TY - JOUR
T1 - Physical Therapy Dose after Orthopedic Multilevel Surgery Varies by Ambulatory Status in Children with Cerebral Palsy
T2 - A Pilot Study
AU - Greve, Kelly
AU - Bailes, Amy F.
AU - Zhang, Nanhua
AU - Long, Jason
AU - Aronow, Bruce
AU - Mitelpunkt, Alexis
N1 - Publisher Copyright:
© 2024 Academy of Pediatric Physical Therapy of the American Physical Therapy Association. Unauthorized reproduction of this article is prohibited.
PY - 2024
Y1 - 2024
N2 - Purpose: To characterize physical therapy (PT) dose for children with cerebral palsy (CP) after multi-level surgery (MLS) and examine variation by ambulatory status and surgical burden. Methods: PT dose (Frequency, Intensity, Time, Type) data were extracted from electronic records of children with CP who received outpatient PT the year after MLS. Results: Seventeen children, mean 9 years, female (n=10), ambulatory (n=10), and high surgical burden (n=12) were included. In the year after surgery, 345 visits occurred. Intensity across visits was above average. Time was greatest for pre-functional activities, gait, and transitions/transfers. Types most often delivered were neuromuscular, musculoskeletal, and education/training. Ambulatory children received significantly more visits, higher intensity, and time in pre-functional activities and gait than non-ambulatory children. No differences in type by ambulatory status and PT dose by surgical burden were found. Conclusion: PT dose varied the first year after MLS indicating the need for guidelines by ambulatory status. Video Abstract: Supplemental Digital Content available at: http://links.lww.com/PPT/A516.
AB - Purpose: To characterize physical therapy (PT) dose for children with cerebral palsy (CP) after multi-level surgery (MLS) and examine variation by ambulatory status and surgical burden. Methods: PT dose (Frequency, Intensity, Time, Type) data were extracted from electronic records of children with CP who received outpatient PT the year after MLS. Results: Seventeen children, mean 9 years, female (n=10), ambulatory (n=10), and high surgical burden (n=12) were included. In the year after surgery, 345 visits occurred. Intensity across visits was above average. Time was greatest for pre-functional activities, gait, and transitions/transfers. Types most often delivered were neuromuscular, musculoskeletal, and education/training. Ambulatory children received significantly more visits, higher intensity, and time in pre-functional activities and gait than non-ambulatory children. No differences in type by ambulatory status and PT dose by surgical burden were found. Conclusion: PT dose varied the first year after MLS indicating the need for guidelines by ambulatory status. Video Abstract: Supplemental Digital Content available at: http://links.lww.com/PPT/A516.
KW - Ambulatory Status
KW - Cerebral palsy
KW - Multilevel Surgery
KW - Physical Therapy Dose
KW - Surgical Burden
UR - http://www.scopus.com/inward/record.url?scp=85207365607&partnerID=8YFLogxK
U2 - 10.1097/PEP.0000000000001153
DO - 10.1097/PEP.0000000000001153
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 39392372
AN - SCOPUS:85207365607
SN - 0898-5669
JO - Pediatric Physical Therapy
JF - Pediatric Physical Therapy
ER -