Bibliographic record
Abstract
How should I apply this information? This study describes the outcomes of group physical therapy services for infants with congenital muscular torticollis with or without plagiocephaly and their caregivers. Waiting lists prompted Canadian physical therapists to develop a group program for parent education, and infant assessment and treatment, to increase service delivery efficiency. This model merits consideration as no differences in treatment duration or parent satisfaction between infants treated individually and those in groups were found, though not all infants achieved symmetrical active lateral flexion. Benefits included increased ownership of treatment by the infant's family, role modeling by more confident parents for those more apprehensive, and creating support networks for families who share common concerns. Group services may reinforce home program compliance with consequent shortening of treatment duration, and may be one option to address waiting lists or parents seeking support networks. What should I be mindful of when applying this information? This approach requires staff structuring that supports 2 clinicians and an assistant working collaboratively in a physical environment that accommodates up to 6 infants and their parents. Clinicians need to be mindful of individual baby and family needs, privacy concerns and cultural norms, and in the United States compliance with the Health Insurance Portability and Accountability Act when offering group services. In this study, caregivers consented to sharing medical histories and concerns in a group setting. In addition, skilled handling and manual approaches often require focus and intense concentration, which may be challenged during group services. Because about 25% of the infants did not achieve active symmetrical cervical lateral flexion and long-term implications of residual weakness were not studied, therapists should consider 4- to 6-month follow-up evaluations of infants to screen for asymmetries of movement or developmental delays, whether treated in groups or individually. Finally, the reported cost reductions seem to be institutional, and family savings are not specified except for a shorter wait time. Individualized institutional economic analyses are needed to balance the clinician-to-group size ratio necessary for fiscal stability, with the economic effect on families that have varying payment sources as might be found in the United States. Magdalena Oledzka, PT, MBA, PCS Hospital for Special Surgery, New York City, New York Sandra L. Kaplan PT, DPT, PhD Rutgers, The State University of New Jersey, Newark, New Jersey
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".