Pediatric Physical Therapy Journal
Pediatric Physical Therapy Journal
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Physical Therapy in the NICU? The iRainbow Provides An Evidence Base
STANFORD, California-A video extract from The Pediatric Physical Therapy Podcast (March, 2024 Edition).
AN INTERVIEW WITH:
Eilish M Byrne PT, DSc, PCS, CNT, Assistant Professor, Camino Hospital and Stanford Children's Hospital, California, Visiting Professor University of St Augustine, San Marcos, California.
In conversation with Peter Goodwin, Editor, The Pediatric Physical Therapy Podcast
Based on a research article published in Pediatric Physical Therapy journal, Volume 36, Issue 2, 2024: “Introducing the i-Rainbow-An evidence-based, parent-friendly care pathway designed for even the most critically ill infant in the Neonatal Intensive Care setting.” (This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by healthcare providers and parents in the neonatal intensive care setting.)
AUTHORS:
Eilish M. Byrne, Katherine Hunt and Melissa Scala
SUMMARY:
This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by healthcare providers and parents in the neonatal intensive care setting. Abstract
PURPOSE:
This study investigated the feasibility and effectiveness of a novel, evidence-based developmental care pathway to be used by healthcare providers and parents in the neonatal intensive care setting (NICU). The iRainbow is based on current evidence and responds to individual infant health status. It is not base on infant age.
METHODS:
After development and implementation of the iRainbow, pre-and post- implementation nurse and parent survey data were collected, and pre- and post-developmental care rates were compared.
RESULTS:
After iRainbow implementation, disagreement among providers on appropriate developmental care interventions significantly decreased, total minutes of daily developmental care and swaddled holding increased significantly, and parents reported that they would recommend the tool.
Conclusion: The iRainbow is a unique, parent-friendly, infant-based tool that guides sensory interventions in the NICU by staging infants based on cardiorespiratory status and physiologic maturity, not age. The iRainbow improved the delivery of developmental care activities in our unit and was well received by parents and nurses.
KEYWORDS:
iRainbow, Neonatal Intensive Care Unit, Neonatal Therapy, Developmental Care, Neonatal Sensory Interventions, Neonatal Care Path, Family Education
WHAT THIS EVIDENCE ADDS:
Current evidence: There are many studies and programs demonstrating the benefits of providing evidence-based developmental interventions for both neonates and caregivers.1-4
Gap in the evidence: There is less agreement regarding the safety and timing of developmental interventions7-9, and what does exist tends to rely on gestational age, while recommending performing activities per infant tolerance.5,6 However, this approach can be problematic because preterm infants progress at variable rates, and infant tolerance is not objectively defined.
How does this study fill this gap? This study provides objective clinical criteria to define neonate tolerance for intervention guided by the cardiorespiratory stability of the infant, and in later stages, behavior cues of the infant, not gestational age.
Implication of all the evidence: Optimal timing of and tolerance to evidence-based developmental interventions in the NICU is still being described. Relying solely on gestational ages may not be ideal for many infants. The iRainbow serves as a valuable tool to objectively identify an infant’s readiness to participate in a developmental care program.
Переглядів: 304

