Introduction to Paediatric Physiotherapy: Difference between revisions

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Previously, interventions for children were based on structures and body function impairments.  The shift in therapy is to focus on the child's participation and activities with their family.  In addition, interventions are shifted from what the child can not do to what the child can do.<ref name=":0">Hielkema T, Toonen RF, Hooijsma SJ, Dirks T, Reinders-Messelink HA, Maathuis CG, Geertzen JH, Hadders-Algra M. [https://www.tandfonline.com/doi/full/10.1080/01942638.2017.1405863 Changes in the content of pediatric physical therapy for infants: a quantitative, observational study. Physical & occupational therapy in pediatrics]. 2018 Oct 20;38(5):457-88.</ref>
Previously, interventions for children were based on structures and body function impairments.  The shift in therapy is to focus on the child's participation and activities with their family.  In addition, interventions are shifted from what the child can not do to what the child can do.<ref name=":0">Hielkema T, Toonen RF, Hooijsma SJ, Dirks T, Reinders-Messelink HA, Maathuis CG, Geertzen JH, Hadders-Algra M. [https://www.tandfonline.com/doi/full/10.1080/01942638.2017.1405863 Changes in the content of pediatric physical therapy for infants: a quantitative, observational study. Physical & occupational therapy in pediatrics]. 2018 Oct 20;38(5):457-88.</ref>


Atypical development of a child can directly impact the entire family.  Caregivers and family members may develop feelings of vulnerability, guilt and incapacity in caring for their child.<ref name=":1">Cunha RF, Costa KB, Morais RL. [https://www.scielo.br/j/fm/a/GPhjPqrxyHcpCqP6K5zcfSG/ Family-centered care on a physiotherapy course]. Fisioterapia em Movimento. 2022 Mar 25;35.</ref>  Acknowledging the family's interest and values for their child is critical as they are considered the experts for their child's abilities and needs.  This new model shifts the decision from the clinician to the caregivers as they are considered the experts in their child's needs and abilities.<ref name=":0" /> <ref>Hornby G, Lafaele R. [https://link.springer.com/article/10.1186/s12913-019-4394-5 Barriers to parental involvement in education: An explanatory mode]l. Educational review. 2011 Feb 1;63(1):37-52.</ref> <ref>Kokorelias KM, Gignac MA, Naglie G, Cameron JI. [https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4394-5 Towards a universal model of family centered care: a scoping review]. BMC health services research. 2019 Dec;19(1):1-1.</ref>This process provides opportunities for the families to feel empowered and increase their self-confidence as they face daily challenges.<ref name=":1" />  
Atypical development of a child can directly impact the entire family.  Caregivers and family members may develop feelings of vulnerability, guilt and incapacity in caring for their child.<ref name=":1">Cunha RF, Costa KB, Morais RL. [https://www.scielo.br/j/fm/a/GPhjPqrxyHcpCqP6K5zcfSG/ Family-centered care on a physiotherapy course]. Fisioterapia em Movimento. 2022 Mar 25;35.</ref>  Acknowledging the family's interest and values for their child is critical as they are considered the experts for their child's abilities and needs.  This new model shifts the decision from the clinician to the caregivers as they are considered the experts in their child's needs and abilities.<ref name=":0" /> <ref>Hornby G, Lafaele R. [https://link.springer.com/article/10.1186/s12913-019-4394-5 Barriers to parental involvement in education: An explanatory mode]l. Educational review. 2011 Feb 1;63(1):37-52.</ref> <ref>Kokorelias KM, Gignac MA, Naglie G, Cameron JI. [https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4394-5 Towards a universal model of family centered care: a scoping review]. BMC health services research. 2019 Dec;19(1):1-1.</ref>This process provides opportunities for the families to feel empowered and increase their self-confidence as they face daily challenges.<ref name=":1" />


=== Aims of Pediatric PTs ===
Goals of pediatric physical therapy are:


