Pediatric Physical Therapy - Pediatric Physical Therapy Podcast

Pediatric Physical Therapy
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  • SCIENCE

Pediatric Physical Therapy is the first and only peer-reviewed journal devoted to this discipline. The Journal provides a forum for scientific and professional exchange among researchers and practitioners throughout the world that represent subspecialties of the discipline, including early intervention, neonatology, pediatric sports and fitness, school physical therapy, acute care for seriously ill children, and the prevention of primary and secondary conditions that lead to disabling conditions. Official Journal of APTA Pediatrics, an Academy of the American Physical Therapy Association, The Dutch Association for Pediatric Physical Therapy, Physiotherapia Paediatrica, The New Zealand Society of Physiotherapists Pediatric Special Interest Group, and The Pediatric Division of the Canadian Physiotherapy Association.

  1. 03/26/2025

    Volume 37, Issue 2

    Burning Topic for Pediatric Physical Therapists: In the USA and Globally 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. Predictors of Length of Physical Therapy Care for Infants With Congenital Torticollis. 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. PLEASE JOIN THE CONVERSATION!! 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: pediatricphysicaltherapy@audiomedica.comText Messages, WhatsApp, What’s App Video or Audio: +44 7771 642 333

    16 min

  2. 12/23/2024

    Volume 37, Issue 1

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

    8 min

  3. 10/01/2024

    Volume 36, Issue 4

    The Pediatric Physical Therapy Podcast, September, 2024 This special edition of the Pediatric Physical Therapy podcast is reviewed by Pediatric Pediatric Physical Therapy Journal Editor-in-Chief, Linda Fetters PhD PT FAPTA, University of Southern California, Los Angeles. This podcast examines the 2024 Updated Evidence-Based Clinical Practice Guideline on the Physical Therapy Management of Congenital Muscular Torticollis. Podcast host Sarah Maxwell is joined by first author of the Updated Guideline, Dr. Barbara Sargent and clinician author, Dr. Jill Cannoy PT, DPT, PCS. Podcast Speakers: JILL CANNOY PT, DPT, PCS, Orthotics and Prosthetics Department, Children’s Healthcare of Atlanta, Atlanta, Georgia. BARBARA SARGENT PhD, PT, Associate Professor of Physical Therapy, University of Southern California Journal Abstract: 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 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. 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. 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. (Pediatr Phys Ther 2024;00:1–45)Key words: clinical practice guideline, congenital muscular torticollis, infant, pediatrics, physical therapy

    17 min

  4. 07/17/2024

    Volume 36, Issue 3

    Pediatric Physical Therapy Podcast Volume 36, Issue 3, 2024 Creator: Pediatric Physical Therapy AN INTERVIEW WITH: Toby Long PhD, Department of Pediatrics, Center for Child and Human Development, Georgetown University, Washington DC, USA. “Inclusion, Participation, Belonging = Surviving, Thriving, Flourishing” 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. Title: Inclusion, Participation, Belonging = Surviving, Thriving, Flourishing Author: Toby Long, PT, PhD, FAPTA Author affiliations: Department of Pediatrics, Center for Child and Human Development, Georgetown University, Washington, DC, USA Conflict of Interest Statement: The author declares no conflict of interest. Correspondence: Toby Long, 2115 Wisconsin Avenue, NW, Suite 600, Washington, DC 20007. Email: longt@georgetown.edu ABSTRACT Purpose: To share my perspectives on how pediatric physical therapists support children with disabilities and their families to maximize their potential to flourish. Key Points: 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. Key words: International perspectives, inclusion, participation, belonging inclusion and participation.

    13 min

  5. 04/02/2024

    Volume 36, Issue 2

    The Pediatric Physical Therapy Podcast March, 2024 Edition: AN INTERVIEW WITH: 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) 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.” AUTHORS: Eilish M. Byrne, Katherine Hunt and Melissa Scala 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. 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. 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. 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. 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. KEYWORDS: iRainbow, Neonatal Intensive Care Unit, Neonatal Therapy, Developmental Care, Neonatal Sensory Interventions, Neonatal Care Path, Family Education 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.

