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Activity and Participation Restrictions

Foreground Information

Physical Therapy Intervention

Orthopedic Surgery and the Role of the Physical Therapist

Summary

8. Spinal Conditions

Background Information

Scoliosis

Foreground Information

Background Information

Kyphosis

Lordosis

Summary

9. Congenital Muscular Torticollis

Background Information

Foreground Information

Summary

10. Arthrogryposis Multiplex Congenita

Background Information

Progress in Primary Prevention

Diagnosis

Clinical Manifestations

Medical Management

Foreground Information

Physical Therapy in Infancy

Physical Therapy in the Preschool Period

Physical Therapy During the School-Age and Adolescent Periods

Transition to Adulthood

Summary

11. Osteogenesis Imperfecta

Background Information

Pathophysiology

Medical Management

Impairment

Foreground Information

12. Muscular Dystrophies and Spinal Muscular Atrophy

Role of the Physical Therapist

Physical Therapy Examination and Evaluation

Diseases of the Muscle

Background Information

Summary

13. Limb Deficiencies and Amputations

Background information

Acquired Amputations

Surgical Options in the Management of Acquired and Congenital Limb Deficiencies

Overview of Prosthetics

Foreground information

14. Orthopedic Conditions

Torsional Conditions (In-Toeing and Out-Toeing)

Angular Conditions

Flat foot

Clubfoot

Blount’s Disease/Tibia Vara

Developmental Dysplasia of the Hip

Causes of Limping in Children

Hemangioma/Vascular Malformation

Miscellaneous Conditions

Leg Length Inequality

Summary

Recommended Measures for Children receiving Orthopedic Evaluation

15. Sports Injuries in Children

Background Information

Prevention of Injuries

Risk Factors for Injury

Types of Injuries

Sites of Injury

Foreground Information

The Young Athlete with A Physical Disability

Summary

16. Pediatric Oncology

Introduction

Background Information

Medical Management of Pediatric Cancers

Foreground Information

Physical Therapy Intervention

Summary

Section 3. Management of Neurologic

Conditions

17. Developmental Coordination Disorder

Background Information

Background Information

Diagnosis

Co-Occurring Conditions

Long-Term Prognosis

Describing Children with DCD

Foreground Information

Facilitating a Diagnosis of Dcd

Referral to other Disciplines

Intervention

Transition to Adulthood and Lifelong Management of Dcd

Summary

18. Children with Motor and Intellectual Disabilities

Background Information

Incidence and Prevalence of Intellectual Disabilities

Etiology and Pathophysiology of Intellectual Disabilities

Primary Impairment

Foreground Information

Intervention

Transition to Adulthood

Summary

19. Cerebral Palsy

Background Information

Etiology

Progress in Prevention

Diagnosis

Classification of Functional Abilities

Characteristics of the Movement Disorders in Cerebral Palsy

Research Evidence for Interventions

Foreground Information

Prognosis for Gross Motor Function

Intervention

Infancy

Preschool Period

School-Age and Adolescent Period

Transition to Adulthood

Global Issues

Professional Issues

Summary

20. Brachial Plexus Injury

Background Information

Pathophysiology

Natural History and Prognosis

Changes in Body Structure and Function

Activity and Participation Limitations

Foreground Information

Surgical Management

Rehabilitation Goals

Therapeutic Procedural Interventions and Family Education

Outcomes

Prevention

Summary

21. Spinal Cord Injury

Background Information

Prevention

Advances in Recovery

Pathophysiology

Medical Diagnosis, Acute Management, and Stabilization

Medical Complications, Long-Term Medical Management, and Prevention of Secondary Impairments

Foreground Information

Physical Therapy Intervention

Psychosocial Aspects

Quality of Life

Follow-Up and Transition to Adulthood

Summary

22. Acquired Brain Injuries: Trauma, Near-Drowning, and Tumors

q j g

Background Information

Near-Drowning

Brain Tumors

Acquired Brain Injury: Diagnostic Techniques

Foreground Information

Back at Home

Assistive Devices

23. Myelodysplasia

Background Information

Pathoembryology

Etiology

Incidence and Prevalence

Perinatal Management

Impairments

Foreground Information

Outcomes and Their Determinants

Examination, Evaluation, and Direct Interventions for Musculoskeletal Issues, Mobility, and Functional Skills

