Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 10/2019

17-06-2019 | Original Paper

Description of School-Based Physical Therapy Services and Outcomes for Students with Down Syndrome

Auteurs: Glen E. Neal, Susan K. Effgen, Sandra Arnold, Jonathan Baldwin, Lynn M. Jeffries

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Students with Down syndrome (DS) receive school-based physical therapy (SBPT), however little data exists regarding services and outcomes. Using a prospective observational cohort study our aim was to explore SBPT activities and interventions, and students’ goal achievement of 46 students with DS, tracked by 17 physical therapists (PTs). PTs provided on average 24.0 min/week direct service and 11.6 min/week services on behalf of the student. The most frequent activities employed were physical education/recreation, mobility, and sitting/standing/transitions. The most frequent interventions implemented were neuromuscular, mobility, and musculoskeletal. Although students individually met 69.5% of their primary outcome goals, their achievement could not be explained by total minutes of either direct and minutes on behalf of SBPT, nor minutes spent in most frequent activity.
Literatuur
go back to reference Barnhart, R. C., & Connolly, B. (2007). Aging and Down syndrome: Implications for physical therapy. Physical Therapy, 87(10), 1399–1406.CrossRefPubMed Barnhart, R. C., & Connolly, B. (2007). Aging and Down syndrome: Implications for physical therapy. Physical Therapy, 87(10), 1399–1406.CrossRefPubMed
go back to reference Blundell, S. W., Shepherd, R. B., Dean, C. M., Adams, R. D., & Cahill, B. M. (2003). Functional strength training in cerebral palsy: A pilot study of a group circuit training class for children aged 4–8 years. Clinical Rehabilitation, 17(1), 48–57.CrossRefPubMed Blundell, S. W., Shepherd, R. B., Dean, C. M., Adams, R. D., & Cahill, B. M. (2003). Functional strength training in cerebral palsy: A pilot study of a group circuit training class for children aged 4–8 years. Clinical Rehabilitation, 17(1), 48–57.CrossRefPubMed
go back to reference Bodkin, A. W., Robinson, C., & Perales, F. P. (2003). Reliability and validity of the gross motor function classification system for cerebral palsy. Pediatric Physical Therapy, 15(4), 247–252.CrossRefPubMed Bodkin, A. W., Robinson, C., & Perales, F. P. (2003). Reliability and validity of the gross motor function classification system for cerebral palsy. Pediatric Physical Therapy, 15(4), 247–252.CrossRefPubMed
go back to reference Chiarello, L. A., Effgen, S. K., Jeffries, L., McCoy, S. W., & Bush, H. M. (2016). Student outcomes of school-based physical therapy as measured by Goal Attainment Scaling. Pediatric Physical Therapy, 28(3), 277–284.CrossRefPubMed Chiarello, L. A., Effgen, S. K., Jeffries, L., McCoy, S. W., & Bush, H. M. (2016). Student outcomes of school-based physical therapy as measured by Goal Attainment Scaling. Pediatric Physical Therapy, 28(3), 277–284.CrossRefPubMed
go back to reference Coster, W., Deeney, T. A., Haley, S., & Haltiwanger, J. (1998). School function assessment. New York: Psychological Corporation. Coster, W., Deeney, T. A., Haley, S., & Haltiwanger, J. (1998). School function assessment. New York: Psychological Corporation.
go back to reference Davies, P. L., Soon, P. L., Young, M., & Clausen-Yamaki, A. (2004). Validity and reliability of the school function assessment in elementary school students with disabilities. Physical & Occupational Therapy in Pediatrics, 24(3), 23–43.CrossRef Davies, P. L., Soon, P. L., Young, M., & Clausen-Yamaki, A. (2004). Validity and reliability of the school function assessment in elementary school students with disabilities. Physical & Occupational Therapy in Pediatrics, 24(3), 23–43.CrossRef
go back to reference Effgen, S. K., Chiarello, L., & Milbourne, S. A. (2007). Updated competencies for physical therapists working in schools. Pediatric Physical Therapy, 19(4), 266–274.CrossRefPubMed Effgen, S. K., Chiarello, L., & Milbourne, S. A. (2007). Updated competencies for physical therapists working in schools. Pediatric Physical Therapy, 19(4), 266–274.CrossRefPubMed
go back to reference Effgen, S. K., & Kaminker, M. K. (2014). Nationwide survey of school-based physical therapy practice. Pediatric Physical Therapy, 26(4), 394–403.CrossRefPubMed Effgen, S. K., & Kaminker, M. K. (2014). Nationwide survey of school-based physical therapy practice. Pediatric Physical Therapy, 26(4), 394–403.CrossRefPubMed
go back to reference Effgen, S. K., & Kaminker, M. K. (2017). The educational environment. In R. J. Palisano, M. N. Orlin, & J. Schreiber (Eds.), Campbell’s physical therapy for children (5th ed., pp. 723–750). St. Louis, MO: Saunders Elsevier. Effgen, S. K., & Kaminker, M. K. (2017). The educational environment. In R. J. Palisano, M. N. Orlin, & J. Schreiber (Eds.), Campbell’s physical therapy for children (5th ed., pp. 723–750). St. Louis, MO: Saunders Elsevier.
