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Uptake of the Congenital Muscular Torticollis Clinical Practice Guideline Into Pediatric Practice

Sandra L Kaplan1, Robin L Dole, Joseph Schreiber

  • 1Department of Rehabilitation and Movement Science (Dr Kaplan), Rutgers, The State University of New Jersey, Newark, New Jersey; School of Human Service Professions (Dr Dole), Institute for Physical Therapy Education, Widener University, Chester, Pennsylvania; Chatham University (Dr Schreiber), Pittsburgh, Pennsylvania.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|September 28, 2017
PubMed

Insights

Pediatric physical therapists improved congenital muscular torticollis clinical practice guideline (CMT-CPG) implementation after its publication. While knowledge brokering occurred, its effectiveness was often minimal, highlighting areas for future guideline development.

Area of Science:

  • Pediatric Physical Therapy
  • Clinical Practice Guidelines
  • Knowledge Translation

Background:

  • Congenital muscular torticollis (CMT) is a common condition in infants.
  • Clinical practice guidelines (CPGs) aim to standardize care and improve outcomes.
  • Effective implementation of CPGs requires understanding therapist experiences.

Purpose of the Study:

  • To assess the implementation of the congenital muscular torticollis clinical practice guideline (CMT-CPG) by pediatric physical therapists (PTs).
  • To identify successes and challenges in knowledge-brokering activities related to the CMT-CPG.

Main Methods:

  • An online survey was administered to pediatric PTs with experience in CMT.
  • Survey data analyzed implementation frequency of CMT-CPG recommendations.
  • Differences in implementation were examined pre- and post-CMT-CPG publication.

Main Results:

  • Guideline recommendation implementation significantly improved post-publication, with over 90% of respondents implementing most recommendations.
  • The majority of surveyed PTs engaged in knowledge-brokering activities.
  • Many PTs reported minimal effectiveness of their knowledge-brokering efforts.

Conclusions:

  • The CMT-CPG has demonstrably influenced and improved clinical practice.
  • PTs reported both successful and challenging aspects of translating guideline recommendations into practice.
  • Insights gained from this study can inform the development of future CPGs and knowledge-brokering strategies.
Abstract

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