Infant Motor Performance. Impact More than 270,000 infants are born very preterm in the United States each year, 50% of whom will have neurological dysfunction that limits their ability to keep pace with peers who are typically developing. This study is a step toward understanding the impact that intensive developmental intervention could have in this population in the first months of life.
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Megens, Antoinette M., Susan R. Harris, Catherine L. Backman, and Virginia E. Hayes. "Known-Groups Analysis of the Harris Infant Neuromotor Test." Physical Therapy 87, no. 2 (February 1, 2007): 164–69. http://dx.doi.org/10.2522/ptj.20060096.
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Background and Purpose The Harris Infant Neuromotor Test (HINT) is a screening tool designed to identify neuromotor or cognitive/behavioral concerns in infants who are healthy or at high risk between the ages of 3 and 12 months. The purpose of this study was to determine whether the HINT could distinguish between infants at high risk and infants at low risk for neuromotor delays. Subjects and Methods Following HINT administration by trained health care professionals, scores were compared for 54 high-risk infants and 412 low-risk infants with a t test. Results Mean HINT scores for infants at low risk were lower than mean scores for infants at high risk, as would be expected in that higher scores indicate higher risk. Significant differences were found at 4, 5, 7, and 8 months. At 6 months, there were no significant differences. There were not enough high-risk infants in other subgroups for reliable comparison. Discussion and Conclusion The HINT appears to discriminate effectively between infants who are at low risk and infants who are at high risk for neuromotor delays, supporting the use of the HINT as a screening tool for infants in the first year of life.
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Bodkin, Amy W., Ronda S. Baxter, and Carolyn B. Heriza. "Treadmill Training for an Infant Born Preterm With a Grade III Intraventricular Hemorrhage." Physical Therapy 83, no. 12 (December 1, 2003): 1107–18. http://dx.doi.org/10.1093/ptj/83.12.1107.
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Background and Purpose. Research has documented the feasibility and benefit of treadmill training in children with cerebral palsy and Down syndrome. The purposes of this case report are: (1) to determine the feasibility of treadmill training in an infant at high risk for neuromotor dysfunction and (2) to describe the child's treadmill stepping patterns following treadmill training. Case Description. The male infant, who had a grade III intraventricular hemorrhage following premature birth, began physical therapy and treadmill training at 5¼ months corrected age. Treadmill training was conducted 3 times weekly and videotaped weekly. Videotape analysis determined number of steps, step type, and foot position. Outcomes. Except for foot position, trends in treadmill stepping were similar to those of studies with infants not at high risk for neuromotor disabilities. Discussion. This case report shows that treadmill training is feasible for an infant at high risk for neuromotor disabilities and may be associated with more mature stepping characteristics. Future research should evaluate optimum treadmill training parameters and long-term developmental outcomes.
Dissertations / Theses on the topic "Infant physical therapy"
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Boynewicz, Kara, Roberta Gaitlin, and Anjali Gupta. "A Exploring the Unknown: Comparing Physical Therapy Neonatal Competencies Across Hospital Systems." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8342.
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This presentation compares the development and implementation of competency checklists for orienting and mentoring practitioner that supports the needs of management, patients and NICU therapist's. Competencies from four NICUs across the US were compared by three neonatal physical therapists via a coding system. After coding, themes arose which described similarities which were then referenced back to the published physical therapy competencies. This varied between hospitals, depending on specific rehabilitation professionals employed, the evolution of NICU status and the complexity of the patient. The neonatal therapist has a unique opportunity to utilize the information from this study to bridge the gap between the operational management and the educational demands of the rehabilitation therapist in the NICU team.
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Jones, J., Kara Boynewicz, K. Rary, K. Sperapolus, and Shawn Hollinger. "Interprofessional Care and Infant Motor Performance and Neurobehavioral Outcome Measures for Treatment of an Infant With Neonatal Abstinence Syndrome (NAS): A Case Report." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/8344.
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Boynewicz, Kara, and C. Pickle. "Play, Move, Learn! How Early Movement Promotes Cognitive Development in the Infant /Toddler Classroom." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/8356.
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Campos, Zanelli Thatiane Moura 1978. "Desenvolvimento motor e crescimento de lactentes pré-termos extremos e moderados do 1º ao 3º meses de idade corrigida : estudo comparativo." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312905.