go back to reference Effgen, S. K., McCoy, S. W., Chiarello, L. A., Jeffries, L. M., & Bush, H. M. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47–56.CrossRefPubMed Effgen, S. K., McCoy, S. W., Chiarello, L. A., Jeffries, L. M., & Bush, H. M. (2016). Physical therapy-related child outcomes in school: An example of practice-based evidence methodology. Pediatric Physical Therapy, 28(1), 47–56.CrossRefPubMed
go back to reference Effgen, S. K., & McEwen, I. R. (2008). Review of selected physical therapy interventions for school age children with disabilities. Physical Therapy Reviews, 13(5), 297–312.CrossRef Effgen, S. K., & McEwen, I. R. (2008). Review of selected physical therapy interventions for school age children with disabilities. Physical Therapy Reviews, 13(5), 297–312.CrossRef
go back to reference Esposito, P. E., MacDonald, M., Hornyak, J. E., & Ulrich, D. A. (2012). Physical activity patterns of youth with Down syndrome. Intellectual and Developmental Disabilities, 50(2), 109–119.CrossRefPubMed Esposito, P. E., MacDonald, M., Hornyak, J. E., & Ulrich, D. A. (2012). Physical activity patterns of youth with Down syndrome. Intellectual and Developmental Disabilities, 50(2), 109–119.CrossRefPubMed
go back to reference Galli, M., Rigoldi, C., Brunner, R., Virji-Babul, N., & Giorgio, A. (2008). Joint stiffness and gait pattern evaluation in children with Down syndrome. Gait & Posture, 28(3), 502–506.CrossRef Galli, M., Rigoldi, C., Brunner, R., Virji-Babul, N., & Giorgio, A. (2008). Joint stiffness and gait pattern evaluation in children with Down syndrome. Gait & Posture, 28(3), 502–506.CrossRef
go back to reference Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Information, 42(2), 377–381.CrossRef Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Information, 42(2), 377–381.CrossRef
go back to reference Horn, S. D., DeJong, G., & Deutscher, D. (2012). Practice-based evidence research in rehabilitation: An alternative to randomized controlled trials and traditional observational studies. Archives of Physical Medicine and Rehabilitation, 93(8), S127–S137.CrossRefPubMed Horn, S. D., DeJong, G., & Deutscher, D. (2012). Practice-based evidence research in rehabilitation: An alternative to randomized controlled trials and traditional observational studies. Archives of Physical Medicine and Rehabilitation, 93(8), S127–S137.CrossRefPubMed
go back to reference Horn, S. D., DeJong, G., Ryser, D. K., Veazie, P. J., & Teraoka, J. (2005). Another look at observational studies in rehabilitation research: Going beyond the holy grail of the randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 86(12), 8–15.CrossRef Horn, S. D., DeJong, G., Ryser, D. K., Veazie, P. J., & Teraoka, J. (2005). Another look at observational studies in rehabilitation research: Going beyond the holy grail of the randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 86(12), 8–15.CrossRef
go back to reference Horn, S. D., & Gassaway, J. (2010). Practice based evidence: Incorporating clinical heterogeneity and patient-reported outcomes for comparative effectiveness research. Medical Care, 48(6), S17–S22.CrossRefPubMed Horn, S. D., & Gassaway, J. (2010). Practice based evidence: Incorporating clinical heterogeneity and patient-reported outcomes for comparative effectiveness research. Medical Care, 48(6), S17–S22.CrossRefPubMed
go back to reference Jeffries, L. M., McCoy, S. W., Effgen, S. K., Chiarello, L. A., & Villasante-Tezanos, A. (2018). Description of the services, activities and interventions within school-based physical therapy practice across the United States. Physical Therapy, 99(1), 98–108.CrossRef Jeffries, L. M., McCoy, S. W., Effgen, S. K., Chiarello, L. A., & Villasante-Tezanos, A. (2018). Description of the services, activities and interventions within school-based physical therapy practice across the United States. Physical Therapy, 99(1), 98–108.CrossRef