Summary

24. Children With Autism Spectrum Disorder

Introduction

Background Information

Diagnostic Criteria Across Autism Spectrum Disorder

General/Medical Diagnostic Process

Foreground Information

Physical Therapy Intervention

Summary

Section 4. Management of Cardiopulmonary

Conditions

25. Children Requiring Long-Term Mechanical Ventilation

Incidence

Chronic Respiratory Failure

Mechanical Ventilation

Continuum of Care

Physical Therapist Management

Summary

26. Cystic Fibrosis

Background Information

Pathophysiology

Etiology

Diagnosis

Medical Management

Lung Transplantation

Foreground Information

Summary

27. Asthma: Multisystem Implications

Background Information

Pathophysiology

Primary Impairment

Secondary Impairments

Foreground Information

Summary

28. Congenital Heart Conditions

Background Information

Acyanotic Defects

Cyanotic Defects

Heart Failure

Foreground Information

Management of Children with Chronic Activity Limitations

Summary

Section 5. Special Seings and Special Considerations

29. The Neonatal Intensive Care Unit

Background Information

Role of the Physical Therapist in the Nicu

Theoretical Frameworks Guiding Practice in the Nicu

Medical Complications of Infants Admitted to the Nicu

Foreground Information

Tests and Measures

Physical Therapist Intervention

Resources and Professional Development

30. Infants, Toddlers, and Their Families: Early Intervention Services Under IDEA

Background Information

Idea Part C: Infants and Toddlers

Family-centered Care

Effectiveness of Early Intervention

Foreground Information

Program Evaluation

Professional Development

Summary

31. The Educational Environment

Background Information

Federal Legislation and Litigation

PL 94-142: Education for all Handicapped Children Act

PL 99-457: Education of the Handicapped Act Amendments of 1986; PL 102-119: Individuals with Disabilities Education act Amendments of 1991; PL 105-17: Individuals with Disabilities Education Act Amendments of 1997; PL 108-446: Individuals with Disabilities Education Improvement Act of 2004

Section 504 of the Rehabilitation Act

PL 101-336: Americans with Disabilities Act

Elementary and Secondary Education Act

Case Law

Educational Milieu

Program Development

Intervention

Transition Planning

Management of Physical Therapy Services

Issues in School-Based Practice

Summary

32. Transition to Adulthood for Youth With Disabilities

Background Information

Transition Models and Approaches

Transition Planning in the Education System

Community- and Hospital-Based Transition Programs

Foreground Information

Adults with Childhood-Onset Disabilities

Professional Resources for Physical Therapists

Summary

33. Assistive Technology

Assistive Technology Team

International Classification of Functioning, Disability and Health Framework for Decision Making

Life Span Technology

Selection Process

Seating Systems

Wheeled Mobility

Examination and Evaluation for other Assistive Technology

Switches, Controls, and Access Sites

Augmentative and Alternative Communication

Computer Technology

Electronic Aids to Daily Living

Effects of Managed Care on Acquisition of Assistive Technology

Summary

34. Development and Analysis of Gait

Development of Gait

Components of Gait and Gait Analysis

Kinematics, Kinetics, and Electromyography in Normal Gait

Use of Gait Analysis in Assessing Impairments

Summary

Index

3251 Riverport Lane

St. Louis, Missouri 63043

CAMPBELL’S PHYSICAL THERAPY FOR CHILDREN, FIFTH

EDITION ISBN: 978-0-323-39018-7

Copyright © 2017, Elsevier Inc. All rights reserved.

No part of this publication may be reproduced or transmied in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a maer of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

International Standard Book Number: 978-0-323-39018-7

Executive Content Strategist: Kathy Falk

Content Development Manager: Jolynn Gower

Senior Content Development Specialist: Courtney Sprehe

Publishing Services Manager: Julie Eddy

Senior Project Manager: Richard Barber

Design Direction: Patrick Ferguson

Printed in Canada

Last digit is the print

Dedication

To Suzann K. Campbell and the 126 contributors who have been instrumental to the success of the five editions of Physical Therapy for Children

Preface

What makes an outstanding textbook on pediatric physical therapy?

First and foremost is the emphasis on clinical reasoning, decision making, family-centered services, and application of knowledge and research to practice. Pediatric physical therapists make numerous clinical decisions, including eligibility and need for services, goals and outcomes, prognosis, intensity of services, and intervention plans. The reasoning and evidence for clinical decisions are emphasized throughout Campbell’s Physical Therapy for Children. Chapter 1 presents frameworks to guide clinical reasoning and decision making, such as the International Classification of Functioning, Disability and Health (ICF) and the Guide to Physical Therapist Practice, strategies for finding evidence, and criteria for appraisal of evidence. Terms used throughout the book such as Background and Foreground information are defined.