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Orientadores: Maria Valeriana Leme de Moura Ribeiro, Marilisa Mantovani GuerreiroTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: Na última década, os avanços no atendimento à gestante, ao concepto, aos procedimentos obstétricos e ao neonato têm proporcionado aumento da sobrevida de recém-nascidos (RN) com idades gestacionais menores. Assim os pré-termos extremos que representam 1,4% de todos os RN tiveram expressivo aumento da sobrevivência, com identificação de morbidades (atraso do neurodesenvolvimento e paralisia cerebral). Objetivo: Comparar o desenvolvimento motor e o crescimento ponderoestatural de lactentes pré-termos classificados como extremos e moderados e compará-los com lactentes a termo. Sujeitos e Métodos: Estudo prospectivo, seccional e longitudinal, de coorte, sendo o Grupo 1 constituído por lactentes nascidos pré-termo extremo PTE (? 30 semanas de idade gestacionais),o Grupo 2 por lactentes nascidos moderadamente pré-termo PTM (entre 31 e 33 semanas e 6 dias), e o Grupo 3 ¿ lactentes a termo de baixo risco classificados como controles (entre 37 e 41 semanas e 6 dias). Foi realizada pesquisa de prontuário e uma entrevista com os pais ou responsáveis legais para identificar os fatores de risco (biológicos e ambientais)pré, peri, neo e pós-natais, dados antropométricos (peso, estatura e perímetro craniano) e desenvolvimento motor nas idades de 1, 2 e 3 meses de idade corrigida. Foi utilizado Test of Infant Motor Performance (TIMP). Foram selecionados os lactentes cujos pais assinaram o Termo de Consentimento Livre e Esclarecido e lactentes que compareceram a pelo menos uma avaliação no Ambulatório de Referência do Desenvolvimento Infantil Fênix do Hospital Municipal "Dr Mário Gatti", durante o ano de 2010 e 2012. Foram excluídos lactentes com diagnóstico de síndromes genéticas, malformações, infecções congênitas ou adquiridas no período neonatal, além de imagem radiológica de hemorragia intracraniana grau III e IV, lesão da substância branca cerebral ou cistos intracranianos. Dos 320 RN que chegaram para acompanhamento, os pais de 269 RN aceitaram participar da pesquisa e somente 110 lactentes preencheram todos os critérios de inclusão. Assim, o grupo PTE foi composto por 36 lactentes, o grupo PTM por 74 e o grupo controle por 57. Resultados: Houve diferença significativa na média do escore bruto e na classificação do Z-escore no TIMP no 1° mês, sendo a média do grupo PTM menor (p=0,030). O grupo PTM apresentou maior proporção de lactentes classificados como pequenos para a idade gestacional segundo a classificação do crescimento intrauterino, sendo 67,5% classificados com assimétrico. O peso, comprimento e perímetro craniano são diferentes entre os grupos nos três meses estudados, porém a média das medidas está dentro da curva de normalidade da Organização Mundial da Saúde na idade corrigida. Constatamos que todas as variáveis de controle estudadas, o PTE apresentou proporções superiores, somente o crescimento intrauterino o grupo PTM. Conclusão: Conclui-se que a prematuridade moderada associada ao nascimento PIG pode prejudicar o desenvolvimento motor avaliado pela escala TIMP
Abstract: Introduction: In the last decade, advances in the care of pregnant women, the fetus, the obstetric procedures, and the neonate have provided increased survival of new born with lower gestational ages. Thus the extremely preterm representing 1.4% of all infants had a significant increase in survival, leading to morbidities (neurodevelopmental delay and cerebral palsy). Objective: To compare motor development and growth of preterm infants classified as extreme or moderate with full-term infants. Subjects and Methods: A prospective, cross-sectional and longitudinal study of the cohort following: Group 1 consisting of extreme preterm infants (PTE ? 30 weeks of gestational age); Group 2 consisting of moderately preterm infants (PTM = between 31-33 weeks and 6 days); and, Group 3 (control group) consisting of low-risk term infants (between 37 - 41 weeks and 6 days). Research records and one interview with the parents or legal guardians were performed to identify risk factors (biological and environmental) pre -, peri- , neo -and post birth , anthropometric data (weight, height and head circumference) and motor development at the first, second and third months of corrected age. The Test of Infant Motor Performance (TIMP) was used. We selected infants whose parents signed the consent form and infants who attended at least one assessment at the Clinic of Child Development Reference ¿Fenix, "Dr Mario Gatti Regional Hospital", during 2010 and 2012. We excluded infants diagnosed with genetic syndromes, malformations, congenital or acquired infections in the neonatal period, radiological imaging of grade III and IV intracranial hemorrhage, and intracranial cysts. Out of 320 infants, 269 parents agreed to participate, only 110 infants met all inclusion criteria. The PTE group consisted of 36 infants, PTM group consisted of 74 infants and control group consisted of 57 term infants. Results: There were significant differences in mean raw score and classification of the Z - score in the TIMP on first month, with a lowest average of the PTM group (p = 0.030). The PTM group had a higher proportion of infants classified as small for gestational age, and 67.5% of those were classified as asymmetric intrauterine growth. The weight, length and head circumference were different between groups in the three months, but the average of the measurements were within the normal values of World Health Organization curves. Conclusion: We conclude that moderate preterm infants who are small for gestational age may present with impaired motor development assessed by TIMP
Doutorado
Ciencias Biomedicas
Doutora em Ciências Médicas
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Chen, Chao-Ying. "Cognitive, motor, and autonomic function in infants with complex congenital heart diseases, infants born preterm, and infants born full-term." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1408984094.
