What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?

© 2017 Occupational Therapy Australia. Background/aim: Somatosensation is the ability to detect and recognise body sensations such as touch, vibration, pressure, pain, temperature and proprioception. Cerebral palsy is a neurological disorder that is often accompanied by impairments in somatosensatio...

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Main Authors: Walmsley, C., Taylor, S., Parkins, T., Carey, L., Girdler, Sonya, Elliott, Catherine
Format: Journal Article
Published: Wiley-Blackwell Publishing Asia 2018
Online Access:http://hdl.handle.net/20.500.11937/62636
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author Walmsley, C.
Taylor, S.
Parkins, T.
Carey, L.
Girdler, Sonya
Elliott, Catherine
author_facet Walmsley, C.
Taylor, S.
Parkins, T.
Carey, L.
Girdler, Sonya
Elliott, Catherine
author_sort Walmsley, C.
building Curtin Institutional Repository
collection Online Access
description © 2017 Occupational Therapy Australia. Background/aim: Somatosensation is the ability to detect and recognise body sensations such as touch, vibration, pressure, pain, temperature and proprioception. Cerebral palsy is a neurological disorder that is often accompanied by impairments in somatosensation. Current somatosensory assessments have limited psychometrics established for use with these children. The aim of this study was to identify therapists' current practice and perspectives related to the assessment of somatosensation in children with neurological disorders. Methods: A cross-sectional questionnaire was used to identify the somatosensory assessments currently used in clinical practice, time allocated to assessment, and therapists' satisfaction and confidence using the available assessments of somatosensation. The questionnaire was adapted from a previously utilised questionnaire that identified therapists' use of somatosensory assessments with adults post-stroke. Results: A total of 135 therapists responded to the questionnaire. Seventy-nine (92%) occupational therapists and 44 (89.7%) physiotherapists indicated that they currently assessed or treated children with somatosensory deficits. Sixty-four (82.1%) occupational therapists and 38 (86.3%) physiotherapists regarded assessment of somatosensation in children with neurological disorders as important to very important. However, only seven (8.8%) occupational therapists and seven (15.9%) physiotherapists reported confidence in their ability to do so. The methods with which therapists detect and measure somatosensory impairment in children with neurological disorders are variable, with non-standardised and/or informal assessments most frequently used. Conclusion: Despite there being recommendations of best practice for the assessment of specific domains of somatosensation in children with cerebral palsy, current practice does not yet mirror these recommendations. Additionally, therapists have low satisfaction and confidence with what they are currently using, highlighting the need for a comprehensive and standardised assessment of somatosensation for use in children with neurological disorders.
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spelling curtin-20.500.11937-626362019-07-08T04:55:41Z What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders? Walmsley, C. Taylor, S. Parkins, T. Carey, L. Girdler, Sonya Elliott, Catherine © 2017 Occupational Therapy Australia. Background/aim: Somatosensation is the ability to detect and recognise body sensations such as touch, vibration, pressure, pain, temperature and proprioception. Cerebral palsy is a neurological disorder that is often accompanied by impairments in somatosensation. Current somatosensory assessments have limited psychometrics established for use with these children. The aim of this study was to identify therapists' current practice and perspectives related to the assessment of somatosensation in children with neurological disorders. Methods: A cross-sectional questionnaire was used to identify the somatosensory assessments currently used in clinical practice, time allocated to assessment, and therapists' satisfaction and confidence using the available assessments of somatosensation. The questionnaire was adapted from a previously utilised questionnaire that identified therapists' use of somatosensory assessments with adults post-stroke. Results: A total of 135 therapists responded to the questionnaire. Seventy-nine (92%) occupational therapists and 44 (89.7%) physiotherapists indicated that they currently assessed or treated children with somatosensory deficits. Sixty-four (82.1%) occupational therapists and 38 (86.3%) physiotherapists regarded assessment of somatosensation in children with neurological disorders as important to very important. However, only seven (8.8%) occupational therapists and seven (15.9%) physiotherapists reported confidence in their ability to do so. The methods with which therapists detect and measure somatosensory impairment in children with neurological disorders are variable, with non-standardised and/or informal assessments most frequently used. Conclusion: Despite there being recommendations of best practice for the assessment of specific domains of somatosensation in children with cerebral palsy, current practice does not yet mirror these recommendations. Additionally, therapists have low satisfaction and confidence with what they are currently using, highlighting the need for a comprehensive and standardised assessment of somatosensation for use in children with neurological disorders. 2018 Journal Article http://hdl.handle.net/20.500.11937/62636 10.1111/1440-1630.12431 Wiley-Blackwell Publishing Asia restricted
spellingShingle Walmsley, C.
Taylor, S.
Parkins, T.
Carey, L.
Girdler, Sonya
Elliott, Catherine
What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title_full What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title_fullStr What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title_full_unstemmed What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title_short What is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
title_sort what is the current practice of therapists in the measurement of somatosensation in children with cerebral palsy and other neurological disorders?
url http://hdl.handle.net/20.500.11937/62636