Rehab Centers: Perinatal Events and Motor Performance of Children Born With ELBW and Nondisabled.

Perinatal Events and Motor Performance of Children Born With ELBW and Nondisabled.

Filed under: Rehab Centers

Pediatr Phys Ther. 2013; 25(1): 30-35
Zanudin A, Burns Y, Gray PH, Danks M, Poulsen L, Watter P

PURPOSE:: To explore the relationship between perinatal variables and motor performance in children who were born with extremely low birth weight (ELBW) and were nondisabled at 1 and 4 years. METHODS:: Children without neurological or cognitive impairment (n = 48) born weighing less than 1000 g between 1992 and 1994 were assessed at 1 and 4 years corrected age using the Neurosensory Motor Developmental Assessment (NSMDA). Scores were used to categorize motor performance as normal or abnormal. RESULTS:: Chronic lung disease (CLD) of prematurity, necrotizing enterocolitis (NEC), and patent ductus arteriosus were associated with NSMDA category at 1 year. Chronic lung disease, male gender, and NEC were associated with NSMDA category at 4 years. Multiple regression analyses revealed that CLD and NEC were independently associated with abnormal motor outcomes at 1 year. CONCLUSIONS:: Early assessment and motor therapy is recommended for infants with CLD, because of its effect on motor performance in this otherwise healthy group of children born with ELBW.
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Validity of the muscle power sprint test in ambulatory youth with cerebral palsy.

Filed under: Rehab Centers

Pediatr Phys Ther. 2013; 25(1): 25-8
Verschuren O, Bongers BC, Obeid J, Ruyten T, Takken T

: To validate the Muscle Power Sprint Test (MPST) against the Wingate Anaerobic cycling Test (WAnT) in a group of youth with cerebral palsy (CP).: Twenty children and adolescents (11 boys and 9 girls; mean age = 14.8 years) with spastic CP, and classified as either level I or II of the Gross Motor Function Classification System, completed the study.: Very strong significant correlations were seen for peak power (PP) and mean power (MP) from the MPST and WAnT PP and MP values (PP: r = 0.731, P < .001; MP: r = 0.903, P < .001).: The results of this study show that the MPST is a valid test for measuring anaerobic capacity in children with CP, and that this test can be used as an evaluation tool for anaerobic performance in exercise interventions focusing on children and adolescents with CP who are able to walk or run independently. HubMed – rehab


Responding to Exercise-Deficit Disorder in Youth: Integrating Wellness Care Into Pediatric Physical Therapy.

Filed under: Rehab Centers

Pediatr Phys Ther. 2013; 25(1): 2-6
Faigenbaum AD, Chu DA, Paterno MV, Myer GD

THE PROBLEM:: The decline and disinterest in regular physical activity among contemporary youth have created an immediate need to identify and treat these youngsters before they become resistant to our interventions. KEY POINTS:: Exercise-deficit disorder is a term used to describe a condition characterized by reduced levels of physical activity that are inconsistent with current public health recommendations. Pediatric physical therapists are in an enviable position to identify and treat exercise-deficit disorder in youth, regardless of body size or physical ability. RECOMMENDATION:: If pediatric physical therapists want to become advocates for children’s health and wellness, there is a need to address limitations in the physical therapist professional curriculum, educate families on the benefits of wellness programming, and initiate preventive strategies that identify youth who are inactive, promote daily physical activity, and encourage healthy lifestyle choices.
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