Відео

Adaptive Seating Systems for Cerebral Palsy: Systematic Review Endorses Benefits
Переглядів 92211 місяців тому
JUMLA, NEPAL-A large systematic review of adaptive seating systems has concluded that their use is likely to bring benefit for improving sitting position, postural control and seated activity performance in children with cerebral palsy. The findings are published in the journal: Pediatric Physical Therapy (Pediatr Phys Ther 2023;000:1-0). Low-cost systems including those designed and produced i...
START-Play Physical Therapy Intervention Blends Motor With Cognitive Development
Переглядів 715Рік тому
In this report filmed in Omaha, Nebraska, USA, Peter Goodwin interviews the authors of a research study investigating the “START-Play” combined physical therapy intervention in which motor and cognitive skills are developed together to improve outcomes among children with motor delay. INTERVIEWEES: Natalie A Koziol PhD, Nebraska Center for Research on Children, Youth, Families and Schools, Univ...
Congenital Muscular Torticollis: Systematic Review To Inform Best Practice
Переглядів 1,2 тис.Рік тому
EXPERT INTERVIEWS ON: "Congenital Muscular Torticollis: Systematic Review To Inform Best Practice" LOS ANGELES, USA-Leading experts in pediatric physical therapy discuss their Systematic Review of recent real-world findings on the effectiveness of applying the 2018 Clinical Practice Guideline for physical therapy management of congenital muscular torticollis. Peter Goodwin visits two key center...
Baby Movement Score Analysis Helps Therapists Identify Cerebral Palsy Early
Переглядів 1,3 тис.Рік тому
SYDNEY, Australia-Research published in: Pediatric Physical Therapy, 2023, Volume 35 Number 1 TITLE: The General Movements Motor Optimality Score in High-Risk Infants: A Systematic Scoping Review AUTHORS: Cathryn Crowle, OT, PhD; Michelle Jackman, OT, PhD; Catherine Morgan, PT, PhD The Children’s Hospital Westmead (Dr Crowle), Westmead, Australia; John Hunter Hospital (Dr Jackman), New Lambton ...
Physiological Response to the 6-Minute Frame Running Test in Children and Adults with Cerebral Palsy
Переглядів 467Рік тому
"Physiological Response to the 6-Minute Frame Running Test in Children and Adults with Cerebral Palsy" INTERVIEW: Arnoud M M Edelman Bos MSc, from the Department of Rehabilitation Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands, talks about his team's research findings published in the journal: Pediatric Physical Therapy TITLE OF RESEARCH ARTICLE: "Physiological Respo...
How Babies Use Object Permanence To Get What They Want
Переглядів 3 тис.2 роки тому
How Babies Use Object Permanence To Get What They Want 2022: A report from the journal: Pediatric Physical Therapy Regina Harbourne PhD, PT, PCS, FAPTA, Associate Professor in the Department of Physical Therapy at Rangos School of Health Sciences, in Duquesne University, Pittsburgh USA, talks about her group’s research investigating motor and cognitive development in infants and small children ...
How Children with Cerebral Palsy Exercise in Leisure Time
Переглядів 6162 роки тому
EXPERT INTERVIEW Marietta L van der Linden, PhD, talks with Pediatric Physical Therapy reporter, Peter Goodwin, at her lab in the Centre for Health, Activity and Rehabilitation Research, Queen Margaret University, Edinburgh. She discusses her group's findings about physical activity among children with cerebral palsy, and the factors that influence it, in the light of her group’s whole-country ...
Survey Identifies Key Tools for Cerebral Palsy Early Diagnosis
Переглядів 1,2 тис.2 роки тому
TOLEDO, Spain-A survey of physical therapy practice in Spain has confirmed the key tools that are needed for early diagnosis of cerebral palsy. Findings are published in Pediatric Physical Therapy journal. TITLE IN PEDIATRIC PHYSICAL THERAPY: Tool Use for Early Detection of Cerebral Palsy: A Survey of Spanish Pediatric Physical Therapists AUTHORS: Javier Merino-Andrés PT MSc Álvaro Hidalgo-Robl...
"Deep Squats" Pelvic Floor Physical Therapy Benefits Childhood Incontinence
Переглядів 3,8 тис.2 роки тому
RAPID CITY, South Dakota, USA-Pediatric physical therapist Christine Stephenson DPT has been testing her easy-to-do-at-home pelvic floor exercise against standard diaphragmatic breathing as an intervention for childhood urinary or fecal incontinence. Her report, entitled “Pelvic Floor Muscle Resting Tone in Children with Dysfunctional Voiding Symptomology Following Simple Gross Motor Exercises”...
On Your Scooter! A Young Person's Way to do Physical Therapy
Переглядів 1942 роки тому
