Secondary Logo

Journal Logo


Valvano, J M.; Rapport, M

Pediatric Physical Therapy: April 2005 - Volume 17 - Issue 1 - p 88
doi: 10.1097/01.PEP.0000155630.54603.B6
Section Information: Abstracts of Platform and Poster Presentations for the 2005 Combined Sections Meeting: Poster Presentations

Physical Therapy Program, University of Colorado Health Sciences Center, Denver, CO, USA (Valvano)

JFK Partners, University of Colorado Health Sciences Center, Denver, CO, USA (Rapport)

The purposes of this paper are: 1) to present a model of physical therapy intervention for infants and young children with neurological conditions (Valvano, 2004); and 2) to present applications of this model. Activity-focused interventions involve structured practice and repetition of functional actions and are directed toward the learning of motor tasks that will increase the child’s participation in daily routines. The process outlined in this model involves three practical steps: 1) Develop activity-focused goals in collaboration with the child’s family or educational team. 2) Plan activity-focused interventions, based on principles of motor learning and motor development. Guidelines for these interventions are adapted to address the child’s individual learning characteristics, which may be affected by neurological impairments. 3) Integrate impairment-focused interventions with activity-focused interventions. Impairment-focused interventions ameliorate and limit the progression of impairments associated with neurological conditions. Impairments are optimally addressed in the context of activity; but passive interventions may be used to address impairments, such as musculolskeletal. In the past decade, pediatric physical therapy practice has increasingly emphasized functional outcomes that improve participation of the infant or child in daily routines. This model offers a framework, based on theory, for providing these interventions.

© 2005 Lippincott Williams & Wilkins, Inc.