Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists
Abstract Background Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists. Objective The objectives o...
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| Veröffentlicht in: | Physical therapy 2019-04, Vol.99 (4), p.428-439 |
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| creator | Kotte, Elles M W de Groot, Janke F Winkler, Alexander M F Veenhof, Cindy Takken, Tim |
| description | Abstract
Background
Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists.
Objective
The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice.
Design
Mixed methods with both quantitative and qualitative data were used in this study.
Methods
Outcome parameters from the FTT were retrieved from the Fitkids database. For evaluation of the utility of the FTT, 2 indicators, exercise duration and maximal effort, were used. An online survey was sent to physical therapists in Fitkids practices to identify factors affecting the use of the FTT in clinical practice.
Results
The proportion of children and adolescents in each of the diagnostic groups who reached the minimal duration of a maximal exercise test ranged from 94% to 100%. The proportion of participants who reached a peak heart rate ≥180 beats/min ranged from 46% for participants with cognitive, psychological, or sensory disorders to 92% for participants with metabolic diseases. The most important facilitator for use of the FTT was the fact that most physical therapists were convinced of the additional value of the FTT. The main barriers were therapists’ attitudes (resistance to change/lack of experience) and, on the environmental level, the absence of a treadmill ergometer in physical therapist practice.
Limitations
Structured interviews would have provided more information on potential factors affecting the use of the FTT in clinical practice.
Conclusions
This study has shown the clinical utility of the FTT in different diagnostic groups in pediatric physical therapist practice. Responding to the factors identified in this study should enable improved uptake of the FTT in clinical practice. |
| doi_str_mv | 10.1093/ptj/pzy142 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179446172</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A583991331</galeid><oup_id>10.1093/ptj/pzy142</oup_id><sourcerecordid>A583991331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c626t-87e07df670633884ce46998f770fbfe97ad0876c66c6065b7e76370a36f3ec4b3</originalsourceid><addsrcrecordid>eNqV0uGL0zAUAPAiijdPv_gHSEAEFXqXNFnS-m2M2zkYnuiGH0OWvnaZaVObFNz99ebcVCbjUBIIhN97vJe8JHlO8AXBBb3swvayu90Rlj1IRmRM85SLjD1MRhhTkhY4o2fJE--3GGMiWPE4OaOYF5hTPEqqmQlfTenRsgdVNsZatAQf3qGpNa3RyqJVMNaEHVJtiWZKB9d7NPHeaaMClOiLCRs0Dx6tPKBJ49oafdzs_M_Q5QZ61Rkf_NPkUaWsh2eH8zxZza6W0_fp4uZ6Pp0sUs0zHtJcABZlxUUsjuY508B4UeSVELhaV1AIVeJccM3jxny8FiA4FVhRXlHQbE3Pk9f7vF3vvg2xEdkYr8Fa1YIbvMyIKBjjRGSRvvyLbt3Qt7E6mcX3GTNGc_ZH1cqCNG3lQq_0XVI5Gee0KAilJKr0hKqhjf1b10Jl4vWRvzjh4yqhMfpkwJujgGgCfA-1GryX88-f_sN--GebXy_ua_JgtbMWapDxH6c3x_7t3uveed9DJbveNKrfSYLl3eDKOLhyP7gRvzj8xrBuoPxNf01qBK_2wA3dfYl-AMHs75s</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2306544384</pqid></control><display><type>article</type><title>Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Kotte, Elles M W ; de Groot, Janke F ; Winkler, Alexander M F ; Veenhof, Cindy ; Takken, Tim</creator><creatorcontrib>Kotte, Elles M W ; de Groot, Janke F ; Winkler, Alexander M F ; Veenhof, Cindy ; Takken, Tim</creatorcontrib><description>Abstract
Background
Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists.
Objective
The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice.
Design
Mixed methods with both quantitative and qualitative data were used in this study.
Methods
Outcome parameters from the FTT were retrieved from the Fitkids database. For evaluation of the utility of the FTT, 2 indicators, exercise duration and maximal effort, were used. An online survey was sent to physical therapists in Fitkids practices to identify factors affecting the use of the FTT in clinical practice.
Results
The proportion of children and adolescents in each of the diagnostic groups who reached the minimal duration of a maximal exercise test ranged from 94% to 100%. The proportion of participants who reached a peak heart rate ≥180 beats/min ranged from 46% for participants with cognitive, psychological, or sensory disorders to 92% for participants with metabolic diseases. The most important facilitator for use of the FTT was the fact that most physical therapists were convinced of the additional value of the FTT. The main barriers were therapists’ attitudes (resistance to change/lack of experience) and, on the environmental level, the absence of a treadmill ergometer in physical therapist practice.
