Commentary on “Psychometric Properties of a Standardized Observation Protocol to Quantify Pediatric Physical Therapy Actions”
The Groningen Observational Protocol 2.0 (GOP 2.0) presented in this study provides a tool that can be useful to clinicians to describe pediatric physical therapy (PPT) intervention strategies currently applied in infants with neurological dysfunction. Interestingly, the GOP categories used to classify the PPT actions during the treatment sessions are not limited to aspects related to neuromotor actions and positioning of the infant, but include aspects of communication and education for the caregiver. This underscores that physical therapy intervention in infancy must also address the family/caregiver's needs to be successful in treatment outcomes.
“What should I be mindful about when applying this information?”
Compared with a previous version, GOP 2.0 is simpler. Possibly, the GOP 2.0 can be an easy-to-use tool to define, classify, and discriminate among PPT intervention strategies. However, in the present study, this tool was only applied in treatments to infants 4 to 14 months of age and only with neurodevelopmental disorders. Generalization to other ages or conditions is not yet possible. Although the reliability and completeness of this tool is good, physical therapists with different levels of clinical experience or approaches may use different treatment actions that might not be included. Addressing this issue would broaden the applicability of this promising tool. Use of this tool may provide some common knowledge about the relationship between PPT intervention and efficacy in developmental outcomes.