Physical Therapy Dosing: Frequency and Type of Intervention in Pediatric Postacute Hospital Care

Dumas, Helene M.; Fragala-Pinkham, Maria; Rosen, Elaine; Folmar, Eric

doi:10.1097/pep.0000000000000339

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…The current study examined receipt of IP physical therapy services for individuals dependent on technology as done by Dumas et al31 and similarly found those indicated as technology dependent were less likely to have IP physical therapy. The Dumas et al study was specific to IP rehabilitation, while the current study was specific to acute services after surgery.…”

Section: Discussionmentioning

confidence: 82%

Inpatient Physical Therapy After Orthopedic Lower Extremity Surgery in Children With Cerebral Palsy

Bailes

Mangeot²,

Murphy³

et al. 2022

Pediatric Physical Therapy

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Purpose: To characterize and examine the variability in receipt of inpatient (IP) physical therapy after lower extremity (LE) orthopedic surgery for individuals with cerebral palsy (CP) across hospital-level (region, bed size) and individual characteristics (gender, age, race/ethnicity, insurance type, technology dependency, and surgical burden). Methods: We retrospectively analyzed physical therapy billing data of children with CP who had LE orthopedic surgery from October 1, 2015, through September 30, 2017, from the Pediatric Health Information Services (PHIS) database. Results: Seventy-five percent of individuals received IP physical therapy during the hospital stay. Individuals from the South and West and those who were technology dependent were less likely to receive IP therapy. Those at large hospitals, aged 11 to 14 years, and with a high surgical burden were more likely to receive therapy. Conclusions: Results provide a starting point for future research on the discrepancies of acute physical therapy services in children diagnosed with CP. (Supplemental digital content video abstract available at: http://links.lww.com/PPT/A420)

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Section: Discussionmentioning

confidence: 82%

Inpatient Physical Therapy After Orthopedic Lower Extremity Surgery in Children With Cerebral Palsy

Bailes

Mangeot²,

Murphy³

et al. 2022

Pediatric Physical Therapy

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“…The first year after injury is considered critical in the rehabilitation process after a brain injury 14 . After the acute phase, children and young people with moderate to severe ABIs are often admitted to inpatient rehabilitation programmes for intensive therapies to regain their functional abilities with the goal of returning to their home and community 8,15 . During this subacute rehabilitation phase, the focus of rehabilitation treatment is directed towards recovery, as well as compensation for sustaining impairments, to regain functional ability and overall health.…”

mentioning

confidence: 99%

“… 14 After the acute phase, children and young people with moderate to severe ABIs are often admitted to inpatient rehabilitation programmes for intensive therapies to regain their functional abilities with the goal of returning to their home and community. 8 , 15 During this subacute rehabilitation phase, the focus of rehabilitation treatment is directed towards recovery, as well as compensation for sustaining impairments, to regain functional ability and overall health. This recovery process happens while children and young people are in a constant state of development and learning new developmental skills.…”

mentioning

confidence: 99%

Physical rehabilitation interventions in children with acquired brain injury: a scoping review

Meyling

Verschuren

Rentinck

et al. 2021

Develop Med Child Neuro

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Aim To synthesize the evidence about the characteristics (frequency, intensity, time, type) and effects of physical rehabilitation interventions on functional recovery and performance in daily functioning in children and young people with acquired brain injury (ABI), including traumatic brain injuries (TBI) and non‐TBI, during the subacute rehabilitation phase. Method Using scoping review methodology, a systematic literature search was performed using four databases. Articles were screened by title and abstract and data from eligible studies were extracted for synthesis. Results Nine of 3009 studies were included. The results demonstrated a variety of intervention characteristics: frequency varied between 1 and 7 days per week; time of intervention varied between 25 minutes and 6 hours a day; intervention types were specified in seven studies; and none of the included studies reported details of intensity of intervention. All studies reported positive results on the International Classification of Functioning, Disability and Health: Children and Youth (ICF‐CY) levels of body function and activities after the intervention period, with study designs of included studies being cohort studies without concurrent controls (n=7) or case reports (n=2). Interpretation Inconsistency in results hampers generalizability to guide clinical practice. Physical interventions during subacute rehabilitation have potential to improve functional recovery with intervention characteristics as an important factor influencing its effectiveness. Future well‐designed studies are indicated to gain knowledge and optimize rehabilitation practice in paediatric ABI and high‐quality research including outcomes across all ICF‐CY domains is needed.

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Evidence-Based Management of In-Toeing in Children

Berry

2018

Clin Pediatr (Phila)

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Physical Therapy Dosing: Frequency and Type of Intervention in Pediatric Postacute Hospital Care

Abstract: Children's age, functional level, and technology dependence influence dosing recommendations. Interventions focused on function are associated with greater physical therapy frequency.

Cited by 4 publications

References 18 publications

Inpatient Physical Therapy After Orthopedic Lower Extremity Surgery in Children With Cerebral Palsy

Inpatient Physical Therapy After Orthopedic Lower Extremity Surgery in Children With Cerebral Palsy

Physical rehabilitation interventions in children with acquired brain injury: a scoping review

Evidence-Based Management of In-Toeing in Children

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