Abstract
Individuals with intellectual and developmental disabilities (IDD) often have to cope with an array of functional mental and physical difficulties in addition to their primary diagnosis. The physical therapist (PT) caring for this group of clients has to take into account the vast variability of syndromes, developmental and cognitive challenges as well as the medical complexity presented by our consumers with IDD. The result of such variability is infinite expressions of the IDD diagnosis combined with primary disabilities and secondary limitations that challenges the PT. The uniqueness of each consumer with IDD necessitates the initiation of a specific evaluation and an invention of a new and specifically adapted therapeutic management for each consumer. The PT working with this population needs to overcome a multitude of barriers sometimes masking the physical limitations in areas such as: behavioral symptoms, lack of motivation, cognitive limitations, complex medical challenges and aging. Due to such complexity the intervention approach recommended with this population would be a collaborative model that integrates the knowledge of all allied health professionals into a holistic care management. Despite the fact that individuals with IDD are multifaceted and challenging clients for the PT, literature regarding intervention approaches and guidelines for intervention with this population is limited and in most countries today, there are no structured educational programs that prepare the PT for such a challenge. The present chapter presents some basic concepts which will assist the PT working with these individuals as well as suggest some limitations in existing research and literature which is a prerequisite in improving future management for this group of clients.
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References
Gokce M, Purushottam GA, Scher DM, Widmann RF, Green DW. Down syndrome: orthopedic issues. Curr Opin Pediatr. 2008;20(1):30–6.
Lotan M, Merrick J, editors. Rett syndrome: therapeutic interventions. New York: Nova Science; 2011.
Turk MA, Overeynder JC, Janicki MP, editors. Uncertain future. Aging and cerebral palsy: clinical concerns. Albany: New York State Developmental Disabilities Planning Council; 1995.
World Health Organization. International classification of functioning, disability and health: ICF. Geneva: World Health Organization; 2013.
Jette AM. Toward a common language for function, disability and health. Phys Ther. 2006;86:726–34.
Palisano RJ. A collaborative model of service delivery for children with movement disorders: a framework for evidence-based decisions. Phys Ther. 2006;86(9):1295–305.
Patel DR, Pratt HD, Patel ND. Team processes and team care for children with developmental disabilities. Pediatr Clin North Am. 2008;55:1375–80.
Lachapelle Y, Wehmeyer M, Haelewyck MC, Courbois Y, Keith KD, Schalock R, et al. The relationship between quality of life and self-determination: an international study. J Intellect Disabil Res. 2005;49:740–4.
Shea A. Physical therapy. In: Levine MD, Carey WB, Crocker AC, editors. Developmental-behavioral pediatrics. Philadelphia: WB Saunders; 1992. p. 1120–3.
Alward GP. Conceptual issues in developmental screening and assessment. J Dev Behav Pediatr. 1997;18:340–9.
Section on Pediatrics. List of pediatric physical therapy assessment tools. Fact Sheet, 2011. URL: http://pediatricapta.org
LeVeau BF, Bernhardt D. Developmental biomechanics: effect of forces on the growth, development, and maintenance of the human body. Phys Ther. 1984;64:1874–82.
Fetters L. Perspective on variability in the development of human action. Phys Ther. 2010;90:1860–7.
Hourbourne RT, Willett S, Kyvedlidu A, Deffeyes J, Stergiou N. A comparison of interventions for children with Cerebral Palsy to improve sitting postural control: a clinical trial. Phys Ther. 2010;90:1881–98.
Ketelaar M, Vermeer A, Hart H, Van Petegam-van Beek E, Helders PJM. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther. 2001;81:1534–45.
Adolph KE, Berger S. Developmental continuity? crawling, cruising, and walking. Dev Sci. 2011;14(2):306–18.
Valvano J. Activity-focused motor interventions for children with neurological conditions. Phys Occup Ther Pediatr. 2004;24:79–107.
Kaplan S, Coulter C, Fetter L. Physical therapy management of congenital muscular torticollis: an evidence-based clinical practice guideline. Pediatr Phys Ther. 2013;25(4):348–94.
Lotan M, Isakov E, Merrick J. Improving functional skills and physical fitness in children with Rett syndrome. J Intellect Disabil Res. 2004;48(8):730–5.
Langoni S. Good times at play. Fort Collins: Colorado State University Cooperative Extension; 1989. p. 174–92.
Ratner HH, Foley MA. A unifying framework for the development of children’s activity memory. Adv Child Dev Behav. 1994;25:33–105.
McEwen IR. Assistive positioning as a control parameter of social-communicative interactions between students with profound multiple disabilities and classroom staff. Phys Ther. 1992;72:634–44.
Ragonesi CB, Chen X, Agrawal S, Galloway JC. Power mobility and socialization in preschool: a case study of a child with cerebral palsy. Pediatr Phys Ther. 2010;22:322–9.
Section on Pediatrics, Intensity of service in an outpatient setting for children with chronic conditions. Fact Sheet 2012. www.pediatricapta.org
Individuals with Disabilities Act 2004
Individuals with Disabilities Improvement Act of 2004 PL 108-446.
Adolph KE, Berger SE. Physical and motor development in developmental science: an advanced textbook, 5th ed. Bornstein MH, Lamb ME,. eds. Mahwah: Lawrence Erlbaum; 2005.
Rimmer JH. Health promotion for people with disabilities: the emerging paradigm shift from disability prevention to prevention of secondary conditions. Phys Ther. 1999;79:495–502.
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Osborne, P.S., Lotan, M. (2016). Physical Therapy. In: Rubin, I.L., Merrick, J., Greydanus, D.E., Patel, D.R. (eds) Health Care for People with Intellectual and Developmental Disabilities across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-18096-0_91
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DOI: https://doi.org/10.1007/978-3-319-18096-0_91
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