"On Your Scooter! A Young Person's Way to do Physical Therapy" An interview from the Pediatric Physical Therapy Podcast Podcast extract title: On Your Scooter! A Young Person's Way To Do Physical Therapy An interview with: Marilyn Wright PT MSc, Clinical Consultant, CanChild Centre for Childhood Disability Research, Assistant Clinical Professor, School of Rehabilitation Sciences, McMaster Unive...
Childhood Toe-Walking: Parent Survey Brings Physical Therapy Insights
Переглядів 1,4 тис.2 роки тому
COLORADO, USA- Nancy B Muir PT, DPT, PCS, Physical Therapist, Center for Gait and Movement, Children's Hospital Aurora, Colorado and Marybeth Barkocy PT, DPT, Board Certified Clinical Specialist in Pediatric Physical Therapy, Children’s Hospital, Colorado Springs, Colorado, discuss the clinical insights emerging from their survey of the parents of children diagnosed with idiopathic toe walking ...
Intensive Bimanual Therapy Helps Children after Hemispherectomy
Переглядів 4253 роки тому
Intensive Bimanual Intervention for Children Who Have Undergone Hemispherectomy: A Pilot Study QUEBEC, Canada-Physical therapy professor Maxime Robert talks about his research published in Pediatric Physical Therapy on the use of bimanual intensive therapy to help children with motor control after hemispherectomy neurosurgery. AUTHORS: Maxime T. Robert, PhD; Claudio L. Ferre, PhD; Karen Y. Chin...
Telehealth and COVID-19: Factors, Facilitators, and Barriers
Переглядів 2063 роки тому
COLUMBIA MO, USA-Pediatric Physical Therapist Jamie B Hall from the University of Missouri talks about her group’s research published in Pediatric Physical Therapy journal surveying key factors influencing the effectiveness of telehealth methods used by pediatric physical therapists in the USA during the COVID-19 pandemic. TITLE: Pediatric Physical Therapy Telehealth and COVID-19: Factors, Faci...
“Beyond The Read” Professional Learning in Pediatric Physical Therapy
Переглядів 2133 роки тому
BEYOND THE READ-created by Pediatric Physical Therapy, is a series of text-based courses about clinical practice presented through the Academy of Pediatric Physical Therapy (APTA) Learning Center. In each edition of the journal a module of Beyond the Read is based on a single article that can be accessed free of charge. journals.lww.com/pedpt/pages/default.aspx Readers can also access Beyond th...
Pediatric Physical Therapy Volume 33 Number 2 Podcast Trailer
Переглядів 2363 роки тому
Pediatric Physical Therapy Volume 33 Number 2 Podcast Trailer
Current Trends in Pediatric Physical Therapy Practice for Children With Down Syndrome
Переглядів 2,8 тис.3 роки тому
Current Trends in Pediatric Physical Therapy Practice for Children With Down Syndrome
Down Syndrome Pediatric Physical Therapy Survey: Author’s Clinical Perspective
Переглядів 5333 роки тому
Down Syndrome Pediatric Physical Therapy Survey: Author’s Clinical Perspective
3D Printed Prosthetic Hand Enables An Aspiring Young Gymnast
Переглядів 1,5 тис.3 роки тому
3D Printed Prosthetic Hand Enables An Aspiring Young Gymnast
Young Gymnast’s 3D Printed Prosthetic Hand: The Back Story
Переглядів 5273 роки тому
Young Gymnast’s 3D Printed Prosthetic Hand: The Back Story
Childhood Developmental Coordination Disorder: First Physical Therapy Guideline
Переглядів 2,2 тис.3 роки тому
Childhood Developmental Coordination Disorder: First Physical Therapy Guideline
Stander Use in Spinal Muscular Atrophy: Results From a Large Natural History Database
Переглядів 4394 роки тому
Stander Use in Spinal Muscular Atrophy: Results From a Large Natural History Database
Attitudes and Environment Help Children With Cerebral Palsy to Play
Переглядів 1,5 тис.4 роки тому
Attitudes and Environment Help Children With Cerebral Palsy to Play
Gap Between Ideal and Actual School-Based Physical Therapy Services Predicted
Переглядів 1,5 тис.4 роки тому
Gap Between Ideal and Actual School-Based Physical Therapy Services Predicted
Clinical Assessment of Body Alignment (CABA) for Children with Cerebral Palsy
Переглядів 2 тис.4 роки тому
Clinical Assessment of Body Alignment (CABA) for Children with Cerebral Palsy
Which Tasks Most Influence Pediatric PT Productivity, Effectiveness?
Переглядів 2 тис.4 роки тому
Which Tasks Most Influence Pediatric PT Productivity, Effectiveness?
NICU Best Practice with Therapist, Researcher, Parent Collaboration
Переглядів 2,7 тис.4 роки тому
NICU Best Practice with Therapist, Researcher, Parent Collaboration
Cerebral Palsy Research: How to Improve Physical Therapy Quality
Переглядів 3,1 тис.5 років тому
Cerebral Palsy Research: How to Improve Physical Therapy Quality
Physical Fitness-No Protection from Obesity Health Risk in Adolescents
Переглядів 8285 років тому
Physical Fitness-No Protection from Obesity Health Risk in Adolescents
Toward Excellence in Pediatric Physical Therapy Education
Переглядів 2,1 тис.5 років тому
Toward Excellence in Pediatric Physical Therapy Education