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Boynewicz, Kara, K. Sperapolus, Rachel Walden, and Sierra Owens. "Looking Beyond Developmental Consequences by Structuring Intervention for Children/Infant and Families With Substance Misuse Disorder: A Scoping Review." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/8339.
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Šimkutė, Vaida. "Kineziterapijos efektyvumas judėjimo funkcijų atsiradimo laikui giliai ir vidutiniškai neišnešiotiems kūdikiams pagal koreguoto amžiaus rodiklius." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2006. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2006~D_20060508_173104-28524.
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Infants born prior to the term of 36 gestation weeks and 6 days are considered preterm infants. The number of preterm infants in Lithuania amounts to 5 – 6% per year. The most significant health problems of such infants in the neonate period are caused by immaturity of the organs and their systems. Knowledge of a preterm infant’s psychomotoric development contributes to early notification of disorders, more effective composition of problem-orientated corrective programs and monitoring of development progress. According to the reference literature, early application of physical therapy enables recovery of as much as 50 percent of infants and improvement of the condition of the rest. The goal of this thesis is to determine within which group: in the preterm infants (extremely preterm (born within 25-30 gestation week) or very preterm infants (born within 31-36 gestation week)), physical therapy has major effect for the emergence time of motor function. The objectives of the thesis are as follows: 1. Comparison of emergence time of motor functions with regard to extremely preterm and very preterm infants within the same stage of corrected age. 2. Comparison of motor development of the extremely preterm and very preterm infant groups and within each separate group considering the gender aspect. 3. Comparison of motor development alternation of the extremely preterm and very preterm infant groups and within each separate group considering the aspect of applied surgical treatment... [to full text]
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Tripathi, Tanya. "An INNOVATIVE USE of TECHNOLOGY and ASSOCIATIVE LEARNING to ASSESS PRONE MOTOR LEARNING and DESIGN INTERVENTIONS to ENHANCE MOTOR DEVELOPMENT in INFANTS." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5364.
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Since the introduction of the American Academy of Pediatrics Back to Sleep Campaign infants have not met the recommendation to “incorporate supervised, awake “prone play” in their infant’s daily routine to support motor development and minimize the risk of plagiocephaly”. Interventions are needed to increase infants’ tolerance for prone position and prone playtime to reduce the risk of plagiocephaly and motor delays. Associative learning is the ability to understand causal relationship between events. Operant conditioning is a form of associative learning that occurs by associating a behavior with positive or negative consequences. Operant conditions has been utilized to encourage behaviors such as kicking, reaching and sucking in infants by associating these behaviors with positive reinforcement. This dissertation is a compilation of three papers that each represent a study used to investigate a potential play based interventions to encourage prone motor skills in infants. The first paper describes a series of experiment used to develop the Prone Play Activity Center (PPAC) and experimental protocols used in the other studies. The purpose of the second study was to determine the feasibility of a clinical trial comparing usual care (low tech) to a high-tech intervention based on the principles of operant conditioning to increase tolerance for prone and improve prone motor skills. Ten infants participated in the study where parents of infants in the high tech intervention group (n=5) used the PPAC for 3 weeks to practice prone play. Findings from this study suggested the proposed intervention is feasible with some modifications for a future large-scale clinical trial. The purpose of the third study evaluated the ability of 3-6 months old infants to demonstrate AL in prone and remember the association learned a day later. Findings from this study suggested that a majority of infants demonstrated AL in prone with poor retention of the association, 24 hours later. Taken together these 3 papers provide preliminary evidence that a clinical trial of an intervention is feasible and that associative learning could be used to reinforce specific prone motor behaviors in the majority of infants.
