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Time for Recommendations

Fetters, Linda

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Pediatric Physical Therapy: July 2019 - Volume 31 - Issue 3 - p 233
doi: 10.1097/PEP.0000000000000632
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The current climate of physical therapy research has an important focus on evidence that supports recommendations for our practice. We have seen this in various forms including 2 critical guides for practice: the early diagnosis of cerebral palsy before 2 years of age1 and the Academy-endorsed clinical practice guideline for the diagnosis, treatment, and management of torticollis.2

In this issue, Dr Amy Bailes and colleagues provide evidence to improve the documentation of dosing for children with cerebral palsy. They provide guidance for clinics to improve their documentation of this critical feature of practice. Dr Azzim and colleagues provide evidence for a guide to best practice measures of motor development of infants born prematurely.

Recommendations for practice from evidence is always changing as our science changes and our clinical practice continues to improve. Although this “moving stream” can be challenging, we should recognize and celebrate that we are now at a point in our profession that recommendations for practice can be made. This unites our profession and guides families in their often daunting challenge to find best care for their children.

Linda Fetters
Maine, USA


1. Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment. JAMA Pediatr. 2017;171(9):897–907.
2. Kaplan SL, Coulter C, Sargent B. Physical therapy management of congenital muscular torticollis: A 2018 evidence-based clinical practice guideline from the APTA Academy of Pediatric Physical Therapy. Pediatr Phys Ther. 2018;30(4):240–290.
© 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association