# promote independence
# increase participation
# facilitate motor development and function
# improve strength and endurance
# enhance learning opportunities, and
# ease challenges with daily care giving<ref>Eskay, K.  Introduction to Pediatric Course.  Physioplus. 2022</ref>
=== Where do they work ===
Pediatric physical therapists can work in a diverse group of settings including:
* schools
* outpatient centers
* hospitals
* rehabilitation centers
* the child's home
* neonatal intensive care units<ref>Innerbody Research. Available from: https://www.innerbody.com/careers-in-health/how-to-become-a-childrens-physical-therapist.html#:~:text=Pediatric%20physical%20therapists%20work%20in,directly%20in%20the%20child's%20home.</ref>
=== Team ===
In most pediatric settings, the physical therapist will work collaboratively as a team member.  Each team is different depending on the needs and wants of the family and the child.  In general, the team will include the child, parent/caregiver and other specialized medical personal such as
The team consists of the child, parent(s), caregiver(s), and others with specialized expertise (these may include physicians, teachers, social workers, psychologists, occupational therapists, speech-language pathologists, and, of course, physical therapists). The composition of the team varies from child to child, reflecting the individual needs of the child and family.4 General Approaches to T
== References ==
== References ==

Revision as of 21:21, 15 August 2022

Intro[edit | edit source]

Pediatric PT's work with children and their families who have some disruption in the normal flow of development. Typically physical therapists will address motor issues, however, other impairments that affect cognition, language and psychsoical issues may also be present. Developmentally, children follow a predictable pattern of motor skills attainment, although timelines can vary. Genetic makeup, cultural expectations, caregiver practices, and interactions within the environment all play a role in how children learn functional skills.[1]

Family Centered Care[edit | edit source]

Previously, interventions for children were based on structures and body function impairments. The shift in therapy is to focus on the child's participation and activities with their family. In addition, interventions are shifted from what the child can not do to what the child can do.[2]

Atypical development of a child can directly impact the entire family. Caregivers and family members may develop feelings of vulnerability, guilt and incapacity in caring for their child.[3] Acknowledging the family's interest and values for their child is critical as they are considered the experts for their child's abilities and needs. This new model shifts the decision from the clinician to the caregivers as they are considered the experts in their child's needs and abilities.[2] [4] [5]This process provides opportunities for the families to feel empowered and increase their self-confidence as they face daily challenges.[3]

Aims of Pediatric PTs[edit | edit source]

Goals of pediatric physical therapy are:

  1. promote independence
  2. increase participation
  3. facilitate motor development and function
  4. improve strength and endurance
  5. enhance learning opportunities, and
  6. ease challenges with daily care giving[6]

Where do they work[edit | edit source]

Pediatric physical therapists can work in a diverse group of settings including:

  • schools
  • outpatient centers
  • hospitals
  • rehabilitation centers
  • the child's home
  • neonatal intensive care units[7]

Team[edit | edit source]

In most pediatric settings, the physical therapist will work collaboratively as a team member. Each team is different depending on the needs and wants of the family and the child. In general, the team will include the child, parent/caregiver and other specialized medical personal such as


The team consists of the child, parent(s), caregiver(s), and others with specialized expertise (these may include physicians, teachers, social workers, psychologists, occupational therapists, speech-language pathologists, and, of course, physical therapists). The composition of the team varies from child to child, reflecting the individual needs of the child and family.4 General Approaches to T

References[edit | edit source]

  1. ↑ Long T. Handbook of pediatric physical therapy. Lippincott Williams & Wilkins; 2018 May 17.
  2. ↑ 2.0 2.1 Hielkema T, Toonen RF, Hooijsma SJ, Dirks T, Reinders-Messelink HA, Maathuis CG, Geertzen JH, Hadders-Algra M. Changes in the content of pediatric physical therapy for infants: a quantitative, observational study. Physical & occupational therapy in pediatrics. 2018 Oct 20;38(5):457-88.
  3. ↑ 3.0 3.1 Cunha RF, Costa KB, Morais RL. Family-centered care on a physiotherapy course. Fisioterapia em Movimento. 2022 Mar 25;35.
  4. ↑ Hornby G, Lafaele R. Barriers to parental involvement in education: An explanatory model. Educational review. 2011 Feb 1;63(1):37-52.
  5. ↑ Kokorelias KM, Gignac MA, Naglie G, Cameron JI. Towards a universal model of family centered care: a scoping review. BMC health services research. 2019 Dec;19(1):1-1.
  6. ↑ Eskay, K. Introduction to Pediatric Course. Physioplus. 2022
  7. ↑ Innerbody Research. Available from: https://www.innerbody.com/careers-in-health/how-to-become-a-childrens-physical-therapist.html#:~:text=Pediatric%20physical%20therapists%20work%20in,directly%20in%20the%20child's%20home.
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