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Pediatric Physical Therapy[JOURNAL]

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The Perceived Role and Contributions of Physical Therapists in Health Promotion Practices Within School-Based Settings.

Oriel KN, Bartlett E, Boarman E … +2 more , Henderson M, Mazanek M

Pediatr Phys Ther · 2026 Jan · PMID 41396713 · Publisher ↗

PURPOSE: The purpose of this study was to examine the perceived role and contributions of physical therapists in health promotion (HP) practices within school-based settings. METHODS: A survey was sent to US pediatric ph... PURPOSE: The purpose of this study was to examine the perceived role and contributions of physical therapists in health promotion (HP) practices within school-based settings. METHODS: A survey was sent to US pediatric physical therapists through a variety of means. RESULTS: Related to HP in their educational program, 71% indicated content was provided across the curriculum, with 55% reporting gaps in content; 53% reported they are minimally involved in HP efforts, while 41% were not involved at all. Participants perceived role in HP included supporting participation, encouraging an active lifestyle, and providing resources to families. Barriers included time, administrative support, and role as a contract employee. CONCLUSIONS: Results suggest that SBPTs are minimally involved in HP largely due to time. Status as contract employees appears to limit engagement. Participants viewed their role in HP as related to improving participation.
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Describing Physical Therapy Services Delivered to Children With Autism in the Outpatient Medical Setting.

Bailes AF, Donovan J, Weisshaar R … +3 more , Austing E, Kreimer J, Strenk ML

Pediatr Phys Ther · 2026 Jan · PMID 41186298 · Publisher ↗

PURPOSE: To describe physical therapy dose (frequency, intensity, time, type) delivered to individuals with autism at an outpatient pediatric medical center in 1 year. METHODS: Retrospective electronic medical record dat... PURPOSE: To describe physical therapy dose (frequency, intensity, time, type) delivered to individuals with autism at an outpatient pediatric medical center in 1 year. METHODS: Retrospective electronic medical record data were collected. Physical therapists document session details in a standardized flowsheet that includes child effort (intensity) on a 0 to 6 Likert scale, minutes (time) addressing 7 focus areas, and interventions (type) from 11 categories. RESULTS: Two hundred ninety-one individuals with autism received 1356 sessions (median 2, IQR: 1-6). Child effort was distributed normally. Most of the time was spent in the pre-functional, gross motor developmental, and gait focus areas. Most intervention types delivered were in the education, musculoskeletal, and neuromuscular categories. Therapists infrequently administered standardized measures to assess motor delays or provided physical activity interventions. CONCLUSIONS: The findings are relevant to educators and administrators in determining the resources needed for serving individuals with autism. Future studies examining PT services are warranted.
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Breech Birth Presentation and Intrauterine Constraint Factors and Their Association With Congenital Muscular Torticollis Severity.

Bercik D, Zreny M, Liu W

Pediatr Phys Ther · 2026 Jan · PMID 41128477 · Publisher ↗

PURPOSE: Intrauterine constraint factors such as multiparity and breech presentation at birth have been associated with congenital muscular torticollis (CMT). The literature lacks evidence linking these factors to CMT se... PURPOSE: Intrauterine constraint factors such as multiparity and breech presentation at birth have been associated with congenital muscular torticollis (CMT). The literature lacks evidence linking these factors to CMT severity. The purpose of this study is to determine how birth weight, length, presentation, sex, and delivery factors associate with CMT severity. A secondary purpose is to correlate severity with CMT direction and age at physical therapy evaluation. METHODS: Researchers relied on a clinical outcome database of 1239 infants ≤6 months diagnosed with CMT to examine how birth weight, length, breech positioning, sex, multiparity, and delivery method relate to CMT severity. RESULTS: Breech presentation was the only factor associated with torticollis severity. Infants with >30° of cervical tightness were more likely to be younger at evaluation and have a right torticollis. CONCLUSIONS: The increased likelihood of CMT severity with breech presentation at birth can guide pediatric physical therapists in prognostics.
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Lower Limb Training Threshold Dose and Motor Learning Strategy Reporting in Children With Cerebral Palsy.

Haddon M, Sudati IP, Kenworthy-Groen J … +6 more , Pool D, O'Connor L, Ware R, Lee C, Dolling K, Sakzewski L

Pediatr Phys Ther · 2026 Jan · PMID 41100659 · Publisher ↗

PURPOSE: This systematic review investigated the threshold dose of active lower limb training required to improve outcomes in children with cerebral palsy (CP) and to evaluate the reporting of motor learning strategies.... PURPOSE: This systematic review investigated the threshold dose of active lower limb training required to improve outcomes in children with cerebral palsy (CP) and to evaluate the reporting of motor learning strategies. METHODS: Five databases were searched for randomized controlled trials on active lower limb training in children with CP. Independent assessors conducted study selection, data extraction, and risk of bias assessment. Clinically significant mean group changes established dose thresholds, while motor learning strategies were assessed based on 11 common strategies. RESULTS: One hundred and one studies (3566 participants, mean age 8.8 years) met inclusion criteria. Threshold doses were 12 hours for walking speed, 7.5 hours for walking endurance, 23.33 hours for gross motor function, and 21 hours for goal performance. Motor learning strategy reporting was low. Most studies had a high risk of bias. CONCLUSIONS: These results provide preliminary guidance for optimizing therapy time to improve walking speed and endurance, gross motor function, and goal performance. More high-quality studies with detailed intervention reporting are needed.
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The Clinical Impact of Electrical Stimulation on Abnormal Tone During Gait for Individuals With Cerebral Palsy: A Case Report.