The editors believe that the priorities, concerns, and aspirations of children and families are integral to pediatric physical therapy practice. Accordingly, the chapters not only address direct interventions, but also child and family goals and information needs; communication and coordination of services as members of healthcare and education teams; and consultation to community agencies, instructors, and coaches. Families of children with disabilities have expressed the importance of planning for the future. To address this priority, key considerations for physical therapy management are presented for infants, children, and adolescents, including the transition to adulthood.

The ability to effectively apply knowledge and research to practice is a characteristic of expert practitioners. Since the publication of the first edition, research pertinent to pediatric physical therapy has dramatically increased. The authors of each chapter have effectively appraised this aspect of pediatric physical therapy, including emerging technologies. Chapters in Sections 2 to 4 feature case

g g g p scenarios and videos that illustrate application of knowledge and research to practice. Additionally, the cases demonstrate how child and family strengths and preferences, environmental context, and therapist practice knowledge all inform clinical reasoning and the decision making process. These cases and videos are found on the Expert Consult site that accompanies this text (discussed below).

Several new and extensively revised chapters are included in this edition. Chapters have been added on children with autism (Chapter 24), children with cancer (Chapter 16), and measurement (Chapter 2). Content on concussion has been expanded and includes a new case scenario on post-concussion rehabilitation (Chapter 15).

Chapter 3, Motor Development and Control, integrates content from two previously separate chapters and expands application to practice.

The 45 case scenarios and 80 videos on Elsevier’s Expert Consult platform are distinctive features of this fifth edition. The cases actively engage readers in clinical reasoning and decision making. The phrase Pause and Reflect followed by a question is inserted several times within a case to encourage readers to stop and reflect on what they would do before continuing to read the case. The phrase Evidence to Practice is followed by the rationale and evidence for a decision.

We are pleased to provide readers access to videos that illustrate children in their daily lives, examination procedures, and physical therapy interventions. Many of the case scenarios include an accompanying video. Additionally, there are videos on motor development, development of gait, tests and measures, practice in special seings, and transition to adulthood. An introduction to the case scenarios and videos is provided at the end of each chapter. A table of contents for the case scenarios and videos for each chapter is provided for easy reference. We strongly encourage readers to take advantage of these outstanding resources on the Expert Consult website, a user-friendly platform for easy access.

Edition 5 retains the five sections included in previous editions. Section 1, Understanding Motor Performance in Children, provides

foundation knowledge for pediatric physical therapy practice, including evidence-based decision making, measurement, motor development and control, motor learning, musculoskeletal development and adaptation, and physical fitness. Sections 2 to 4 contain 22 chapters on the management of children with musculoskeletal, neuromuscular, and cardiopulmonary conditions. Chapters are organized by two main headings: Background Information (knowledge of the health condition, medical, and pharmacologic management) and Foreground Information (evidencebased recommendations for physical therapy management). Text boxes and tables are used to summarize recommendations for tests and measures and evidence for interventions. Section 5, Special Seings and Special Considerations, includes chapters on the neonatal intensive care unit, early intervention, the educational environment, transition to adulthood, and assistive technology. Throughout the book, chapters are cross-referenced to integrate content.

Acknowledgments

The fifth edition of Campbell’s Physical Therapy for Children is dedicated to Suzann K. Campbell and the 126 contributors to one or more editions. Adding Sue’s name to the title acknowledges her vision for a comprehensive, evidence-based textbook on pediatric physical therapy and having guided Physical Therapy for Children from inception through edition 4. Sue’s fingerprints grace the pages of edition 5. Hard to believe (especially for contributors to all five editions) that more than 20 years have passed since publication of the first edition. The key to success has been the expertise of the contributors, including the 73 contributors to edition 5. The contributors are an eclectic mix of pediatric clinical specialists, educators, and clinical researchers. They are distinguished not only by their expertise and leadership but also their commitment to excellence. Contributors have graciously devoted countless hours to their chapters to ensure content is of the highest quality. Collectively, they have made possible a high-quality textbook that spans the breadth and depth of pediatric physical therapy. Their contributions have enriched the education and professional development of countless students and pediatric physical therapists worldwide.

I am extremely grateful to Margo Orlin and Joe Schreiber (coeditors) for their collaboration and innovation in planning and editing the fifth edition. A comprehensive, 34-chapter textbook with extensive resources is a major undertaking definitely a threeperson effort! The editors are appreciative of the support provided by Kathy Falk, Courtney Sprehe, Rich Barber, and the rest of the Elsevier production team. Kathy and Courtney were receptive to the changes we proposed for the fifth edition and made them a reality.

Robert J. Palisano, Senior Editor, Drexel University, Philadelphia, Pennsylvania

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