Abstract:
BACKGROUND:Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists. OBJECTIVE:The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice. DESIGN:Mixed methods with both quantitative and qualitative data were used in this study. METHODS:Outcome parameters from the FTT were retrieved from the Fitkids database. For evaluation of the utility of the FTT, 2 indicators, exercise duration and maximal effort, were used. An online survey was sent to physical therapists in Fitkids practices to identify factors affecting the use of the FTT in clinical practice. RESULTS:The proportion of children and adolescents in each of the diagnostic groups who reached the minimal duration of a maximal exercise test ranged from 94% to 100%. The proportion of participants who reached a peak heart rate ≥180 beats/min ranged from 46% for participants with cognitive, psychological, or sensory disorders to 92% for participants with metabolic diseases. The most important facilitator for use of the FTT was the fact that most physical therapists were convinced of the additional value of the FTT. The main barriers were therapists' attitudes (resistance to change/lack of experience) and, on the environmental level, the absence of a treadmill ergometer in physical therapist practice. LIMITATIONS:Structured interviews would have provided more information on potential factors affecting the use of the FTT in clinical practice. CONCLUSIONS:This study has shown the clinical utility of the FTT in different diagnostic groups in pediatric physical therapist practice. Responding to the factors identified in this study should enable improved uptake of the FTT in clinical practice.
journal_name
Phys Therjournal_title
Physical therapyauthors
Kotte EMW,de Groot JF,Winkler AMF,Veenhof C,Takken Tdoi
10.1093/ptj/pzy142subject
Has Abstractpub_date
2019-04-01 00:00:00pages
428-439issue
4eissn
0031-9023issn
1538-6724pii
5299592journal_volume
99pub_type
杂志文章相关文献
PHYSICAL THERAPY文献大全abstract::Fifty 8-year-old children, 25 classified as normal and 25 as learning disabled, participated in a study to determine whether they could be differentiated into their respective groups by using four tasks from the Devereux Test of Extremity Coordination: opposition, foot patting, finger wiggling, and heel-toe walking wi...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/60.6.784
更新日期:1980-06-01 00:00:00
abstract:BACKGROUND:Comparative effectiveness research (CER) requires valid outcome measures that discriminate patients by risk factors in similar ways across settings. Standardized functional status (FS) measures in physical therapy are used routinely in multiple countries, creating the potential for CER among countries. OBJE...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20100175
更新日期:2011-07-01 00:00:00
abstract::Therapeutic approaches in the pediatric population have generally been less aggressive than those implemented for younger and older adults. Several factors contribute to this, starting with the challenge of engaging infants in the "goal" of therapy, their resistance to initiating behaviors that are uncomfortable or fa...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.2522/ptj.20100040
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments ass...
journal_title:Physical therapy
pub_type: 杂志文章,多中心研究
doi:10.1093/ptj/86.1.30
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Perceived ability or confidence plays an important role in determining function and behavior. The modified Gait Efficacy Scale (mGES) is a 10-item self-report measure used to assess walking confidence under challenging everyday circumstances. OBJECTIVE:The purpose of this study was to determine the reliabil...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20110053
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Despite evidence of weakness in children with cerebral palsy, the use of strength training in this population remains controversial. SUBJECTS:Fourteen children with spastic diplegia, ranging in age from 6 to 14 years (X = 9.1, SD = 2.5), participated in a bilateral quadriceps femoris muscle stre...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/75.8.658
更新日期:1995-08-01 00:00:00
abstract::The maximal distance walked in a given time period is frequently used as a simple method to evaluate exercise tolerance in patients suffering from chronic obstructive pulmonary disease (COPD). Typically, patients walk on a treadmill or in a corridor at a self-paced speed. Little information is available about the diff...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/70.7.439
更新日期:1990-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:"Handicap situation" is defined in the literature as "a disruption in the accomplishment of a person's life habits (activities of daily living and social roles)." The purpose of this study was to determine the strength of association between various types of locomotion and the accomplishment of l...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/78.5.458
更新日期:1998-05-01 00:00:00
abstract:UNLABELLED:Despite rapidly increasing intervention, functional disability due to chronic low back pain (cLBP) has increased in recent decades. We often cannot identify mechanisms to explain the major negative impact cLBP has on patients' lives. Such cLBP is often termed non-specific and may be due to multiple biologic ...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.2015.95.2.e1
更新日期:2015-02-01 00:00:00
abstract::Quantitative longitudinal tracking of objectively defined motor behaviors can be used with severely multiply handicapped infants and children to develop treatment curricula and assess the changes occurring as a result of stimulation programs. The frequency or duration of clearly defined motor behaviors can be observed...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/58.4.415
更新日期:1978-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The purpose of this case report is to describe physical therapy to improve the balance and ambulation of a 16-year-old patient with attention impairment following intracranial hemorrhage. CASE DESCRIPTION:The patient initially had frequent losses of balance, especially in distracting environment...
journal_title:Physical therapy
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::The primary purposes of this article are to review the literature on seating assessment and to describe the development of a clinical evaluation scale, the Seated Postural Control Measure (SPCM), for use with children requiring adaptive seating systems. The SPCM is an observational scale of 22 seated postural alignmen...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/71.12.981
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:The importance of the biopsychosocial model in assessment and management of chronic musculoskeletal conditions is recognized. Physical therapists have been encouraged to develop psychologically informed practice. Little is known about the process of physical therapists' learning and delivering of psychologic...