go back to reference Kaminker, M. K., Chiarello, L. A., O’Neil, M. E., & Dichter, C. G. (2004). Decision making for physical therapy service delivery in schools: A nationwide survey of pediatric physical therapists. Physical Therapy, 84(10), 919–933.PubMed Kaminker, M. K., Chiarello, L. A., O’Neil, M. E., & Dichter, C. G. (2004). Decision making for physical therapy service delivery in schools: A nationwide survey of pediatric physical therapists. Physical Therapy, 84(10), 919–933.PubMed
go back to reference King, G. A., McDougall, J., Palisano, R. J., Gritzan, J., & Tucker, M. A. (2000). Goal Attainment Scaling: Its use in evaluating pediatric therapy programs. Physical & Occupational Therapy in Pediatrics, 19(2), 31–52. King, G. A., McDougall, J., Palisano, R. J., Gritzan, J., & Tucker, M. A. (2000). Goal Attainment Scaling: Its use in evaluating pediatric therapy programs. Physical & Occupational Therapy in Pediatrics, 19(2), 31–52.
go back to reference Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal Attainment Scaling: Applications, theory, and measurement. New York: Psychology Press.CrossRef Kiresuk, T. J., Smith, A., & Cardillo, J. E. (2014). Goal Attainment Scaling: Applications, theory, and measurement. New York: Psychology Press.CrossRef
go back to reference Ko, J., Woo, J. H., & Her, J. G. (2011). The reliability and concurrent validity of the GMFCS for children with cerebral palsy. Journal of Physical Therapy Science, 23(2), 255–258.CrossRef Ko, J., Woo, J. H., & Her, J. G. (2011). The reliability and concurrent validity of the GMFCS for children with cerebral palsy. Journal of Physical Therapy Science, 23(2), 255–258.CrossRef
go back to reference LaForme-Fiss, A. C., Effgen, S. K., Page, J., & Shasby, S. (2009). Effect of sensorimotor groups on gross motor acquisition for young children with Down syndrome. Pediatric Physical Therapy, 21(2), 158–166.CrossRefPubMed LaForme-Fiss, A. C., Effgen, S. K., Page, J., & Shasby, S. (2009). Effect of sensorimotor groups on gross motor acquisition for young children with Down syndrome. Pediatric Physical Therapy, 21(2), 158–166.CrossRefPubMed
go back to reference Malak, R., Kotwicka, M., Krawczyk-Wasielewska, A., Mojs, E., & Szamborski, W. (2013). Motor skills, cognitive development and balance functions of children with Down syndrome. Annals of Agricultural and Environmental Medicine, 20(4), 803–806.PubMed Malak, R., Kotwicka, M., Krawczyk-Wasielewska, A., Mojs, E., & Szamborski, W. (2013). Motor skills, cognitive development and balance functions of children with Down syndrome. Annals of Agricultural and Environmental Medicine, 20(4), 803–806.PubMed
go back to reference McConlogue, A., & Quinn, L. (2009). Analysis of physical therapy goals in a school-based setting: A pilot study. Physical & Occupational Therapy in Pediatrics, 29(2), 154–169.CrossRef McConlogue, A., & Quinn, L. (2009). Analysis of physical therapy goals in a school-based setting: A pilot study. Physical & Occupational Therapy in Pediatrics, 29(2), 154–169.CrossRef
go back to reference McCoy, S. W., & Linn, M. (2011). Validity of the school-physical therapy interventions for pediatrics data system for use in clinical improvement design studies. Pediatric Physical Therapy, 23, 121–122.CrossRef McCoy, S. W., & Linn, M. (2011). Validity of the school-physical therapy interventions for pediatrics data system for use in clinical improvement design studies. Pediatric Physical Therapy, 23, 121–122.CrossRef
go back to reference Peters, J. M., & Wright, A. M. (1999). Development and evaluation of a group physical activity programme for children with developmental co-ordination disorder: An interdisciplinary approach. Physiotherapy Theory and Practice, 15(4), 203–216.CrossRef Peters, J. M., & Wright, A. M. (1999). Development and evaluation of a group physical activity programme for children with developmental co-ordination disorder: An interdisciplinary approach. Physiotherapy Theory and Practice, 15(4), 203–216.CrossRef