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Vieira, Josy Davidson Okida [UNIFESP]. "Alterações torácicas musculoesqueléticas no primeiro ano de vida em crianças nascidas prematuras: fatores associados e importância da fotogrametria para o seu diagnóstico." Universidade Federal de São Paulo (UNIFESP), 2009. http://repositorio.unifesp.br/handle/11600/8892.
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Previous issue date: 2009-04-29Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Objetivo: Determinar a frequência e os fatores associados às alterações torácicas musculoesqueléticas em crianças nascidas prematuras e analisar a acurácia e a reprodutibilidade da fotogrametria para detectar tais alterações. Método: Estudo transversal com crianças no primeiro ano de vida, nascidas de fevereiro/2007 a dezembro/2008, idade gestacional <37 semanas, peso ao nascer <2000g e acompanhadas no Ambulatório de Prematuros da Universidade Federal de São Paulo (UNIFESP). Excluíram-se: malformações, doenças neuromusculares e cromossômicas, hemorragia peri-intraventricular grau III/IV e/ou leucomalácia periventricular. Utilizou-se o exame físico para determinar frequência e fatores associados às alterações torácicas e como padrão de referência para análise de acurácia, por curva ROC, do ângulo manúbrio/acrômio/trapézio e da medida da retração costal para detectar, respectivamente, elevação de ombros e retração costal em duas fotografias analisadas em computador. Projeto aprovado pelo Comitê de Ética da UNIFESP, com assinatura do Termo de Consentimento. Resultados: Das 121 crianças com idade gestacional: 31,1+2,8 semanas e peso ao nascer: 1400+338g, 66,9% apresentaram alterações torácicas. À regressão logística, os fatores associados às alterações torácicas foram: idade corrigida (dias): OR: 1,018 (IC95%: 1,004- 1,1019) e dias de oxigenoterapia: OR: 1,096 (IC95%: 1,031-1,164). O ângulo manúbrio/acrômio/trapézio apresentou: acurácia: 0,793, sensibilidade: 71,4%, especificidade: 78,4%, coeficiente de correlação intra e interclasse (CCI): 0,922 e 0,947. A medida de retração costal mostrou: acurácia: 0,895, sensibilidade: 96,6%, especificidade: 75,9%, CCI: 0,841 e 0,838. Conclusões: As alterações torácicas foram freqüentes e se associaram à maior idade corrigida e maior tempo de oxigenoterapia. A fotogrametria apresentou excelente reprodutibilidade e boa acurácia
Objective: To determine the frequency and factors associated with thoracic musculoskeletal alterations in infants born premature and to analyze the accuracy and the reproducibility of photogrammetry to detect these alterations. Methods: Cross sectional study with infants in the first year of life, born from February/2007 to December/2008, with gestational age <37 weeks, birth weight <2000g and followed at the Premature Clinic of the Federal University of São Paulo. Major malformation, intraventricular hemorrhage grade III/IV and/or periventricular leucomalacia were excluded. Physical exam was used as a reference standard to determine the frequency and factors associated with thoracic alterations and for accuracy analysis, by ROC curve. Photographs were analyzed by a computer program to detect shoulder elevation and thoracic retraction by the measurement of manubrium/acromion process/trapezius angle and the greatest thoracic retraction depth. The study was approved by the Ethical Committee of the Institution and parents/guardians signed terms of informed consent. Results: Of 121 studied infants (gestational age: 31.1+2.8 weeks, birth weight: 1400+338g), 81 (66.9%) presented thoracic alterations. By logistic regression, factors associated with thoracic alterations were: days of corrected age (OR=1.018, CI95%: 1.004-1.019) and days on oxygen therapy (OR=1.096, CI 95%: 1.031-1.164). Compared to physical exam, the manubrium/acromion process/trapezius angle presented: accuracy: 0.793, sensitivity: 71.4%, specificity: 78.4%, intraclass and interclass correlation coefficient (ICC): 0.922 and 0.947. The greatest thoracic retraction depth showed: accuracy: 0.895, sensitivity: 96.6%, specificity: 75.9%, (ICC): 0.841 and 0.838. Conclusions: The frequency of thoracic alterations was high and associated with higher corrected age and longer oxygen therapy. The photogrammetry provided an objective, accurate and reliable test to detect thoracic alterations in preterm infants.