КОМЕНТАРІ

  • @cattysplat
    @cattysplat 10 місяців тому

    Those face masks have caused more autism and development problems in babies that will have repercussions for years.

  • @anielbaniya9548
    @anielbaniya9548 11 місяців тому

    Congratulations Dr. Bishnu Dutta Acharya . ❤️🙏❤️

  • @Shot_hai_shotv
    @Shot_hai_shotv 11 місяців тому

    Congratulations to you 🎊

  • @radhikasubedi8848
    @radhikasubedi8848 11 місяців тому

    Congratulatios 🎉❤

  • @subashshahi9598
    @subashshahi9598 11 місяців тому

    Congratulations my big brother ❤❤

  • @sajinabaniya555
    @sajinabaniya555 11 місяців тому

    🩵💜

  • @rahulxett
    @rahulxett 11 місяців тому

    Congratulations 🎉 d sapp❤️🎉🌄

  • @rahulxett
    @rahulxett 11 місяців тому

    Congratulations d sapp

  • @INJOD
    @INJOD 11 місяців тому

    Congratulations vinaju ❤️❣️🎉

  • @Jaya_Binu
    @Jaya_Binu 11 місяців тому

    Keep it up❤ Good work❤

  • @denaldukpavlog8688
    @denaldukpavlog8688 11 місяців тому

    Congratulations 🎉

  • @Sabin_Chhetri21
    @Sabin_Chhetri21 11 місяців тому

    ❤❤❤❤

  • @siriyaneupane8209
    @siriyaneupane8209 11 місяців тому

    ❤❤❤

  • @avishayakacharya6088
    @avishayakacharya6088 11 місяців тому

    Something I found missing in this discussion eg potential downsides or adverse effects of adaptive seating, such as skin integrity, cardiovascular compromise, or fatigue. These considerations are important when implementing adaptive seating systems and should be carefully assessed by parents and practitioners. And my eye embraced with joy when I listen Adapted seating has many potential benefits for children living with cerebral palsy (CP). By providing proper support and positioning, seating interventions can help improve posture, enable greater involvement in activities, and lessen the demands on caregivers. Thanks for this insight

  • @MrBunesh
    @MrBunesh 11 місяців тому

    Very nice brother keep it up.

  • @anielbaniya9548
    @anielbaniya9548 11 місяців тому

    Proud of you Dr. Bishnu

  • @kylelong9217
    @kylelong9217 Рік тому

    I like to play with your necklace on your head and then I can put it in my mouth so you can hold me in your arms when you get out of your work I can put your necklace on your body

  • @brauliosilva9563
    @brauliosilva9563 Рік тому

    5:02 squirrel alpha demonstrating object permanence

  • @jamesr7022
    @jamesr7022 Рік тому

    "promosm" ✨

  • @tamarabrouwers11
    @tamarabrouwers11 Рік тому

    It would be super helpfull to see the exact exercises you did, my daughter was born with teratoma and has several problems.

