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Related Experiment Videos

Establishing standing and walking behavior in a physically handicapped, retarded child.

V D Westervelt, J K Luiselli

    Physical Therapy
    |July 1, 1975
    PubMed
    Summary

    Physical therapists achieved limited success with direct intervention for a child with disabilities. Consulting attendant staff proved more effective for improving mobility skills in this case study.

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    Area of Science:

    • Pediatric Physical Therapy
    • Developmental Disabilities
    • Rehabilitation Medicine

    Background:

    • Direct physical therapy intervention using reinforcement procedures showed minimal success over three months for a physically handicapped and intellectually disabled child.
    • Target behaviors included pulling to stand and pushing off to walk, crucial for mobility in children with developmental challenges.

    Purpose of the Study:

    • To evaluate the effectiveness of a physical therapist shifting from direct treatment to a consultation role for a child with disabilities.
    • To compare the efficiency of direct physical therapy versus therapist-led staff training in an institutional setting.

    Main Methods:

    • A physical therapist initially provided direct reinforcement-based therapy for three months.
    • The therapist then transitioned to a consultation role, training attendant staff to implement the target behaviors over a subsequent 2.5-month period.
    • Pre- and post-treatment time sampling of the child's on-feet behaviors was conducted.

    Main Results:

    • The child demonstrated improved on-feet behaviors after the attendant staff implemented the treatment program under the physical therapist's consultation.
    • This suggests a potential increase in treatment efficiency when staff are trained by the therapist.

    Conclusions:

    • A physical therapist's consultation role, empowering attendant staff, may be a more efficient approach than direct treatment for children with physical and intellectual disabilities in institutional settings.
    • This case highlights the potential benefits of collaborative care models in pediatric rehabilitation.

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