A Collaborative Model of Service Delivery for Children With Movement Disorders: A Framework for Evidence-Based Decision Making

Models of physical therapist service delivery provide a framework for integration of knowledge, research, and assumptions in a clinically relevant context that facilitates evidence-based decision making. In this perspective, a collaborative model of service delivery for children with movement disorders is presented. The focus is on services that address child and family priorities and preferences in settings where children live, learn, and play. The International Classification of Functioning, Disability and Health (ICF) is applied to identify relationships among the components of functioning, environmental, and personal factors that are important for the plan of care and achievement of outcomes. An assumption of the model is that physical therapists use multiple types of evidence to guide decision making. Application of the model and how child and family priorities change over time are illustrated through a longitudinal case report of a child with cerebral palsy.

[1]  J. Rimmer,et al.  Physical fitness levels of persons with cerebral palsy. , 2001, Developmental medicine and child neurology.

[2]  C. Dunst,et al.  Natural Learning Opportunities for Infants, Toddlers, and Preschoolers , 2001 .

[3]  C. Salisbury,et al.  Functional Home Programs: A Model for Therapists , 1988 .

[4]  C. Tam,et al.  Measuring the Outcomes of Word Cueing Technology , 2005, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[5]  Y. Chavrier,et al.  Toe-walking in children younger than six years with cerebral palsy , 2000 .

[6]  Jm. Rothstein.  Guide to physical therapist practice 2nd, ed. , 2001 .

[7]  P. Raina,et al.  Prognosis for gross motor function in cerebral palsy: creation of motor development curves. , 2002, JAMA.

[8]  J. Bonar.  Physical Therapy for Children , 1995 .

[9]  M. Jensen,et al.  Pain in persons with cerebral palsy. , 1999, Archives of physical medicine and rehabilitation.

[10]  C. Robinson.  Early intervention services. , 1997, Journal of the Society of Pediatric Nurses : JSPN.

[11]  C. Tardieu,et al.  Muscle hypoextensibility in children with cerebral palsy: II. Therapeutic implications. , 1982, Archives of physical medicine and rehabilitation.

[12]  K D Henry,et al.  Effect of number of home exercises on compliance and performance in adults over 65 years of age. , 1999, Physical therapy.

[13]  Heakyung Kim,et al.  Efficacy of botulinum toxin A, serial casting, and combined treatment for spastic equinus: a retrospective analysis , 2004, Developmental medicine and child neurology.

[14]  R. K. Wheeldon,et al.  Reflex excitability and isometric force production in cerebral palsy: the effect of serial casting , 1998, Developmental medicine and child neurology.

[15]  K P Murphy,et al.  MEDICAL AND FUNCTIONAL STATUS OF ADULTS WTH CEREBRAL PALSY , 1995, Developmental medicine and child neurology.

[16]  G. King,et al.  Family-centered service for children with cerebral palsy and their families: a review of the literature. , 2004, Seminars in pediatric neurology.

[17]  M. Law,et al.  Parents' and Service Providers' Perceptions of the Family-Centredness of Children's Rehabilitation Services , 1998 .

[18]  M. Chassin,et al.  Consensus Statement The Urgent Need to Improve Health Care Quality Institute of Medicine National Roundtable on Health Care Quality , 2000 .

[19]  C. Dolea,et al.  World Health Organization , 1949, International Organization.

[20]  M. Blackinton.  Guide to Physical Therapist Practice , 1998 .

[21]  H. Waddy,et al.  Botulinum toxin A versus fixed cast stretching for dynamic calf tightness in cerebral palsy , 1999, Journal of paediatrics and child health.

[22]  Molla S. Donaldson,et al.  The Urgent Need to Improve Health Care Quality: Consensus Statement , 1998 .

[23]  V. Dietz,et al.  Pathophysiology of gait in children with cerebral palsy. , 1982, Electroencephalography and clinical neurophysiology.

[24]  恵子 紀国谷.  国際生活機能分類(International Classification of Functioning, Disability and Health: ICF)にみた福祉・保健・医療の専門職協働における連携に関する貢献と課題 , 2007 .

[25]  R. Shepherd,et al.  Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4–8 years , 2003, Clinical rehabilitation.

[26]  Richard A. Schmidt,et al.  Motor Learning and Performance , 1991 .

[27]  J. Valvano.  Activity-Focused Motor Interventions for Children with Neurological Conditions , 2004, Physical & occupational therapy in pediatrics.

[28]  Gordon H Guyatt,et al.  Physicians' and patients' choices in evidence based practice , 2002, BMJ : British Medical Journal.

[29]  Goal Attainment Scaling , 2000 .

[30]  P. Burtner,et al.  Postural Control in Children , 2004, Physical & occupational therapy in pediatrics.

[31]  C. T. Leonard,et al.  Motor Behavior and Neural Changes following Perinatal and Adult-onse T Brain Damage: Implications for Therapeutic Interventions , 2022 .

[32]  C. Dunst,et al.  Valued Outcomes of Service Coordination, Early Intervention, and Natural Environments , 2002 .

[33]  T. Wren,et al.  Botulinum toxin as an adjunct to serial casting treatment in children with cerebral palsy. , 2004, The Journal of bone and joint surgery. American volume.

[34]  K. Reed,et al.  Understanding theory: the first step in learning about research. , 1984, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[35]  R. Palisano,et al.  Investigation of the effects of a model of physical therapy on mother-child interactions and the motor behaviors of children with motor delay. , 1998, Physical therapy.

[36]  What are the effects, if any, of lower-extremity strength training on gait in children with cerebral palsy? , 2004, Physical therapy.

[37]  Diane L Damiano,et al.  A systematic review of the effectiveness of strength-training programs for people with cerebral palsy. , 2002, Archives of physical medicine and rehabilitation.

[38]  H. Graham,et al.  Factors influencing adherence to a home-based strength-training programme for young people with cerebral palsy , 2004 .

[39]  Linda Viscardis.  The Family-Centred Approach to Providing Services , 1998 .

[40]  R. Palisano,et al.  Development and reliability of a system to classify gross motor function in children with cerebral palsy , 1997, Developmental medicine and child neurology.

[41]  J C Tabary,et al.  Physiological and structural changes in the cat's soleus muscle due to immobilization at different lengths by plaster casts * , 1972, The Journal of physiology.

[42]  D. Rush,et al.  The Ten Myths about Providing Early Intervention Services in Natural Environments. , 2001 .

[43]  S. Haley,et al.  Goal attainment scaling as a measure of change in infants with motor delays. , 1992, Physical therapy.

[44]  J. Mccollum.  An Activity-Based Approach to Early Intervention , 1993 .

[45]  M. Law,et al.  Family-Centred Functional Therapy for Children with Cerebral Palsy , 1998 .

[46]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[47]  Y. Chavrier,et al.  Toe-walking in children younger than six years with cerebral palsy. The contribution of serial corrective casts. , 2000, The Journal of bone and joint surgery. British volume.

[48]  G. King,et al.  Major Elements of Parents' Satisfaction and Dissatisfaction With Pediatric Rehabilitation Services , 2001 .

[49]  J. Grossman,et al.  The Randomized Controlled Trial: gold standard, or merely standard? , 2005, Perspectives in biology and medicine.

[50]  G. King,et al.  An Evaluation of Functional, School-Based Therapy Services for Children with Special Needs , 2000 .

[51]  M. T. J. Buñuales,et al.  La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001 , 2002 .

[52]  A. Kaiser,et al.  Teaching Parents New Skills to Support Their Young Children's Development , 2003 .