  • @revanpratama1010
    @revanpratama1010 Рік тому

    Semoga cept sembuh

  • @sensor239
    @sensor239 Рік тому

    Klopt helemaal ervaring GMFCS 4

  • @febisenio8737
    @febisenio8737 Рік тому

    hello, My Name is Fe. pls help me, i notice that my son is toe walking, he is 1 year and 3 months.i want my son to be theraphy. what should i do.waiting for your help, response. thank you so much. waiting for your response. pls pls pls

  • @estherderu
    @estherderu 2 роки тому

    Congratulations Javier and Alvara, nice to see that your work has reached many.

  • @gurupujithalakshmikukutla1184
    @gurupujithalakshmikukutla1184 2 роки тому

    ua-cam.com/video/Zf-jR1pIZ8o/v-deo.html

  • @coraldoyle9652
    @coraldoyle9652 2 роки тому

    p͓̽r͓̽o͓̽m͓̽o͓̽s͓̽m͓̽

  • @nilofarkhan1672
    @nilofarkhan1672 2 роки тому

    How to treat I am 20 yr old having birth defect torticollis

  • @Dr.Ahmed_Elnahhas
    @Dr.Ahmed_Elnahhas 3 роки тому

    Powerful topics in pediatric physical therapy 👍

  • @mikosharov5383
    @mikosharov5383 3 роки тому

    0:40 dat.gen.in

  • @Ki-xs4qk
    @Ki-xs4qk 3 роки тому

    Great video! I wanted to ask you I question if I may. Can Doctors of physical therapy administer injections? I want to open my own private clinic one day...(I’m barely a freshman in college)but I’m planning to become a doctor of physical therapy but I also want a beauty spa where I can inject Botox and fillers. Will I be able to do this? Any help is highly appreciated!

  • @stalkingman
    @stalkingman 3 роки тому

    This dizziness vertigo remedy took away my mind spinning and helped with my dizziness. I have vertigo a few times each year will so this be my go to item for now on. This method is non-drowse, so I am not worried of dozing off on the job. This therapy is right for me! If I did not spend couple days to research it on Google, I could not find this guide. The tip’s name is below. Taylor Suρandaz

  • @kendiamond8971
    @kendiamond8971 3 роки тому

    its great to see this young man getting stronger i too have a light case of it i've been dealing with it for 50 yrs now, my lft side is really weak n now that my back n hip on my right side are giving out due to cerebal palsy im asking for help on not only to stop the pain but so i can get out and do the things i really have to do

  • @Polansk1
    @Polansk1 3 роки тому

    This specific dizziness vertigo solution was a life-saver for me personally. I was dizzy along with vertigo and would have devastating instances. I was terrified to operate my car because I had one spell while traveling. I have been making use of this two times a day for four months and so far no more light-headedess, queasiness or dizziness. If I did not spend days to research it on Google, I could not find this guidebook. The tip’s name is under.Taylor Suρandaz With thanks

  • @guadalupelopezramirez3949
    @guadalupelopezramirez3949 3 роки тому

    E=rr=r⅔th//tr. ...⁸8 la p

  • @didsbury05
    @didsbury05 4 роки тому

    My mother endured vertigo, which got more intense after she dropped, had a concussion, and was given more medication. The dizziness vertigo solution was the procedure that eliminated her dizziness for good. If I did not spend all day to research it on Google, I could not find this tip. The guidebook’s name is below. Taylor Suρandaz thanks

  • @PEMF.Hydrogen.LLLT.Experts
    @PEMF.Hydrogen.LLLT.Experts 4 роки тому

    Great info.. thanks!

  • @ammaarfirdauz
    @ammaarfirdauz 4 роки тому

    Very helping for those in that situation

  • @playcorekidsatividadestera2520
    @playcorekidsatividadestera2520 4 роки тому

    Very interesting! Has the full version been published? Thank you

  • @thrivingstarhealth5855
    @thrivingstarhealth5855 4 роки тому

    Great work !

  • @fatimamohamed9696
    @fatimamohamed9696 4 роки тому

    Very useless article u.u wasted my time

  • @HighTen_Melanie
    @HighTen_Melanie 4 роки тому

    Really interesting. Frances can you please slow down your speech though. Take a breath!!!

  • @estherderu
    @estherderu 6 років тому

    Good for you Victor!