Part 2: Implementing Early Mobility: The Way of the Future
Many patients returning home after being hospitalized for severe respiratory failure, such as those recovering from COVID-19, are now confronting significant physical, neurological, cognitive and emotional issues. To describe this wide variety of challenges, experts use the term “post-intensive care syndrome” or PICS.
Part 1: Understanding the Negative Impact of Prolonged ICU Care
Serious adverse health outcomes result directly from prolonged ICU stays. With the COVID-19 pandemic, it is crucial to understand the negative health impacts of hospitalization. Early mobilization and rehabilitation interventions have the potential to mitigate these conditions.
Positioning for Functional Seating
Active sitting promotes trunk and head control and can improve a child’s posture and functional use of the arms and head. Learn how to position and adjust an adaptive chair to encourage active sitting.
Toileting Concepts for a Child with Special Needs
For many parents and teachers of children with special needs, toilet training can seem like an unattainable goal. Each child has unique health issues, physical disabilities, emotional/behavioral challenges, cognitive and learning disabilities as well as communication barriers. Nevertheless, an individualized, consistent toileting routine can have great positive impact on quality of life.
Tips & Advice
Pacer Prompt Reduction
See also: Part 2: Prompt Reduction Strategies.
Using the Rifton Pacer’s full range of adjustment possibilities will help you meet goals for mobility and activity. Individuals who cannot bear weight fully through their lower extremities, or need prompting for alignment need appropriately positioned prompts and supports. Motor skills acquisition and strength building are best achieved when an...
Evidence Based Practice
Prospective cohort studies can inform pediatric physical therapy practice
The field of pediatric physical therapy has long recognized the difficulty of conducting high level research with the cerebral palsy population. Meeting the qualifications of a randomized controlled trial while implementing interventions with children with multiple physical disabilities – with all their varied daily realities – is extraordinarily difficult.
In turn, the systematic review that...
Encouraging Participation-Based Goals in the School Setting
Physical therapy goals in the school-based practice setting can focus on a variety of areas, including: participation (student’s involvement in a life situation), activity (student’s execution of a task or action) and impairment (i.e. at the level of body structure and function.) For a number of reasons we find that student goals that address participation within the context of school routines...