Gmmash Afnan S, Effgen Susan K
Department of Rehabilitation Sciences, University of Kentucky, Lexington.
Pediatr Phys Ther. 2019 Jul;31(3):242-249. doi: 10.1097/PEP.0000000000000619.
The purpose of this study was to explore the practices physical therapists and occupational therapists use in early intervention (EI) for infants with or at risk for cerebral palsy (CP).
A survey was disseminated nationally to EI providers using an online anonymous link.
Two hundred sixty-nine therapists completed at least 50% of the survey. Four percent of therapists use the General Movement Assessment to predict CP, 57% reported infants at risk for CP receive therapy once a week, 89% identified parents' goals as the most important factor in customizing the EI program, and 75% provide parents with home programs. However, 73% never or rarely use outcome measures to prioritize parents' goals; 31% provide parents with individualized home program and more than 60% never assess environmental enrichment.
Therapists do not incorporate sufficient strategies for goal-oriented interventions, comprehensive parent education, and optimum environmental enrichment.
本研究旨在探讨物理治疗师和职业治疗师在对患有脑瘫（CP）或有患脑瘫风险的婴儿进行早期干预（EI）时所采用的做法。
通过在线匿名链接向全国范围内的早期干预提供者发放调查问卷。
269名治疗师完成了至少50%的调查问卷。4%的治疗师使用全身运动评估来预测脑瘫，57%的治疗师报告称有患脑瘫风险的婴儿每周接受一次治疗，89%的治疗师认为家长的目标是定制早期干预计划时最重要的因素，75%的治疗师为家长提供家庭训练计划。然而，73%的治疗师从未或很少使用结果指标来确定家长目标的优先级；31%的治疗师为家长提供个性化的家庭训练计划，超过60%的治疗师从未评估环境丰富度。
治疗师在以目标为导向的干预、全面的家长教育和最佳环境丰富度方面未纳入足够的策略。