  6. 09/20/2023

    Volume 35, Issue 4

    INTERVIEWS IN THIS EDITION: Studio Guest: Linda Fetters PhD, PT, FAPTA University of Southern California, Los Angeles, Pediatric Physical Therapy Editor-in-Chief, adds her comments and reflections on clinical implications arising from the research discussed in the podcast by Pediatric Physical Therapy authors. Author Interviews: 1. Catie Christensen PT DPT PCS, Evidence Based Practice Coordinator, Nationwide Children’s Hospital, Columbus, Ohio, USA “2022 APTA Pediatrics Knowledge Translation Lecture: Clinicians and Researchers Collaborate to Implement a Segmental Approach to Trunk Control” Christensen discusses her team’s detailed investigation of how collaboration between clinicians and researchers can help implement the “segmental approach” to trunk control in patients with cerebral palsy. 2. Kate L. McLeod, Queensland Cerebral Palsy & Rehabilitation Research Centre, University of Queensland, Brisbane, Australia. “Effect of Active Motor Learning Interventions on Gross Motor Function and Mobility in Children Aged 2 to 6 Years With Bilateral Cerebral Palsy: A Systematic Review and Meta-analysis “ McLeod tells the podcast about her group’s meta-analysis of studies investigating active-motor learning interventions among children with bilateral cerebral palsy. 3. Stacey C. Dusing PT PhD FAPTA PCS, Sykes Family Chair of Pediatric Physical Therapy, Health, and Development, Division of Biokinesiology & Physical Therapy, University of Southern California, Los Angeles, California, USA. “Impact of the COVID-19 Pandemic on a Clinical Trial: A Quantitative Report on Study Engagement and Strategies” Research on physical therapy practice during the COVID pandemic suggests that lessons have been learned and that clinicians will be better prepared for a future pandemic. Dusing tells the podcast about her group’s report in Pediatric Physical Therapy on a study of infants in a rehabilitation clinical trial, that took place before and during COVID. 4. Kelly E. Rock PT, DPT, PhD, PCS, currently Postdoctoral Fellow, Department of Physical Therapy, University of Florida, Gainesville, Florida, USA and former PhD student at the Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, Maryland, USA, discusses: “Muscle Properties, Gross Motor Performance, and Quality of Life in Children With Sickle Cell Disease”. The group looked at muscle properties and motor performance as metrics to guide and individualize physical therapy plans for children with sickle-cell disease. Rock explains how these outcome measures can provide an evidence-base for therapy planning. 5. Kimberley S. Scott PT DPT PhD, Assistant Professor, Department of Physical Therapy, Creighton University, Omaha, Nebraska, USA. “Fidelity of Delivery in a Multisite Randomized Clinical Trial of Intervention Efficacy for Infants With Unilateral Cerebral Palsy” For children with unilateral cerebral palsy, the consistency of interventions between centers and between individual clinicians has been checked in a new study. Scott tells the podcast about her group’s investigation of the fidelity of therapy delivery in a multi-site randomized clinical trial. 6. Jodi Thomas DHSc, School of Physical Therapy, Texas Woman’s University, Dallas, Texas, USA “The Head Control Scale: Responsiveness and Concurrent Validity With the Alberta Infant Motor Scale” Although head control holds the key to a number of developmental issues it’s not easy to measure objectively in a new-born infant. Thomas talks about the validation of her group’s recently developed “Head Control Scale” as an accurate measure of head control in young children. 7. Melissa McIntyre PT DPT, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA. “Daily Quantity and Kinematic Characteristics of Leg Movement in a Child With SMA Type I” The rare genetic condition: Spinal Muscular Atrophy, or SMA, can now be treated with specific molecular drugs or gene therapy. These treatments alter disease progression, resulting in improved motor function and development. In the best of cases, infants who previously had dismal outlooks and very short survivals can demonstrate near-typical motor development. McIntyre talks about her case study, giving insights into physical therapy for neonates and young children with SMA who demonstrate previously unseen development trajectories and motor achievements.

