Faculty of Physical Therapy and Nursing (Mr Merino-Andrés and Dr Pérez-Nombela), University of Castilla-La Mancha, Toledo Physical Therapy Research Group, Toledo, Spain; Toledo Physical Therapy Research Group (GIFTO) (Messrs Merino-Andrés and Dr Pérez-Nombela), University of Castilla-La Mancha, Toledo, Spain; Centro Crecer (Mr Merino-Andrés), Toledo, Spain; Faculty of Education (Mr Hidalgo-Robles), Universidad Internacional de La Rioja, La Rioja, Spain; Curtin School of Allied Health (Dr Williams), Curtin University, Perth, Western Australia; Liggins Institute (Dr Williams), The University of Auckland, Auckland, New Zealand; Montgomery County Infants and Toddlers Program (Dr Paleg), Rockville, Maryland; Department of Physical Therapy (Dr Fernández-Rego) and Early Intervention Research Group (GIAT) (Dr Fernández-Rego), University of Murcia, Murcia, Spain.
Pediatr Phys Ther. 2022 Apr 1;34(2):202-210. doi: 10.1097/PEP.0000000000000877.
The purpose of this study was to assess the use of diagnostic assessment tools in pediatric physical therapy practice in Spain. Best practice recommendations indicate the timely use of key assessment tools to reduce the age of diagnosis of cerebral palsy (CP).
Pediatric physical therapists currently working in Spain in early intervention were recruited through targeted physical therapy entities. They were invited to complete the purpose-developed electronic survey, consisting of 45 multiple-choice questions, with 5 thematic blocks.
Results from 140 anonymous respondents were analyzed. The average reported age when CP was suspected was 12.6 months. Most used the child's clinical history (88.1%), the Alberta Infant Motor Scale (41.3%), and Vojta Assessment Procedure (32.1%) to assess and detect CP. General Movements Assessment (25.7%) and Hammersmith Infant Neurological Examination (28.4%) were used infrequently.
Currently, pediatric physical therapists in Spain rely on clinical history and outdated tools to identify children with CP.Digital Abstract available at: http://links.lww.com/PPT/A361 (English).Digital Abstract available at: http://links.lww.com/PPT/A362 (Spanish).
本研究旨在评估西班牙儿科物理治疗实践中诊断评估工具的使用情况。最佳实践建议表明，及时使用关键评估工具可以降低脑瘫（CP）的诊断年龄。
通过有针对性的物理治疗实体招募目前在西班牙从事早期干预的儿科物理治疗师。邀请他们完成专门开发的电子调查，共 45 个多项选择题，分为 5 个主题模块。
分析了来自 140 名匿名受访者的结果。报告的平均疑似 CP 年龄为 12.6 个月。大多数人使用孩子的临床病史（88.1%）、阿尔伯塔婴儿运动量表（41.3%）和 Vojta 评估程序（32.1%）来评估和发现 CP。一般运动评估（25.7%）和哈姆斯密婴儿神经检查（28.4%）使用较少。
目前，西班牙的儿科物理治疗师依赖临床病史和过时的工具来识别患有 CP 的儿童。