Limitations
Structured interviews would have provided more information on potential factors affecting the use of the FTT in clinical practice.
Conclusions
This study has shown the clinical utility of the FTT in different diagnostic groups in pediatric physical therapist practice. Responding to the factors identified in this study should enable improved uptake of the FTT in clinical practice.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/pzy142</identifier><identifier>PMID: 30690630</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Adult ; Child ; Children ; Children's fitness ; Chronic Disease - rehabilitation ; Clinical medicine ; Evaluation ; Exercise for children ; Exercise Test - standards ; Exercise tests ; Exercise therapy ; Female ; Fitness equipment ; Heart rate ; Humans ; Male ; Middle Aged ; Pediatric research ; Physical Fitness - physiology ; Physical fitness for children ; Physical Therapists ; Physical therapy ; Practice ; Treadmill exercise tests ; Youth</subject><ispartof>Physical therapy, 2019-04, Vol.99 (4), p.428-439</ispartof><rights>2019 American Physical Therapy Association 2019</rights><rights>2019 American Physical Therapy Association.</rights><rights>COPYRIGHT 2019 Oxford University Press</rights><rights>COPYRIGHT 2019 Oxford University Press</rights><rights>2019 American Physical Therapy Association</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c626t-87e07df670633884ce46998f770fbfe97ad0876c66c6065b7e76370a36f3ec4b3</citedby><cites>FETCH-LOGICAL-c626t-87e07df670633884ce46998f770fbfe97ad0876c66c6065b7e76370a36f3ec4b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30690630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kotte, Elles M W</creatorcontrib><creatorcontrib>de Groot, Janke F</creatorcontrib><creatorcontrib>Winkler, Alexander M F</creatorcontrib><creatorcontrib>Veenhof, Cindy</creatorcontrib><creatorcontrib>Takken, Tim</creatorcontrib><title>Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>Abstract
Background
Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists.
Objective
The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice.
Design
Mixed methods with both quantitative and qualitative data were used in this study.
Methods
Outcome parameters from the FTT were retrieved from the Fitkids database. For evaluation of the utility of the FTT, 2 indicators, exercise duration and maximal effort, were used. An online survey was sent to physical therapists in Fitkids practices to identify factors affecting the use of the FTT in clinical practice.
Results
The proportion of children and adolescents in each of the diagnostic groups who reached the minimal duration of a maximal exercise test ranged from 94% to 100%. The proportion of participants who reached a peak heart rate ≥180 beats/min ranged from 46% for participants with cognitive, psychological, or sensory disorders to 92% for participants with metabolic diseases. The most important facilitator for use of the FTT was the fact that most physical therapists were convinced of the additional value of the FTT. The main barriers were therapists’ attitudes (resistance to change/lack of experience) and, on the environmental level, the absence of a treadmill ergometer in physical therapist practice.
Limitations
Structured interviews would have provided more information on potential factors affecting the use of the FTT in clinical practice.
Conclusions
This study has shown the clinical utility of the FTT in different diagnostic groups in pediatric physical therapist practice. Responding to the factors identified in this study should enable improved uptake of the FTT in clinical practice.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Children</subject><subject>Children's fitness</subject><subject>Chronic Disease - rehabilitation</subject><subject>Clinical medicine</subject><subject>Evaluation</subject><subject>Exercise for children</subject><subject>Exercise Test - standards</subject><subject>Exercise tests</subject><subject>Exercise therapy</subject><subject>Female</subject><subject>Fitness equipment</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pediatric research</subject><subject>Physical Fitness - physiology</subject><subject>Physical fitness for children</subject><subject>Physical Therapists</subject><subject>Physical therapy</subject><subject>Practice</subject><subject>Treadmill exercise tests</subject><subject>Youth</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqV0uGL0zAUAPAiijdPv_gHSEAEFXqXNFnS-m2M2zkYnuiGH0OWvnaZaVObFNz99ebcVCbjUBIIhN97vJe8JHlO8AXBBb3swvayu90Rlj1IRmRM85SLjD1MRhhTkhY4o2fJE--3GGMiWPE4OaOYF5hTPEqqmQlfTenRsgdVNsZatAQf3qGpNa3RyqJVMNaEHVJtiWZKB9d7NPHeaaMClOiLCRs0Dx6tPKBJ49oafdzs_M_Q5QZ61Rkf_NPkUaWsh2eH8zxZza6W0_fp4uZ6Pp0sUs0zHtJcABZlxUUsjuY508B4UeSVELhaV1AIVeJccM3jxny8FiA4FVhRXlHQbE3Pk9f7vF3vvg2xEdkYr8Fa1YIbvMyIKBjjRGSRvvyLbt3Qt7E6mcX3GTNGc_ZH1cqCNG3lQq_0XVI5Gee0KAilJKr0hKqhjf1b10Jl4vWRvzjh4yqhMfpkwJujgGgCfA-1GryX88-f_sN--GebXy_ua_JgtbMWapDxH6c3x_7t3uveed9DJbveNKrfSYLl3eDKOLhyP7gRvzj8xrBuoPxNf01qBK_2wA3dfYl-AMHs75s</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Kotte, Elles