On a daily basis therapists prove that methods and tools used for a given patient work. However, every pediatric diagnosis is unique to a patient and contains unique clinical goals. So how does one ‘prove’ that a specific tool works? As a clinical community, how do we know that a specific tool is helping? How do you prove it?
We appreciate therapists who think and utilize tools for their patients outside of standard methods. For example: ‘I tried TheraTogs with a child with Pompe’s disease and we found x,y and z.’ ‘Wow, we tried TheraTogs with an infant with Prader Willi. TheraTogs is helpful for this patient base.’ Sadly, this clinical knowledge is lost when it is not reported and documented.
How You Use TheraTogs matters. Not just to us, but to other therapists working with children with similar indications and diagnoses.
Clinical Practice Guidelines (CPG), Endorsement and You
What CPG Means to Us
A footprint or algorithm for assessing and determining proper steps, a plan based on assessment and goals, methods to measure improvements. Example: Where to start (postural control, torso alignment, symmetry, improved COM/BOS), what to measure (GMFM, PEDI, etc), how to use the system (strapping strategy), frequency of wear, activities used in tandem to promote therapy goals.
How you can help build the Clinical Guidelines for using TheraTogs? Review the tabs below for ideas and examples.
What Endorsement Means to Us
An act of giving one’s public approval or support to someone or something.
synonyms: support, backing, approval, seal of approval, agreement, recommendation, championship, patronage, affirmation, sanction
When a clinician endorses the use of TheraTogs, it is based on two major points:
- Relevant to promoting physical therapy goals
- Useful in practice
An endorsement does not include “prescription,” “order,” or other terminology that refers to the initiation of physical therapy services.
NEW! Ehab Mohamed Abd El-Kafy. (2014) The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial. Clinical Rehabilitation 2014, Vol. 28(10) 1004-1014. Ehab Mohamed Abd El-Kafy
Maguire et al. (2012) How to Improve walking, balance and social participation following stroke: a comparison of the long term effects of two walking aids- canes and an orthosis TheraTogs- on the recovery of gait following acute stroke. A study protocol for a multi-centre, single blind, randomized control trial. BMC Neurology 2012, 12:18. Maguire et al
Fenneman, P, Ries, JD. (2010) Effects of TheraTogs on the Postural Stability and Motor Control of a 7-year-old Girl with Down Syndrome and Severe Motor Delays. Poster presented at APTA Combined Sections meeting, February 2010. Click here to Read
Flanagan A, Krzalz J, Peer M, Johnson P, Urban M. (2009) Evaluation of Short-Term Intensive Orthotic Garment Use in Children Who Have Cerebral Palsy. Pediatric Physical Therapy 2009;21:201-204. Click here to Read
Sefecka, A. (2009) Case Report: The AtaxiTog System As An Adjunct To Traditional Physical Therapy Intervention For A 13-Year-Old With Postural Instability Post Non-Traumatic Cerebellar Injury;A Five-Week Program. Poster presented at APTA Combined Sections meeting, February 2009. Click here to Read
Rojas A., Weiss M., Elbaum L. (2008) The Effect of TheraTogs on the Gait of a Child with Cerebral Palsy: A Case Study. Florida International University Department of Physical Therapy, Miami FL. Poster presented at FIU Honors College Annual Research Conference, April 2008. Click here to Read
Engelmeyer, Kelly SPT, et al. (2007) The Effect of TheraTogs on Gait in a 5-Year-Old with Spastic Hemiplegia. School of Physical Therapy, Maryville University, St. Louis, MO. Poster presented at APTA Combined Sections meeting, February 2007. Click here to Read
Burt, Marlenne G. (2007) A Strapping Case Study: Linking NDT with TheraTogs Strapping System and Other Orthotics. NDTA Network Publication, January February 2007. Click here to Read
Siracusa C, Taynor M, Geletka B, Overby A. (2005) Effectiveness of a biomechanical intervention in children with spastic diplegia. Pediatric Physical Therapy 17(1): 83-84. Detailed Abstract, Pediatric Physical Therapy (PDF) Poster Presentation.
Adult Post CVA