journal_title:Physical therapy
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2522/ptj.20130047
更新日期:2014-02-01 00:00:00
abstract::Several authors have described nonsurgical rehabilitative techniques for individuals with hemophilia who have single or recurrent hemarthroses. The effects of these low intensity exercise programs are not stated clearly in the literature. In this single-case experimental study, we investigated the effects of a trainin...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/67.9.1359
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine whether pelvic organ prolapse severity, pelvic symptoms, quality of life, and sexual function differ based on pelvic-floor muscle function in women planning to have prolapse surgery. SUBJECTS AND METHODS:Three hundred seventeen women without urinary str...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章,多中心研究
doi:10.2522/ptj.20060160
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Physical therapists strive to promote children's motor function and the parents' abilities to interact with their children, thus aiming to positively influence the parent-child relationship. This study examined a model for provision of home-based physical therapy within the context of motor play ...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章
doi:10.1093/ptj/78.2.180
更新日期:1998-02-01 00:00:00
abstract::The purpose of this article is to present for physical therapists a broad array of subjective and objective options for simple clinical measures. These measures are relatively inexpensive, easy to apply, technologically simple, and useful in everyday patient assessment. Clinical considerations for applying the measure...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/67.12.1845
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Mobility and self-care are important considerations for successful transition of adolescents with cerebral palsy to adulthood. The purpose of this study was to characterize performance of physical activities from the perspective of adolescents themselves. SUBJECTS:The subjects were 156 adolescen...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20060089
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:First-line conservative treatment for stress urinary incontinence (SUI) in women is behavioral intervention, including pelvic-floor muscle (PFM) exercise and bladder control strategies. OBJECTIVE:The purposes of this study were: (1) to describe adherence and barriers to exercise and bladder control strategy...
journal_title:Physical therapy
pub_type: 杂志文章,多中心研究
doi:10.2522/ptj.20120072
更新日期:2013-06-01 00:00:00
abstract::A posturally induced "stretch weakness" of the right hip abductor muscles has been reported in many healthy right-handed persons in the literature. The purpose of this study was to test for differences in the maximal isometric hip abduction torque produced between hip sides across multiple hip abduction angles. The to...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/68.4.496
更新日期:1988-04-01 00:00:00
abstract:OBJECTIVE:Several instruments to measure patient satisfaction have been developed to assess satisfaction with physical therapy care. The selection of the most appropriate instrument is very important. The purpose of this study was to identify instruments for assessing satisfaction with physical therapy care and their p...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/pzaa111
更新日期:2020-08-31 00:00:00
abstract:BACKGROUND:Weight bearing through, or "loading" of, the paretic lower extremity and transfer of weight from one lower extremity to the other are important impairment-level goals of stroke rehabilitation. Improvements in these limb-loading and weight-transfer abilities have been shown to relate to improved performance o...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.2522/ptj.20080230
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The relative effectiveness of an extension program and a manipulation program with flexion and extension exercises was examined in patients with low back syndrome. SUBJECTS:Forty-nine patients with less than a 3-month history of low back pain were seen at physical therapy clinics in western Penn...
journal_title:Physical therapy
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1093/ptj/74.12.1093
更新日期:1994-12-01 00:00:00
abstract::Aging skeletal muscle exhibits decreases in muscle mass and force and changes in contractile properties. The effects of aging on the physiological characteristics of skeletal muscle are fiber type specific. This review describes the aging process in skeletal muscle; specifically, the effects of aging on the biochemica...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.1093/ptj/74.1.71
更新日期:1994-01-01 00:00:00
abstract::This study investigated the relationship between inherent muscle length and torque production in 59 healthy women. We recorded nondominant ankle range-of-motion values for each subject. These values were partitioned into quartiles for two knee positions. Women with "loose" plantar flexor muscles comprised the first qu...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/67.8.1191
更新日期:1987-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This qualitative study was designed to explore, identify, and describe clinical decision-making processes used by pediatric physical therapists. SUBJECTS:Clinical decision-making processes of three experienced therapists and three inexperienced therapists were assessed as they worked with 18 chi...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/76.1.20
更新日期:1996-01-01 00:00:00
abstract::The purposes of this article are to describe the conditions that must be met and the process that must be carried out to develop, implement, and evaluate a quality assurance program. The conditions to be met are administrative support for the program; knowledge of quality assurance theories and components (including s...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/62.4.464
更新日期:1982-04-01 00:00:00
abstract::The purpose of this study was twofold: (1) to further validate categories for the movement pattern of supine to standing in adults and (2) to evaluate the influence physical activity might have on the movement patterns used for rising. Seventy-two adults, between 30 and 39 years of age (mean = 34.1, SD = 2.8), perform...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/72.8.560
更新日期:1992-08-01 00:00:00
abstract::Rehabilitation robotics is a research area, originating in engineering, that has emerged in the last decade. Its broad aim is to use robot technology to assist people with movement dysfunction. The neurologically impaired population might gain considerably from the provision of robots as "assistants" or "therapy aides...
journal_title:Physical therapy
pub_type: 杂志文章,评审
doi:10.1093/ptj/71.1.39
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Due to the high incidence of falls in people with idiopathic Parkinson's disease (PD), the assessment of standing balance is a key component of physical therapist evaluation. This study investigated performance on clinical tests of standing balance in subjects with and without PD. SUBJECTS:The s...
journal_title:Physical therapy
pub_type: 杂志文章
doi:10.1093/ptj/78.6.577
更新日期:1998-06-01 00:00:00