Bot Maria N, van der Meer Hedwig A, Meurs de Vries Marloes, Bronkhorst Ewald M, Kalaykova Stanimira I, Creugers Nico H J
Department of Dentistry, Radboud Institute for Health Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.
Academic Center for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit, 1081 LA Amsterdam, The Netherlands.
Children (Basel). 2023 Jun 30;10(7):1135. doi: 10.3390/children10071135.
Physiotherapists are often part of a multidisciplinary treatment plan for children with headaches. The literature on physical therapeutic diagnostics and management of headaches is often focused on adults. To gain insight, identify knowledge gaps, and increase the evidence needed for clinical physical therapeutic practice with children with headaches, an exploratory method is warranted. The purpose of this study was to describe the views, beliefs, and experiences of physical therapists regarding diagnostics and treatment options for children with headaches. The method consisted of a survey and two peer consultation group meetings. A total of 195 individual surveys were returned and 31 out of 47 peer consultation groups participated. Most participants were specialized in pediatric physical therapy (93.3%). They use the 4P-factor model (predisposing, precipitating, perpetuating, and protective factors) as a guiding principle in the diagnostic and therapeutic process in children with headaches. This model helps to organize and to understand how a variety of factors interact in a biopsychosocial relationship. Pediatric physical therapists focus their treatments on factors interfering with movement and functional abilities of the child with headaches. Knowledge of how temporomandibular disfunction can relate to headaches is currently insufficient for pediatric physical therapists.
物理治疗师通常是儿童头痛多学科治疗计划的一部分。关于头痛的物理治疗诊断和管理的文献往往集中在成年人身上。为了深入了解、识别知识差距，并增加针对儿童头痛进行临床物理治疗实践所需的证据，有必要采用一种探索性方法。本研究的目的是描述物理治疗师对儿童头痛诊断和治疗选择的观点、信念和经验。该方法包括一项调查和两次同行咨询小组会议。共收回195份个人调查问卷，47个同行咨询小组中有31个参与。大多数参与者专门从事儿科物理治疗（93.3%）。他们将4P因素模型（易患因素、促发因素、持续因素和保护因素）作为儿童头痛诊断和治疗过程中的指导原则。该模型有助于组织和理解各种因素如何在生物心理社会关系中相互作用。儿科物理治疗师将治疗重点放在干扰头痛儿童运动和功能能力的因素上。目前，儿科物理治疗师对颞下颌功能障碍与头痛之间关系的了解不足。