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Cunha, Andréa Baraldi. "Efeito do treino de curta duração no alcance manual de lactentes a termo e suas implicações clínicas." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/5178.
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Previous issue date: 2014-07-28Universidade Federal de Minas Gerais
Objectives: Part I) To verify the effect of short-term training on reaching behavior in fullterm infants at the onset of reaching. Part II) To know the behavior of reaching, the reaching training protocols in full-term and preterm infants and to adjust these training for children with cerebral palsy (CP). Methods: In Part I, it was conducted a randomized controlled trial. 30 healthy infants at 3-4 months of age (M =14.0 ±1.6 weeks of age) were randomly assigned to: 1) reaching training group; 2) social training group (control group). The infants were submitted into 3 assessments (kinematics and qualitative) at 45° reclined position (until 5 days after the onset of reaching): 1) Pre-training, before the first session of training; 2) Post-training 1, after the first session of training, at the same day; and 3) Posttraining 2, after three sessions of training, at the following day. To perform the reaching training and social training, the infants were submitted into three short-term sessions of training, one performed on the first day and the two performed on the second day. All infants were seated reclined 45° in the researcher s lap. The infants of training group received three activities of interaction with the object under serial practice (i.e.: ABC, ABC, ABC) in each session. The infants of social group received no reaching training or stimuli for their upper limbs of each session. The variables considered were: characterizing the sample, the total reaching frequency, distal adjustments (hand orientation, hand opening, and surface of the hand contact), and spatio-temporal variables (duration of movement, mean velocity, straightness index, deceleration index, and movement unit). In Part II, we performed a literature review on: the reaching behavior in infants with typical developmental, preterm infants and infants with CP from 0 to 2 years of age; the main techniques of reaching assessment; models of reaching training protocols (immediate and short-term effects) developed for full-term and preterm infants and; on a way of adjusting reaching training for children with CP in clinical practice. Results: In Part I, a training session was effective in increasing the number of reaches and the percentage of reaches with ventral hand, and decreasing the percentage of reaches with closed and dorsal hand. In addition, three training sessions resulted in changes in the spatio-temporal variables (with shorter and more fluent reachs) and increased the percentage of reaches with vertical hand. For Part II, it was highlighted the importance of determining immediate, short, medium and long term goals, planning the therapeutic procedures directed to the goals. In addition, to use and adapt existing training protocols to intervene in infants at risk and / or diagnosis of CP, and others. Conclusions: A few short training sessions under serial varied condiction were effective in improving the reaching performance, such as changes in the number of reaches, in distal adjustments and spatio-temporal reaching variables. These results reflect the flexibility of the perceptual-motor skills development and the important role of experience in the improvement of motor behavior in infants. Furthermore, to direct the interventions to the functional objectives and, to use and adapt existing training protocols, may provide to the professionals one more tool of intervention in infants at risk and / or established diagnosis of CP.