Joseph C, Greve K

Pediatr Phys Ther · 2026 Jan · PMID 41100658 · Publisher ↗

PURPOSE: Cerebral palsy (CP) is a condition that often presents with altered muscle tone affecting function. The purpose of this case report is to describe the clinical application of transcutaneous electrical nerve stim... PURPOSE: Cerebral palsy (CP) is a condition that often presents with altered muscle tone affecting function. The purpose of this case report is to describe the clinical application of transcutaneous electrical nerve stimulation (TENS) to manage the impact of muscle tone during gait in 2 children with CP. SUMMARY OF KEY POINTS: Two children with CP, who are gait, received TENS to manage spasticity and dystonia. Gait was analyzed using a two-dimensional gait analysis with and without TENS. Results demonstrated medium and large minimally clinically important differences in velocity, cadence, and stride length with TENS. CONCLUSION: Using TENS parameters may be a modality to manage tone and improve gait for children with CP. A larger study is needed to determine the effects of TENS. RECOMMENDATIONS FOR CLINICAL PRACTICE: Clinicians may use TENS on spastic or dystonic muscles as an intervention to improve gait for children with CP.
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Abstracts of Poster Presentations for the Academy of Pediatric Physical Therapy Annual Conference 2025: Pediatric Residents.

Pediatr Phys Ther · 2025 Oct · PMID 41043025 · Publisher ↗

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Residency and Fellowship Platform Presentations Annual Conference 2025 Academy of Pediatric Physical Therapy.

Pediatr Phys Ther · 2025 Oct · PMID 41043024 · Publisher ↗

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Posters Annual Conference 2025 Academy of Pediatric Physical Therapy.

Pediatr Phys Ther · 2025 Oct · PMID 41043023 · Publisher ↗

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Platform Presentations Annual Conference 2025 Academy of Pediatric Physical Therapy.

Pediatr Phys Ther · 2025 Oct · PMID 41043022 · Publisher ↗

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Commentary on "Validity and Reliability of Arch Height Index Measurement in Children With Spastic Diplegic Cerebral Palsy".

Jezequel J, Tay J

Pediatr Phys Ther · 2025 Oct · PMID 41043021 · Publisher ↗

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Commentary on "Aquatic Therapy Protocols on Gait of Children With Cerebral Palsy: A Randomized Controlled Clinical Trial".

Güeita-Rodríguez J, Lambeck J

Pediatr Phys Ther · 2025 Oct · PMID 41043020 · Publisher ↗

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Commentary on "Task-specific Training to Improve Sitting in A Child With Severe Postural Impairments: A Single-Subject Design".

Saavedra S, Ahrns R, Berning K … +1 more , Berning D

Pediatr Phys Ther · 2025 Oct · PMID 41043019 · Publisher ↗

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Commentary on "Tummy Time Tracking: Concurrent-Validity of Wearable Sensors in Home Settings for Term and Preterm Infants".

Orlando JM, Skorup JC, Dunn SR

Pediatr Phys Ther · 2025 Oct · PMID 41043018 · Publisher ↗

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Commentary on "Standardized Pediatric Outcome Measures in Physical Therapy: A Comparative Analysis of Educational and Clinical Practices".

Dole RL, Bradbury J

Pediatr Phys Ther · 2025 Oct · PMID 41043017 · Publisher ↗

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Commentary on "Parent-Reported Container Use Relates to Infants' Motor Development".

Chen Y, Smelser N

Pediatr Phys Ther · 2025 Oct · PMID 41043016 · Publisher ↗

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Commentary on "A Qualitative Analysis of the Implementation of an Intensive Pediatric Model of Physical Therapy".

Rubsam MC, Rodriguez L, Schmidt JAG

Pediatr Phys Ther · 2025 Oct · PMID 41043015 · Publisher ↗

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Commentary on "Variation in Intensive Pediatric Physical Therapy Practice in the US: Results From a National Survey".

Flowers M, Stamp B, McMinn S

Pediatr Phys Ther · 2025 Oct · PMID 41043014 · Publisher ↗

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Commentary on "Physical Therapists' Perceptions of Implementing and Sustaining Pediatric Intensive Physical Therapy Programs: A Survey Study".

Pessóta Sudati I, de Campos Carreira AK, de Campos AC

Pediatr Phys Ther · 2025 Oct · PMID 41043013 · Publisher ↗

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Commentary on "The Effects of Physical Therapy-Directed Early Mobilization in the Pediatric Intensive Care Unit: A Systematic Review and Meta-Analysis".

Hedden K, Arps K

Pediatr Phys Ther · 2025 Oct · PMID 41043012 · Full text

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Gratitude!

Fetters L

Pediatr Phys Ther · 2025 Oct · PMID 41043011 · Publisher ↗

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