Cerebral palsy intervention introduction Flashcards
Discuss common patient management frameworks in the context of pediatrics?
F words and ICF model
Describe the eight considerations for intervention for individuals with CP?
- Evidence informed practice
- values and concepts
- collaborative goal setting
- intervention planning
- service delivery models
- how much, how often?
- roles of other disciplines and inter professional care
- equipment needs
Apply dosage and FITT principles related to CP?
Frequency: number of sessions per week, and number of weeks
Intensity: how strenuous the exercise is each session
Time: amount of time per session
Type: type of exercise performed
Describe the eight considerations for intervention for individuals with CP?
- Evidence informed practice
- values and concepts
- collaborative goal setting
- intervention planning
- service delivery models
- how much, how often?
- roles of other disciplines and inter professional care
- equipment needs
evidence informed practice includes 3 things?
- clinical expertise
- best evidence
- patient values
what are the 6 f words?
fitness
functioning
friends
family
fun
future
what are the general recommendations for planning interventions for children and youth?
What are the service delivery models?
- settings:
clinical settings
childcare
preschools
school
recreational
community based - Telehealth
- group therapy
FITT principals for children
Frequency: number of sessions per week, and number of weeks
Intensity: how strenuous the exercise is each session
Time: amount of time per session
Type: type of exercise performed
what is the F in the FITT principals when used with children?
Frequency:
Episode of care for individuals with CP
large variability for length of episodes:
strengthening: 5-40 weeks
functional training: 6-8 weeks
treadmill training: 2-12 weeks
there is increased evidence for intensive episodes of care
what is the I in the principals of FITT used for children?
2-3+ times/wk for average of 6-8 weeks
Well tolerated for some, fewer cancellations, some parents prefer
Intensive PT is likely more effective in improving motor function
what is time in the principals of FITT used for children?
most are 45 minutes to an hour
early interventions (typically 60 minutes)
school (sometimes 30 minutes sessions)
out-patient (typically 45-60 minutes)
in-patient (sometimes 30 minutes sessions)
What is the duration and discharge principals to know for children FITT principals
begin the discussion at the 1st visit
team desision (include the family)
Consider other activities and interventions
-adjuncts to PT
- typical activities for individuals age
home programs and community activities
Key take away: Use your patient management frameworks and FITT principles to guide your plan of care and PT interventions.
frequency:
Episode of care for individuals with CP
large variability for length of episodes:
strengthening: 5-40 weeks
functional training: 6-8 weeks
treadmill training: 2-12 weeks
there is increased evidence for intensive episodes of care
intensity:
2-3+ times/wk for average of 6-8 weeks
Well tolerated for some, fewer cancellations, some parents prefer
Intensive PT is likely more effective in improving motor function
time
most are 45 minutes to an hour
early interventions (typically 60 minutes)
school (sometimes 30 minutes sessions)
out-patient (typically 45-60 minutes)
in-patient (sometimes 30 minutes sessions)
duration and discharge
begin the discussion at the 1st visit
team desision (include the family)
Consider other activities and interventions
-adjuncts to PT
- typical activities for individuals age
home programs and community activities
Key take away: The type of setting and service delivery model will influence PT interventions and frequency.
- settings:
clinical settings
childcare
preschools
school
recreational
community based - Telehealth
- group therapy