Objetivos: Parte I) Verificar o efeito do treino de curta duração de alcance em lactentes nascidos a termo no período de aquisição da habilidade. Parte II) Conhecer o comportamento de alcance, protocolos de treino de alcance em lactentes a termo e prétermo e; ajustar esses protocolos de treino de alcance para crianças com paralisia cerebral (PC). Métodos: Na Parte I, foi realizado um estudo randomizado controlado, com 30 lactentes a termo, de 3-4 meses de idade (M= 14,0±1.6 semanas de idade), alocados em dois grupos: 1) grupo de treino de alcance, 2) grupo de treino social (grupo controle). Os lactentes foram submetidos à três avaliações (cinemática e qualitativa) na postura reclinada a 45° (até 5 dias após aquisição do alcance): 1) pré-treino, antes da primeira sessão de treino; 2) pós-treino 1, após a primeira sessão de treino, no mesmo dia e; 3) póstreino 2: após a terceira sessão de treino, no dia seguinte ao pré- e pós-treino 1. Para realizar o treino de alcance e o treino social, os lactentes foram submetidos à três sessões, uma realizada no primeiro dia, e duas realizadas no segundo dia. Todos os lactentes foram posicionados no colo do pesquisador em reclinado a aproximadamente 45°. O grupo de treino de alcance recebeu 3 atividades de interação com objeto em condição de prática variada seriada (ex: ABC, ABC, ABC) em cada sessão e o grupo treino social não recebeu estímulos em seus membros superiores em cada sessão. Foram consideradas variáveis de caracterização da amostra, frequência total de alcances, ajustes distais (orientação, abertura e superfície de contato das mãos) e variáveis espaço-temporais (duração do movimento, velocidade média, índice de retidão, índice de desaceleração e unidades de movimento). Na Parte II, realizou-se um revisão da literatura existente sobre: o comportamento do alcance em lactentes com desenvolvimento neurossensoriomotor típico, nascidos prematuros e com PC de 0 a 2 anos de idade; as principais técnicas de avaliação do alcance; os modelos de protocolos de treino de alcance, de efeitos imediatos e de curto prazo, desenvolvidos com lactentes a termo e pré-termos e; formas de como ajustar treinos de alcance para crianças com PC na prática clínica. Resultados: Para Parte I, uma sessão de treino foi eficaz em aumentar o número de alcances e a porcentagem de alcances com mão orientada ventralmente e diminuir a porcentagem de alcances com a mão fechada e dorsal. Além disso, três sessões de treino resultaram em mudanças nas variáveis espaço-temporais (alcances com menor duração e mais fluentes) e maior porcentagem de alcances com a mão orientada verticalmente. Para a Parte II, destaca-se a importância de traçar objetivos imediatos, de curto, médio e longo prazo, planejando as condutas terapêuticas de forma direcionada aos objetivos. Além de utilizar e adaptar os protocolos de treino (efeitos imediatos e de curto prazo) existentes para intervir em bebês com risco e/ou diagnóstico estabelecido de PC, entre outras alterações neurossensoriomotoras. Conclusões: Sessões de curta duração em condição de prática variada seriada foram efetivas em aprimorar o desempenho do alcance, como mudanças no número de alcances, nos ajustes distais e nas variáveis espaço-temporais do alcance. Esses resultados refletem a flexibilidade do desenvolvimento de habilidades percepto-motoras e o importante papel da experiência no aprimoramento do comportamento motor de lactentes. Além disso, direcionar as intervenções aos objetivos funcionais e; utilizar e adaptar os protocolos de treino existentes, podem fornecer à profissionais mais uma ferramenta para intervir em bebês com risco e/ou diagnóstico estabelecido de PC.
Books on the topic "Infant physical therapy"
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Lea, Cintas Holly, ed. Handbook of pediatric physical therapy. Baltimore: Williams & Wilkins, 1995.
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Kathy, Toscano, ed. Handbook of pediatric physical therapy. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.
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Meeting the physical therapy needs of children. 2nd ed. Philadelphia: F.A. Davis Co., 2013.
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Bly, Lois. Baby treatment based on NDT principles. San Antonio, Texas: Therapy Skill Builders, 1999.
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Pediatrics for the physical therapist assistant. St. Louis, Mo: Elsevier/Saunders, 2009.
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Drnach, Mark. The clinical practice of pediatric physical therapy: From the NICU to independent living. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008.
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Ratliffe, Katherine T. Clinical pediatric physical therapy: A guide for the physical therapy team. St. Louis: Mosby, 1998.
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S, Oseid, and Carlsen Kai-Håkon, eds. Children and exercise XIII. Champaign, Ill: Human Kinetics Books, 1989.
Find full textBook chapters on the topic "Infant physical therapy"
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Clark, Robin D., and Cynthia J. Curry. "Arthrogryposis." In Genetic Consultations in the Newborn, edited by Robin D. Clark and Cynthia J. Curry, 191–96. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780199990993.003.0028.
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This chapter reviews the incidence, risk factors, genetics, recurrence risk, and epidemiology of arthrogryposis. The most common and clinically recognizable type among the congenital contractures is amyoplasia, and treatment options are improving the quality of life for these patients. The distal arthrogryposes are mostly autosomal dominant and caused by an increasing number of genes including variants in PIEZ02 and MYH3 among several others. The lethal contracture syndromes have an expanding number of causes many of which are autosomal recessive. The majority of these conditions are recognized on US. In viable syndromes the early and intensive use of physical therapy is critical and can result in significant joint mobilization. The clinical case presentation features an infant with lethal multiple pterygia syndrome.
