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Descriptions of physical therapy management of infants with congenital muscular torticollis in the United States of America
Descriptive
TitleInfo
Title
Descriptions of physical therapy management of infants with congenital muscular torticollis in the United States of America
Name
(type = personal)
NamePart
(type = family)
O'Connell
NamePart
(type = given)
Melanie D.
NamePart
(type = date)
1975-
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Melanie D. O'Connell
Role
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(authority = RULIB)
author
Name
(type = personal)
NamePart
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Kaplan
NamePart
(type = given)
Sandra L.
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Sandra L. Kaplan
Affiliation
Advisory Committee
Role
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chair
Name
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NamePart
Rutgers University
Role
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degree grantor
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NamePart
School of Health Professions
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school
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Text
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theses
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2016
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2016-10
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2016
Place
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xx
Language
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eng
Abstract
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Purpose: To describe patterns of physical therapy management used by PTs in the USA who treat infants with congenital muscular torticollis (CMT). Practice trends for PT referral, screening, examination, intervention, and discharge of infants with CMT are compared to current literature, including recent clinical practice guideline (CPG) recommendations. Methods: An online survey was completed by volunteers solicited through the Section on Pediatrics monthly e-newsletters and a posting on its website, and through purposeful identification of PTs in children’s hospitals and private practices. Results: 220 pediatric physical therapists in the USA participated in the survey with at least one participant from every state & the District of Columbia. Significant findings include: a relatively late age of referral to PT; positive report of screening for non-muscular causes; measurement of the recommended components at initial examination and discharge, but not using recommended objective tests, with 50% visually estimating cervical ROM; use of interventions that are congruent with the recommended best evidence, but limited familiarity with supplemental interventions, and limited variability in frequency of treatment. A small subset (0.5%-15.1%) of US PTs is using interventions which do not have evidence to support their use with CMT. The majority of PTs (76%) report discharge with full ROM, midline head posture and symmetrical reactions; and a minority of patients with CMT (10%) return for a second episode of care after they have been discharged. Conclusion: The data yields practice patterns that are partially consistent with current CMT literature and CPG recommendations. Most, but not all, US PTs show appropriate screening procedures; Greater consensus is needed on the methods of objective measurement that should be used for CMT; and US PTs should be seeking out interventions with evidence to support their clinical use with CMT.
Subject
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Topic
Health Sciences
Subject
(authority = ETD-LCSH)
Topic
Torticollis--Treatment--United States
Subject
(authority = ETD-LCSH)
Topic
Physical therapy for infants
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Rutgers University Electronic Theses and Dissertations
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Identifier
ETD_7579
PhysicalDescription
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electronic resource
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application/pdf
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text/xml
Extent
1 online resource (352 p. : ill.)
Note
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Ph.D.
Note
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Includes bibliographical references
Note
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by Melanie D. O'Connell
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School of Health Related Professions ETD Collection
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rucore10007400001
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T37D2XDQ
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
O'Connell
GivenName
Melanie
MiddleName
D.
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2016-09-16 05:15:10
AssociatedEntity
Name
Melanie O'Connell
Role
Copyright holder
Affiliation
Rutgers University. School of Health Professions
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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windows xp
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2016-09-20T15:27:00
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2016-09-20T15:27:00
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