go back to reference Rosenbaum, P. L., Palisano, R. J., Bartlett, D. J., Galuppi, B. E., & Russell, D. J. (2008). Development of the gross motor function classification system for cerebral palsy. Developmental Medicine and Child Neurology, 50(4), 249–253.CrossRefPubMed Rosenbaum, P. L., Palisano, R. J., Bartlett, D. J., Galuppi, B. E., & Russell, D. J. (2008). Development of the gross motor function classification system for cerebral palsy. Developmental Medicine and Child Neurology, 50(4), 249–253.CrossRefPubMed
go back to reference Steenbeek, D., Gorter, J. W., Ketelaar, M., Galama, K., & Lindeman, E. (2011). Responsiveness of Goal Attainment Scaling in comparison to two standardized measures in outcome evaluation of children with cerebral palsy. Clinical Rehabilitation, 25(12), 1128–1139.CrossRefPubMed Steenbeek, D., Gorter, J. W., Ketelaar, M., Galama, K., & Lindeman, E. (2011). Responsiveness of Goal Attainment Scaling in comparison to two standardized measures in outcome evaluation of children with cerebral palsy. Clinical Rehabilitation, 25(12), 1128–1139.CrossRefPubMed
go back to reference Steenbeek, D., Ketelaar, M., Galama, K., & Gorter, J. W. (2007). Goal Attainment Scaling in paediatric rehabilitation: A critical review of the literature. Developmental Medicine and Child Neurology, 49(7), 550–556.CrossRefPubMed Steenbeek, D., Ketelaar, M., Galama, K., & Gorter, J. W. (2007). Goal Attainment Scaling in paediatric rehabilitation: A critical review of the literature. Developmental Medicine and Child Neurology, 49(7), 550–556.CrossRefPubMed
go back to reference Steenbeek, D., Ketelaar, M., Lindeman, E., Galama, K., & Gorter, J. W. (2010). Interrater reliability of Goal Attainment Scaling in rehabilitation of children with cerebral palsy. Archives of Physical Medicine and Rehabilitation, 91(3), 429–435.CrossRefPubMed Steenbeek, D., Ketelaar, M., Lindeman, E., Galama, K., & Gorter, J. W. (2010). Interrater reliability of Goal Attainment Scaling in rehabilitation of children with cerebral palsy. Archives of Physical Medicine and Rehabilitation, 91(3), 429–435.CrossRefPubMed
go back to reference Stuberg, W., & DeJong, S. L. (2007). Program evaluation of physical therapy as an early intervention and related service in special education. Pediatric Physical Therapy, 19(2), 121–127.CrossRefPubMed Stuberg, W., & DeJong, S. L. (2007). Program evaluation of physical therapy as an early intervention and related service in special education. Pediatric Physical Therapy, 19(2), 121–127.CrossRefPubMed
go back to reference Thomason, H. K., & Wilmarth, M. A. (2015). Provision of school-based physical therapy services: A survey of current practice patterns. Pediatric Physical Therapy, 27(2), 161–169.CrossRefPubMed Thomason, H. K., & Wilmarth, M. A. (2015). Provision of school-based physical therapy services: A survey of current practice patterns. Pediatric Physical Therapy, 27(2), 161–169.CrossRefPubMed
go back to reference Wang, W. Y., & Ju, Y. H. (2002). Promoting balance and jumping skills in children with Down syndrome. Perceptual and Motor Skills, 94(2), 443–448.CrossRefPubMed Wang, W. Y., & Ju, Y. H. (2002). Promoting balance and jumping skills in children with Down syndrome. Perceptual and Motor Skills, 94(2), 443–448.CrossRefPubMed
Metagegevens
Titel
Description of School-Based Physical Therapy Services and Outcomes for Students with Down Syndrome
Auteurs
Glen E. Neal
Susan K. Effgen
Sandra Arnold
Jonathan Baldwin
Lynn M. Jeffries
Publicatiedatum
17-06-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 10/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-04109-7

Andere artikelen Uitgave 10/2019

Journal of Autism and Developmental Disorders 10/2019 Naar de uitgave