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Tupper, Susan M., Mary S. Swiggum, Deborah O’Rourke, and Michael L. Sangster. "Physical therapy interventions for pain in childhood and adolescence." In Oxford Textbook of Paediatric Pain, 581–89. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642656.003.0056.
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This chapter is divided into four sections. The first section provides an overview of the theoretical foundations that can be used as a framework for possible mechanisms of effect for physical therapy (PT) interventions and identification of PT interventions oriented towards maximizing participation of children with pain in valued roles and life activities. The second reviews the literature on active therapies as interventions for children with pain. The third section reviews the literature on passive therapies and safety and efficacy for manual therapy or therapeutic modalities for pain. The importance of the therapeutic relationship and pain education will also be discussed. The final section reviews the literature on procedural pain from a PT perspective and provides recommendations on procedural pain management. Although PT practice settings and the treatment needs of infants, children and adolescents with pain vary widely, this chapter provides a structure for development of a theoretical and evidence-based physical therapeutic approach for all children with pain.
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Tupper, Susan M., Joyce M. Engel, Mary Swiggum, and Liisa Holsti. "Occupational and physical therapy for pain in pediatric clients." In Oxford Textbook of Pediatric Pain, edited by Bonnie J. Stevens, Gareth Hathway, and William T. Zempsky, 557–68. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198818762.003.0053.
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Occupational therapists (OTs) and physical therapists (PTs) are rehabilitation therapists with distinct but complementary roles who contribute to pain assessment and management in young people either as solo providers, or as a critical component of the interdisciplinary treatment team. Pain in infants, children, and adolescents interferes with their ability to engage in essential interactions with caregivers, acquisition of developmental milestones, and with participation in activities related to self-care, leisure, play, school, and work. OTs and PTs use specific treatment strategies, such as positioning, splinting, adaptive equipment, exercise, manual therapy, electrophysical agents, education on energy conservation, joint protection strategies, and pain self-management training to facilitate participation in valued life activities and occupations. This chapter provides an overview of important theoretical frameworks for rehabilitation therapists, reviews evidence for OT and PT interventions, and describes a framework for planning procedural pain management for rehabilitation therapists when working with pediatric clients.
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Rothstein, William G. "Hospitals and Health Care." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0020.
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The use of hospitals for medical care became more varied after 1950. More patients were admitted for a wide variety of conditions and more different types of treatments were provided. Many new technologies were adopted that have raised costs considerably. Hospitals employed more residents, foreign medical graduates, and nurses. Between 1946 and 1983, hospitals grew both in size and importance in the health care system. The number of short-term nonfederal hospitals increased by only one-third, but the number of beds and the average daily census doubled and the number of admissions increased 2.6 times, while the U.S. population grew by only two-thirds. Much of the additional use was for nonsurgical care. During the 1928–1943 period, 74 percent of all hospital admissions were surgical. This declined to 60 percent between 1956 and 1968 and to 50 percent between 1975 and 1981. Outpatient care grew even more rapidly than inpatient care, with the number of hospital outpatients doubling between 1965 and 1983. The hospital system has become dominated by large hospitals, practically all of which have affiliated with medical schools. In 1983, the 18 percent of nonfederal short-term hospitals that had 300 or more beds admitted 50 percent of the patients, carried out 59 percent of the surgery, and had 55 percent of the outpatient visits and 61 percent of the births. They employed 72 percent of all physicians and dentists employed in hospitals and 90 percent of all medical and dental residents. At least 60 percent of them had nurseries for premature infants, hemodialysis units, radiation therapy or isotype facilities, computerized tomograhy (CT) scanners, and cardiac catheterization facilities, and almost one-half had open-heart surgery facilities. Most also offered types of care not traditionally associated with hospitals. Practically all of them provided social work services and physical therapy, at least 75 percent provided occupational and speech therapy, and 40 percent provided outpatient psychiatric care. On the other hand, fewer than one-third provided family planning, home care, or hospice services, or partial hospitalization for psychiatric patients. The expanding services of nonfederal short-term general hospitals has led to the employment of larger numbers of workers.
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Lee, Hochang Ben, and John R. Lipsey. "Stroke." In Psychiatric Aspects of Neurologic Diseases. Oxford University Press, 2008. http://dx.doi.org/10.1093/oso/9780195309430.003.0010.
