Actual vs. best practices for young children with cerebral palsy: a survey of paediatric occupational therapists and physical therapists in Quebec, Canada
- PMID: 17943507
- DOI: 10.1080/17518420701544230
Actual vs. best practices for young children with cerebral palsy: a survey of paediatric occupational therapists and physical therapists in Quebec, Canada
Abstract
Rationale: Cerebral palsy (CP) constitutes a substantial portion of paediatric rehabilitation, yet little is known regarding actual occupational therapy (OT) and physical therapy (PT) practices. This study describes OT and PT practices for young children with CP in Quebec, Canada.
Methods: This was a cross-sectional survey. All eligible, consenting paediatric occupational therapists (OTs) and physical therapists (PTs) were interviewed using a structured telephone interview based on vignettes of two typical children with CP at two age points--18 months and 4 years. Reported practices were grouped according to the International Classification of Functioning, Disability and Health (ICF).
Results: 91.9% of PTs (n=62; 83.8% participation rate) and 67.1% of OTs (n=85; 91.4% participation rate) reported using at least one standardized paediatric assessment. OT and PT interventions focused primarily on impairments and primary function (such as gait function and activities of daily living). Both professions gave little attention to interventions related to play and recreation/leisure. Clinicians reported the need for more training and education specific to CP and to the use of research findings in clinical practice.
Conclusion: Wide variations and gaps were identified in clinicians' responses suggesting the need for a basic standard of OT and PT management as well as strategies to encourage knowledge dissemination regarding current best practice.
Similar articles
-
Current Rehabilitation Practices for Children with Cerebral Palsy: Focus and Gaps.Phys Occup Ther Pediatr. 2017 Feb;37(1):1-15. doi: 10.3109/01942638.2015.1126880. Epub 2016 Feb 11. Phys Occup Ther Pediatr. 2017. PMID: 26865220
-
Amount and focus of physical therapy and occupational therapy for young children with cerebral palsy.Phys Occup Ther Pediatr. 2012 Nov;32(4):368-82. doi: 10.3109/01942638.2012.715620. Epub 2012 Sep 7. Phys Occup Ther Pediatr. 2012. PMID: 22954372
-
Urinary incontinence after stroke: identification, assessment, and intervention by rehabilitation professionals in Canada.Stroke. 2007 Oct;38(10):2745-51. doi: 10.1161/STROKEAHA.107.486035. Epub 2007 Sep 6. Stroke. 2007. PMID: 17823380
-
Rehabilitation service utilization in children and youth with cerebral palsy.Child Care Health Dev. 2014 Mar;40(2):275-82. doi: 10.1111/cch.12026. Epub 2013 Jan 30. Child Care Health Dev. 2014. PMID: 23363242 Review.
-
International perspectives on paediatric rehabilitation--Australia.Pediatr Rehabil. 2004 Oct-Dec;7(4):267-70. doi: 10.1080/13638490410001727437. Pediatr Rehabil. 2004. PMID: 15513770 Review.
Cited by
-
Studying the Research-Practice Gap in Physical Therapies for Cerebral Palsy: Preliminary Outcomes Based on a Survey of Spanish Clinicians.Int J Environ Res Public Health. 2022 Nov 5;19(21):14535. doi: 10.3390/ijerph192114535. Int J Environ Res Public Health. 2022. PMID: 36361414 Free PMC article.
-
A protocol for a single-arm interventional study assessing the effects of a home-based joystick-operated ride-on-toy navigation training programme to improve affected upper extremity function and spontaneous use in children with unilateral cerebral palsy (UCP).BMJ Open. 2023 May 9;13(5):e071742. doi: 10.1136/bmjopen-2023-071742. BMJ Open. 2023. PMID: 37160396 Free PMC article.
-
Does journal club membership improve research evidence uptake in different allied health disciplines: a pre-post study.BMC Res Notes. 2012 Oct 29;5:588. doi: 10.1186/1756-0500-5-588. BMC Res Notes. 2012. PMID: 23106851 Free PMC article.
-
Improving allied health professionals' research implementation behaviours for children with cerebral palsy: protocol for a before-after study.Implement Sci. 2015 Feb 6;10:16. doi: 10.1186/s13012-014-0202-0. Implement Sci. 2015. PMID: 25889110 Free PMC article.
-
Rehabilitation Evidence-Based Decision-Making: The READ Model.Front Rehabil Sci. 2021 Oct 5;2:726410. doi: 10.3389/fresc.2021.726410. eCollection 2021. Front Rehabil Sci. 2021. PMID: 36188787 Free PMC article. Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous