CP - Intervention Introduction Flashcards
8 Considerations for intervention:
> evidence-informed practice
equipment needs
values & concepts
collaborative goal setting
intervention planning
service delivery models
how much, how often?
roles of other disciplines/interprofessional care
evidence-informed practice is made up of 3 things:
clinical expertise
best evidence
patient values
Evidence-Informed Practice:
Use interventions backed by current research, such as constraint-induced movement therapy (CIMT) or the use of adaptive equipment like standing frames
Ensure motor learning principles (e.g., repetition and intensity) are incorporated, as they are known to improve functional outcomes in CP
ICF Framework and F-Words:
Fitness
Functioning
Friends
Family
Fun
Future
Values & Concepts
Align interventions with the patient’s values and cultural background
Parents may prioritize their child’s ability to walk, engage in play, or participate in social activities with peers
Family-centered care and respecting their goals are critical for long-term success and adherence
Intervention Planning:
- family-centered and relationship-focused services
-address child/family priorities
- promote family empowerment and engagement
- effective communication and coordination with other service providers
- goal-focused
- individualized or “tailored” plans
- Use of ICF and F works
Task-specific activities:
age and developmentally appropriate
active rather than passive
functional
fun and motivating
“just right” challenge
Incorporate motor learning strategies:
problem-solving
task specificity
active trial and error
high-frequency of practice
self-correction, exploration
learning/practice in real-life environments
compensations, task modifications, or environmental adaptations to accommodate a child
Service Delivery Models:
settings: clinical settings, childcare, preschool, school, recreational, community-based
telehealth
group therapy
Depending on the severity, home programs might include activities that integrate therapy into everyday routines, like guided play or exercises with family participation
How much, how often?
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
Frequency:
Large variability for length of episode
Strengthening: 5-40 weeks
Functional training: 6-8 weeks
Treadmill training: 2-12 weeks
Increasing 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 45-60 minutes
Early intervention (typically 60 min)
School (sometimes 30 min session)
Out-patient (typically 45-60 min)
In-patient (sometimes 30 min session)
Duration & Discharge:
Begin discussion at 1st visit
Team decision (includes family)
Consider other activities and interventions
> Adjuncts to PT
> Typical activities for individual’s age
> Home programs and community activities
Use your ____ and ____ to guide your plan of care and PT interventions.
patient management frameworks
FITT principles