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With an annual incidence of more than 600,000 cases, thromboembolic stroke is the third leading cause of death in the United States after heart disease and cancer (Kochanek et al., 2004). The number of stroke survivors has increased to 4.5 million adults nationally as the management of acute stroke continues to improve (AHA, 2002). Psychiatric syndromes are common complications of stroke and are associated with psychologic distress, increased impairment, poor rehabilitation outcomes, and excess morbidity. The purpose of this chapter is to describe clinically important poststroke psychiatric disorders and suggest appropriate treatment. Cognitive deficits are the most common psychiatric complication of stroke and affect nearly all stroke survivors. The type of cognitive disturbance depends on the location of the brain injury. Left hemisphere strokes frequently cause aphasia. Right hemisphere strokes cause substantial (but often underrecognized) cognitive impairments such as diminished insight, decreased attention, impaired spatial reasoning, and neglect syndromes. Furthermore, depending on the location of a stroke, other functions such as motivation, memory, judgment, and impulse control may also be affected. A large stroke or a series of small strokes affecting both hemispheres may lead to the global cognitive impairment of dementia. When a series of strokes is involved, the cognitive decline develops in a stepwise manner. This vascular dementia or multi-infarct dementia may be difficult to distinguish from Alzheimer’s disease. Autopsy studies of patients diagnosed with vascular dementia have often demonstrated the presence of Alzheimer’s disease pathology. As many as 25% of all dementia cases are attributable to a combined neuropathology of Alzheimer’s disease and multiple infarcts (Massoud et al., 1999). In addition to strategies such as speech and language therapy, physical and occupational therapy, and cognitive rehabilitation, pharmacologic treatment may improve cognitive deficits in some stroke patients. The parallels between vascular dementia and Alzheimer’s disease, as well as the evidence that reduced cholinergic function may play a role in both (Gottfries et al., 1994) have encouraged the use of acetylcholinesterase inhibitors (eg, donepezil) in vascular dementia. These drugs have shown modest benefits in such patients (Roman et al., 2005), and their use is described in Chapter 20.
Conference papers on the topic "Infant physical therapy"
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Emeli, Victor, Katelyn E. Fry, and Ayanna Howard. "Towards Infant Kick Quality Detection to Support Physical Therapy and Early Detection of Cerebral Palsy: A Pilot Study." In 2020 29th IEEE International Conference on Robot and Human Interactive Communication (RO-MAN). IEEE, 2020. http://dx.doi.org/10.1109/ro-man47096.2020.9223571.
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Schmitt, Elke. "Treatment Planning System (TPS) for Carbon Ion Therapy: The INFN TPS project." In XLIX International Winter Meeting on Nuclear Physics. Trieste, Italy: Sissa Medialab, 2011. http://dx.doi.org/10.22323/1.135.0008.
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Teddy Weiss, A., David G. Fine, David Applebaum, Sima Welber, Dan Sapoznikov, Chaim Lotan, Morris Mosseri, Yonathan Hasin, and Meryyn S. Gotsman. "PREHOSPITAL CORONARY THROMBOLYSIS: A NEW STRATEGY IN ACUTE MYOCARDIAL INFARCTION." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642979.
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Thirty-four patients with acute myocardial infarction were treated prospectively using a new strategy of pre-hospital intravenous streptokinase given by a physician-operated mobile intensive care unit. Prehospital treated patients who had experienced no previous myocardial infarction were compared to a similar group treated with streptokinase in-hospital. All patients underwent cardiac catheterization on day 6.Patients receiving streptokinase in the pre-hospital phase of acute myocardial infarction had smaller infarcts and better residual myocardial function than the group given streptokinase in-hospital in terms of peak creatine phosphokinase (900 v.1298 IU, p=0.023), ejection fraction (62 v. 55%, p=0,004), computer-derived dysfunction index (427 v. 727, p=0.003), and electrocardiographic QRS score (4.1 v. 6.4, p=0.001). The only difference between these groups at baseline was the duration of pain prior to initiation of streptokinase therapy (1.0 ± 0.4 hours vs. 1.9 ± 0.9 hours). There were no major complications related to pre-hospital administration of streptokinase.Pre-hospital stretokinase infusion is feasible, safe and practical. It reduces ischemia time because treatment is not delayed until hospital arrival and therapy limits infarct size. Thrombolytic therapy for acute myocardial infarction can be initiated at home and should not be limited to hospitalized patients.