1st Edition
Physical Therapy for Children With Cerebral Palsy An Evidence-Based Approach
Cerebral palsy is the most common movement disorder encountered in pediatric physical therapy practice. Physical Therapy for Children With Cerebral Palsy: An Evidence-Based Approach is a unique, comprehensive reference that focuses on physical therapy management of children with cerebral palsy through the analysis and synthesis of published research, and it offers evidence-based teaching and learning opportunities to a wide reading audience.
Inside, Dr. Mary Rahlin examines the current approach to the diagnosis and classification of cerebral palsy and explores the research evidence related to prognosis; medical management; and physical therapy examination, evaluation, and intervention for children with this condition. Physical Therapy for Children With Cerebral Palsy analyzes cerebral palsy as a lifespan condition and utilizes the framework of International Classification of Functioning, Disability and Health (ICF).
Sections include:
- Typical and atypical development of movement and postural control
- Cerebral palsy as a development disorder
- Medical management of alterations of body structures and functions by body systems
- Physical therapy management, including theoretical foundation, research evidence, and practice
- Normal and abnormal gait patterns and current evidence for orthotic management and assistive technology
- Transition to adult life
- Variability, complexity, and adaptability in motor development
- The interdisciplinary team and effective interprofessional collaboration
- Assessment and management of therapy-related behavior
- Complementary and alternative interventions
- Segmental kinematic approach to orthotic management via ankle-foot-orthosis/footwear combination
Other unique features include “Questions to Ponder” and “Suggested Questions for Future Research” at the end of each chapter. These are intended to generate healthy professional debate on a variety of topics, both in the classroom and in the clinic, and challenge the readers to plan new studies in search for evidence that will continue moving the pediatric physical therapy practice forward.
Bonus!
Also included with Physical Therapy for Children With Cerebral Palsy is online access to video clips that accompany the text and highlight typical and atypical development, use of assistive technology, life span issues, and transition to adulthood.
Physical Therapy for Children With Cerebral Palsy: An Evidence-Based Approach is intended for physical therapy students, educators, residents, and experienced clinicians, including physical therapists, other members of the interdisciplinary team, and researchers working with children with cerebral palsy.
Dedication
Acknowledgments
About the Author
Contributing Authors
Foreword by Toby M. Long, PhD, PT, FAPTAIntroduction
Section I Typical and Atypical Development of Movement and Postural Control
Chapter 1 Theoretical Perspectives on Motor Development
Chapter 2 Variability, Complexity, and Adaptability in Typical and Atypical Motor DevelopmentQuestions to PonderSuggested Questions for Future Research
Section II Cerebral Palsy as a Developmental Disorder
Chapter 3 Definition, Incidence, Etiology, Classification, and Diagnosis of Cerebral Palsy
Chapter 4 Alterations in Body Structures and Functions, Activity Limitations, and
Participation Issues in Children With Cerebral Palsy
Chapter 5 Evidence for Prognosis for Ambulation, Employment, and Independent LivingQuestions to PonderSuggested Questions for Future Research
Section III Medical Management
Chapter 6 The Interdisciplinary Team and Effective Interprofessional Collaboration in Health CareMary Rahlin, PT, DHS, PCS and Wendy Rheault, PT, PhD, FASAHP, FNAP
Chapter 7 Neurological and Neuromuscular Systems: Medical and Surgical Management of Alterations in Body Structures and Functions
Chapter 8 Musculoskeletal System: Medical and Surgical Management of Alterations in Body Structures and Functions
Chapter 9 Cardiovascular and Pulmonary, Digestive, Integumentary, Urogenital, and Sensory Systems: Medical and Surgical Management of Alterations in Body Structures and Functions
Chapter 10 Pain Assessment and ManagementRoberta Henderson, PT, PhD and Mary Rahlin, PT, DHS, PCSQuestions to PonderSuggested Questions for Future Research
Section IV Physical Therapy Management: Theoretical Foundation, Research Evidence, and Practice
Chapter 11 Physical Therapy Examination and Evaluation: Tests and Measures, Anticipated Goals, Expected Outcomes, and Tracking Progress
Chapter 12 Therapy Settings and Service Delivery Models
Chapter 13 Assessment and Management of Therapy-Related Behavior
Chapter 14 Therapeutic ApproachesRegina T. Harbourne, PhD, PT, PCS and Mary Rahlin, PT, DHS, PCS
Chapter 15 Common Intervention Strategies and Techniques
Chapter 16 Complementary and Alternative Interventions
Chapter 17 Significance of Manual Guidance in Pediatric Physical Therapy Practice
Chapter 18 Therapy Frequency, Duration, and Intensity IssuesQuestions to PonderSuggested Questions for Future Research
Section V Normal and Abnormal Gait Patterns and Current Evidence for Orthotic Management and Assistive Technology
Chapter 19 Normal Gait Kinematics and KineticsElaine Owen, MSc, SRP, MCSP, Clinical Specialist Physiotherapist
Chapter 20 Common Approaches to Orthotic Management of the Lower Extremity, Trunk, and Upper ExtremityDonald McGovern, CPO, FAAOP and Mary Rahlin, PT, DHS, PCS
Chapter 21 Segmental Kinematic Approach to Orthotic Management: Ankle-Foot Orthosis/Footwear CombinationElaine Owen, MSc, SRP, MCSP, Clinical Specialist Physiotherapist
Chapter 22 Assistive Technology, With Emphasis on Positioning and Mobility EquipmentQuestions to PonderSuggested Questions for Future Research
Section VI Transition to Adulthood
Chapter 23 Cerebral Palsy as a Life Span Condition
Chapter 24 Planning Transition to Adult LifeDonna Frownfelter, PT, DPT, MA, CCS, RRT, FCCP and Mary Rahlin, PT, DHS, PCSQuestions to PonderSuggested Questions for Future ResearchFinancial Disclosures
Index
Biography
Mary Rahlin, PT, DHS, PCS received her Bachelor of Arts degree in Physical Education and a Physical Therapist (“Therapeutic Physical Culture Instructor”) Certificate from the State Central Institute of Physical Culture in Moscow, Russia. Subsequently, she received her Bachelor of Science and advanced Master of Science degrees in physical therapy from Finch University of Health Sciences/The Chicago Medical School in North Chicago, Illinois, and her Doctor of Health Science degree from the University of Indianapolis in Indiana. Dr. Rahlin is a Board Certified Clinical Specialist in Pediatric Physical Therapy. She is a member of the American Physical Therapy Association, Section on Pediatrics and Education Section, and a member of the American Academy for Cerebral Palsy and Developmental Medicine. Dr. Rahlin is Associate Professor in the Department of Physical Therapy, College of Health Professions, at Rosalind Franklin University of Medicine and Science in North Chicago, IL. Besides teaching pediatric physical therapy and related curricular content, she provides continuing education courses for practicing clinicians. Her research interests are in the areas of assessment and management of therapy-related behavior and physical therapy intervention for children with cerebral palsy and congenital muscular torticollis. Dr. Rahlin has developed and validated the Therapy Behavior Scale that was published in 2012. She is the first author of a number of peer-reviewed publications in Pediatric Physical Therapy, Physiotherapy Theory and Practice, and Infant Behavior and Development. In addition, she has authored two book chapters, spoken and presented numerous posters at APTA meetings, and serves as a reviewer for Pediatric Physical Therapy. Dr. Rahlin has practiced pediatric physical therapy in a variety of settings and has over 20 years of clinical experience. Currently, she maintains a small private practice, primarily in Early Intervention.