M W</creator><creator>de Groot, Janke F</creator><creator>Winkler, Alexander M F</creator><creator>Veenhof, Cindy</creator><creator>Takken, Tim</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists</title><author>Kotte, Elles M W ; de Groot, Janke F ; Winkler, Alexander M F ; Veenhof, Cindy ; Takken, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c626t-87e07df670633884ce46998f770fbfe97ad0876c66c6065b7e76370a36f3ec4b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Children</topic><topic>Children's fitness</topic><topic>Chronic Disease - rehabilitation</topic><topic>Clinical medicine</topic><topic>Evaluation</topic><topic>Exercise for children</topic><topic>Exercise Test - standards</topic><topic>Exercise tests</topic><topic>Exercise therapy</topic><topic>Female</topic><topic>Fitness equipment</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pediatric research</topic><topic>Physical Fitness - physiology</topic><topic>Physical fitness for children</topic><topic>Physical Therapists</topic><topic>Physical therapy</topic><topic>Practice</topic><topic>Treadmill exercise tests</topic><topic>Youth</topic><toplevel>online_resources</toplevel><creatorcontrib>Kotte, Elles M W</creatorcontrib><creatorcontrib>de Groot, Janke F</creatorcontrib><creatorcontrib>Winkler, Alexander M F</creatorcontrib><creatorcontrib>Veenhof, Cindy</creatorcontrib><creatorcontrib>Takken, Tim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kotte, Elles M W</au><au>de Groot, Janke F</au><au>Winkler, Alexander M F</au><au>Veenhof, Cindy</au><au>Takken, Tim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>99</volume><issue>4</issue><spage>428</spage><epage>439</epage><pages>428-439</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>Abstract
Background
Although the Fitkids Treadmill Test (FTT) has been validated and normative values are available for healthy 6- to 18-year-old children and adolescents, these facts do not automatically imply uptake of the test in routine practice of physical therapists.
Objective
The objectives of this study were to evaluate the utility of the FTT in different diagnostic groups and to explore potential factors affecting the use of the FTT in clinical practice.
Design
Mixed methods with both quantitative and qualitative data were used in this study.
Methods
Outcome parameters from the FTT were retrieved from the Fitkids database. For evaluation of the utility of the FTT, 2 indicators, exercise duration and maximal effort, were used. An online survey was sent to physical therapists in Fitkids practices to identify factors affecting the use of the FTT in clinical practice.
Results
The proportion of children and adolescents in each of the diagnostic groups who reached the minimal duration of a maximal exercise test ranged from 94% to 100%. The proportion of participants who reached a peak heart rate ≥180 beats/min ranged from 46% for participants with cognitive, psychological, or sensory disorders to 92% for participants with metabolic diseases. The most important facilitator for use of the FTT was the fact that most physical therapists were convinced of the additional value of the FTT. The main barriers were therapists’ attitudes (resistance to change/lack of experience) and, on the environmental level, the absence of a treadmill ergometer in physical therapist practice.
Limitations
Structured interviews would have provided more information on potential factors affecting the use of the FTT in clinical practice.
Conclusions
This study has shown the clinical utility of the FTT in different diagnostic groups in pediatric physical therapist practice. Responding to the factors identified in this study should enable improved uptake of the FTT in clinical practice.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>30690630</pmid><doi>10.1093/ptj/pzy142</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-9023 |
| ispartof | Physical therapy, 2019-04, Vol.99 (4), p.428-439 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Child Children Children's fitness Chronic Disease - rehabilitation Clinical medicine Evaluation Exercise for children Exercise Test - standards Exercise tests Exercise therapy Female Fitness equipment Heart rate Humans Male Middle Aged Pediatric research Physical Fitness - physiology Physical fitness for children Physical Therapists Physical therapy Practice Treadmill exercise tests Youth |
| title | Fitkids Treadmill Test: Clinical Utility and Factors Associated With Its Use Among Physical Therapists |
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