Clinical application and feasibility of utilizing the PEDI-CAT to assess activity and participation among children receiving physical therapy incorporating hippotherapy.
Hippotherapy (HPOT) is a physical therapy (PT) treatment tool using equine movement to improve mobility for children with movement impairments. Although research suggests HPOT improves body structure and function, there is limited evidence regarding its impact on activity and participation outcomes...
| Publicado en: | Physiotherapy Theory & Practice Vol. 39; no. 11; pp. 2300 - 2314 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172805609&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172805609 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Nov2023 vid: 39 iid: 11 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 172805609 156957394 172805609 172805609 10.1080/09593985.2022.2072250 172805609 ppf: 2300 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Clinical application and feasibility of utilizing the PEDI-CAT to assess activity and participation among children receiving physical therapy incorporating hippotherapy. aug: au: Conroy, Susan Evans, Trish Butler-Moburg, Dana Beuttler, Richard Robinson, Janelle Huebert, Matt O Mahony, Erin Grant-Beuttler, Marybeth affil: Therapy services, Shea Center for Therapeutic Riding, San Juan Capistrano, CA, USA sug: subj: Physical Activity Evaluation Equine-Assisted Therapy Physical Therapy Functional Status Sensitivity and Specificity Decision Making, Clinical Social Participation Evaluation Human Movement Disorders Therapy Parents Caregivers Meetings Effect Size Conversation Decision Making, Shared Clinical Assessment Tools Funding Source Retrospective Design Female Male Infant Child Child, Preschool Cerebral Palsy Costs and Cost Analysis Physical Therapists Education Data Analysis Software Models, Statistical Post Hoc Analysis Chi Square Test Physical Mobility Infant: 1-23 months Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: Hippotherapy (HPOT) is a physical therapy (PT) treatment tool using equine movement to improve mobility for children with movement impairments. Although research suggests HPOT improves body structure and function, there is limited evidence regarding its impact on activity and participation outcomes in a clinical setting. The Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT) may be useful in HPOT settings to highlight changes in activity and participation. 1) Evaluate the PEDI-CAT's sensitivity to changes in activity and participation among children receiving PT using HPOT; 2) determine feasibility of administering the PEDI-CAT in a HPOT setting; and 3) examine how PEDI-CAT scores influence clinical decision-making. Participants (N = 34) were children who attended weekly PT using HPOT for 6 months. The PEDI-CAT was completed for all participants by a parent or caregiver at initial treatment (T1) and 6 months later (T2). A linear mixed effects model was used to evaluate changes in scores over time. Team meetings occurred monthly to discuss how PEDI-CAT scores impacted treatment. There were significant improvements across 3 PEDI-CAT domains between T1 and T2 for all children with small effect sizes and nonsignificant changes noted within two diagnostic subgroups with small-to-medium effect sizes. The PEDI-CAT was completed by all participants without interrupting treatment flow. PEDI-CAT score reports enriched therapist-client conversations increasing shared decision-making. PTs who treat children using HPOT may feasibly use the PEDI-CAT to assess changes in activity level outcomes and to assist clinical decision-making. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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