    1h 2m

  7. 06/30/2023

    Volume 35, Issue 3

    INTERVIEWS IN THIS EDITION: Studio Guest: Linda Fetters PhD, PT, FAPTA University of Southern California, Los Angeles, Pediatric Physical Therapy Editor-in-Chief. Linda begins this special edition of the podcast by talking about our inspiring former leader, the late Cindy Miles, President of the Academy of Pediatric Physical Therapy at the American Physical Therapy Association. Author Interviews: 1. Hércules Ribeiro Leite PhD, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil I Would Like to Do It Very Much! Leisure Participation Patterns and Determinants of Brazilian Children and Adolescents With Physical Disabilities Hércules tells us how the needs of youngsters with physical impairments are often overlooked, especially in low- and middle-income countries. His group’s new program increases their participation in leisure activities such as sports providing new opportunities to improve outcomes. 2: Jeanette M Cadieux PT DPT, Cadieux Physical Therapy, Cooper Landing, Alaska, USA Pediatric Walking Speed Normal Reference Values in a Local Population In a new research study, Janette has been calibrating pediatric walking speed in typical children as a comparator to help assess performance in children with impairments. 3 Joseph Schreiber PT PhD FAPTA, Physical Therapy Learning for Practice, Pittsburg PA, USA Clinical Outcomes of an Intensity Program for Children With Movement Challenges Joe tells the podcast about his group’s high intensity program of physical therapy for children with movement challenges: a massive initiative developed by his co-authors at the Children’s Institute, in Pittsburgh, bringing clinically important improvements in outcomes. 4: Adriaan Louw PT PhD, Evidence in Motion, Story City, Iowa, USA Pain Neuroscience Education in Elementary and Middle Schools Adriaan explains how our attitudes towards pain influences our experiences of pain. He discusses his research findings on the role of pain neuroscience education among children, and explains how physical therapists are pivotal to implementing this. 5. Deanne Fay PT, DPT, PhD, Professor & Director of Curriculum, Physical Therapy Program, AT Still University, Mesa, Arizona, USA Influence of Modified Instructions on Locomotion Subtest Scores Using the Peabody Developmental Motor Scales, Second Edition Deanne explains how departing from the published scripts for instructing children and asking them questions while you are conducting motor function scores can markedly affect the score and should be discouraged. 6. Tanochni Mohanty, MPT, JSS College of Physiotherapy, Mysuru, Karnataka, India Predictors of Risk for Cerebral Palsy: A Review Tanochni gives the podcast some of the key findings from her group’s big new survey reviewing data on predictive risk factors for cerebral palsy. In particular she highlights the significance of absent fidgety movements among infants and of prenatal general movements. 7. Kara Boynewicz, PT, PhD, DPT, East Tennessee State University, Johnson City, Tennessee Early Identification of Atypical Motor Performance of Infants With Prenatal Opioid Exposure Coping with new-born babies heavily exposed to opiates in utero became a key specialist activity for Kara who has been studying how best to give these infant as good a start in life as possible by setting up a carefully controlled investigation of motor performance in new-born infants with: Neonatal Opiate Withdrawal Syndrome, NOWS.

  8. 03/28/2023

    Volume 35, Issue 2

    INTERVIEWS IN THIS EDITION: Studio Guest: Linda Fetters PhD, PT, FAPTA University of Southern California, Los Angeles, Pediatric Physical Therapy Editor in Chief Dr. Fetters adds her comments about clinical implications of the new data and insights discussed by authors interviewed in the podcast. Author Interviews: 1. Jamie B Hall PT, DPT, PhD, PCS, Assistant Teaching Professor, Department of Physical Therapy, University of Missouri, Columbia MO, USA “Caregiver Perceptions of an Interdisciplinary Intensive Therapy Program: A Qualitative Study” Caregivers are at the center of a study using interdisciplinary intensive therapy for children with cerebral palsy and other neurodevelopmental impairments. 2: Roberto M. Benzo PhD, Assistant Professor, Ohio State University College of Medicine, Columbus OH, USA, formerly: Department of Psychology, University of Miami FL, USA. “Physical Fitness Among Adolescents who are Hispanic with Overweight or Obesity” New research on physical fitness in overweight and obese young people shows that it can—and should—be accurately monitored in adolescence to help spot those at risk. The study looked at 280 youngsters who were Hispanic with overweight or obesity. 3: Bethany M. Sloane PT, DPT, Pediatric Physical Therapist, Oregon Health and Science University, Portland OR, USA “Modified Ride-on Car Intervention for Children With Profound Intellectual and Multiple Disabilities: A Case Series” A research study looked at using power mobility devices to help children with profound intellectual and multiple disabilities achieve independent mobility. 4: Julie Orlando DPT, Biomechanics & Movement Science Program, University of Delaware, Newark DE, USA “Development and Initial Evaluation of a Soft Ankle Support for Children With Ankle Impairments” A soft ankle support for children with ankle impairments has been trialed to provide a comfortable and attractive alternative to conventional ankle-foot orthoses. 5. Marisa Birkmeier PT, DPT, DHSc, Assistant Professor, Director of Clinical Education, George Washington University, Washington, DC “Excellence in Pediatric Physical Therapy Education: Recommendations and Action Items” An assessment of the current guideline recommendations for the pursuit of excellence in education for pediatric physical therapy students.

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Pediatric Physical Therapy is the first and only peer-reviewed journal devoted to this discipline. The Journal provides a forum for scientific and professional exchange among researchers and practitioners throughout the world that represent subspecialties of the discipline, including early intervention, neonatology, pediatric sports and fitness, school physical therapy, acute care for seriously ill children, and the prevention of primary and secondary conditions that lead to disabling conditions. Official Journal of APTA Pediatrics, an Academy of the American Physical Therapy Association, The Dutch Association for Pediatric Physical Therapy, Physiotherapia Paediatrica, The New Zealand Society of Physiotherapists Pediatric Special Interest Group, and The Pediatric Division of the Canadian Physiotherapy Association.

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