Evidence-Based Clinical Algorithm for Hypotonia Assessment: To Pardon the Errs

Occupational Therapy International
Pragashnie Naidoo, Robin W E Joubert

Abstract

Despite the many advances in diagnostics, the clinical assessment of children with hypotonia presents a diagnostic challenge for clinicians due to the current subjectivity of the initial clinical assessment. The aim of this paper is to report on an evidence-based clinical algorithm (EBCA) that was developed for the clinical assessment of hypotonia in children as part of the output of a multiphased study towards assisting clinicians in more accurate assessments. This study formed part of a larger advanced mixed methods design. The preceding phases of the study included a systematic review, a survey amongst clinicians, a consensus process (Delphi technique), and a qualitative critique with multiple focus groups. Samples were drawn from three professional groups (occupational therapists, physiotherapists, and paediatricians). Data were analysed at each stage and merged in the development of the EBCA. The EBCA followed a rigorous process of development and critique. The methods for formulating changes in the revision and development of the EBCA are presented together with a description and presentation of the final algorithm for practice. The overarching concepts that guided the development and refinement of the EBCA are described,...Continue Reading

References

Dec 1, 1986·Brain : a Journal of Neurology·F G van der Meché, J van Gijn
Mar 1, 1993·Seminars in Neurology·V S MillerS T Iannaccone
Apr 15, 2000·The British Journal of Educational Psychology·M Eraut
Jan 23, 2003·Pediatric Research·Stephen Ashwal, Robert Rust
May 1, 1957·Journal of Neurology, Neurosurgery, and Psychiatry·J N WALTON
Apr 1, 1963·Developmental Medicine and Child Neurology·R S PAINE
Dec 19, 2003·Journal of Clinical Epidemiology·Brent GrahamJames G Wright
Jun 10, 2004·Journal of Advanced Nursing·Jo Rycroft-MaloneBrendan McCormack
Nov 13, 2004·The New England Journal of Medicine·Drew E AltmanRobert J Blendon
Jul 14, 2005·Clinical Medicine : Journal of the Royal College of Physicians of London·Peter Watkins
Dec 17, 2005·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Kathy MartinLindsey Voelker
Mar 25, 2006·The Journal of Continuing Education in the Health Professions·Nancy Santesso, Peter Tugwell
Aug 19, 2007·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Kathy MartinAika Yoshida
Sep 26, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jamie C BrehautEddy Lang
Oct 31, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Gary M GaddisSue Huckson
Mar 18, 2008·Seminars in Pediatric Neurology·John B Bodensteiner
Apr 9, 2009·Journal of Child Neurology·Rina Mintz-ItkinMichael Davidovitch
Sep 1, 2005·Paediatrics & Child Health·Joanna LeyenaarCarol Camfield
Nov 3, 2010·Langenbeck's Archives of Surgery·Philipe N KhalilKarl-Georg Kanz
May 18, 2013·Indian Journal of Pediatrics·Pragashnie Naidoo, Robin W E Joubert
Aug 8, 2013·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Kathy S MartinBrian H Wrotniak
May 3, 2014·Journal of Child Neurology·Elizabeth A SoucyCourtney M Dunn
Oct 9, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Michael FariasRahul H Rathod
Oct 9, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Harold C Sox, Walter F Stewart

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Citations

Nov 2, 2019·Developmental Neurorehabilitation·Alberto RomanoRosa Angela Fabio

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Methods Mentioned

BETA
biopsies

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