探讨物理治疗师在治疗儿童特发性趾行中的运动控制策略应用：一项定性研究。
Exploration of physiotherapists' use of motor control strategies for the treatment of idiopathic toe walking in children: a qualitative study.
机构信息
Department of Physiotherapy, Monash University, Frankston, Victoria, Australia
Department of Physiotherapy, Monash University, Frankston, Victoria, Australia.
出版信息
BMJ Open. 2022 Nov 28;12(11):e062704. doi: 10.1136/bmjopen-2022-062704.
OBJECTIVES
To explore how motor control interventions are conceptualised during treatment of children with idiopathic toe walking (ITW) by physiotherapists in Australia and USA.
DESIGN
A thematic content framework qualitative design was used to triangular the theories underpinning motor control interventions and participant responses.
PARTICIPANTS
Ten paediatric physiotherapists were recruited from Australia and USA. Participation was only open to physiotherapists who provided treatment to children with ITW.
RESULTS
Physiotherapists defined the motor control interventions used for children with ITW as having the following non-hierarchical key elements: . Physiotherapists also described two superordinate themes; ( and (.
CONCLUSIONS
Treatment of ITW continues to challenge clinicians. Physiotherapists viewed their approach to ITW management being evidence- informed, underpinned by motor learning theories, movement strategies and organisational treatment frameworks or guidelines to fit their individual childrens' needs. Future research should investigate if this approach affords more favourable outcomes for children with ITW gait.
目的
探讨澳大利亚和美国的物理治疗师在治疗特发性趾行（ITW）儿童时如何构思运动控制干预措施。
设计
采用主题内容框架定性设计，对运动控制干预措施和参与者反应的理论进行三角分析。
参与者
从澳大利亚和美国招募了 10 名儿科物理治疗师。只有为 ITW 儿童提供治疗的物理治疗师才能参加。
结果
物理治疗师将用于 ITW 儿童的运动控制干预措施定义为具有以下非层次关键要素：。物理治疗师还描述了两个上位主题；（和（。
结论
ITW 的治疗仍然对临床医生构成挑战。物理治疗师认为他们的 ITW 管理方法是循证的，以运动学习理论、运动策略和组织治疗框架或指南为基础，以满足他们个别孩子的需求。未来的研究应该调查这种方法是否为 ITW 步态的儿童提供更好的结果。
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