Table Of ContentPg. iii
Tecklin’s Pediatric Physical Therapy
Sixth Edition
Elena McKeogh Spearing, PT, DPT
Board-Certified Pediatric Clinical Specialist
Owner
Dynamic Physical Therapy Solutions, LLC
Hartsville, Pennsylvania
Adjunct Faculty
Arcadia University
Physical Therapy Program
Former Manager of Physical Therapy
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Eric S. Pelletier, PT, DPT
Board-Certified Pediatric Clinical Specialist
Department of Physical Therapy
Assistant Professor of Physical Therapy
University of the Sciences
Philadelphia, Pennsylvania
Mark Drnach, PT, DPT, MBA
Board-Certified Pediatric Clinical Specialist
Department of Physical Therapy
Clinical Professor of Physical Therapy
Wheeling University
Wheeling, West Virginia
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Sixth Edition
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Library of Congress Cataloging-in-Publication Data
Names: Spearing, Elena McKeogh, editor. | Pelletier, Eric S.,
editor. | Drnach, Mark, editor.
Title: Tecklin’s pediatric physical therapy / [edited by] Elena
McKeogh Spearing, Eric Pelletier, Mark Drnach.
Other titles: Pediatric physical therapy (Tecklin) | Pediatric
physical therapy
Description: Sixth edition. | Philadelphia: Wolters Kluwer Health,
[2022] | Preceded by Pediatric physical therapy / [edited by] Jan
S. Tecklin. Fifth edition. [2015] | Includes bibliographical
references and index.
Identifiers: LCCN 2021005646 | ISBN 9781975141578 (paperback)
Subjects: MESH: Physical Therapy Modalities | Child | Infant
Classification: LCC RJ53.P5 | NLM WB 460 | DDC 615.8/2—dc23
LC record available at https://lccn.loc.gov/2021005646
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accuracy, comprehensiveness, or currency of the content of this
work.
This work is no substitute for individual patient assessment
based upon healthcare professionals’ examination of each
patient and consideration of, among other things, age, weight,
gender, current or prior medical conditions, medication history,
laboratory data and other factors unique to the patient. The
publisher does not provide medical advice or guidance and this
work is merely a reference tool. Healthcare professionals, and
not the publisher, are solely responsible for the use of this work
including all medical judgments and for any resulting diagnosis
and treatments.
Given continuous, rapid advances in medical science and health
information, independent professional verification of medical
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and dosages, and treatment options should be made and
healthcare professionals should consult a variety of sources.
When prescribing medication, healthcare professionals are
advised to consult the product information sheet (the
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verify, among other things, conditions of use, warnings and side
effects and identify any changes in dosage schedule or
contraindications, particularly if the medication to be
administered is new, infrequently used or has a narrow
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any injury and/or damage to persons or property, as a matter of
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Pg. v
Dedication
We dedicate this sixth edition to Jan Stephen Tecklin.
We thank Jan for entrusting us with his passion.
The faith and confidence he had in us gave us a tremendous
sense of
responsibility to continue this work.
We have taken his faith in us very seriously.
Jan, we hope this effort has made you proud.
We also dedicate this edition to the many children
and families we have worked with in our
collective 90 years of practice.
You have taught us so much more than we have taught you.
Pg. vii
Contributors
Joseph Ableman, PT, DPT
Physical Therapist
Acute Care Therapy Services
Legacy Emanuel Medical Center—Oregon Burn Center
Portland, Oregon
Karl Barner, CPO/L
Certified Prosthetist Orthotist
Department of Orthotics and Prosthetics
Children’s Healthcare of Atlanta
Atlanta, Georgia
Jason Beaman, PT
Cerebral Palsy Team Lead Therapist
Therapeutic and Rehabilitation Services
Nemours/Alfred I. duPont Hospital for Children
Wilmington, Delaware
Anjana Bhat, PT, PhD
Assistant Professor in Kinesiology
Physical Therapy Program
University of Connecticut
Storrs, Connecticut
Jamie Bradford, PT, DPT
Physical Therapist III
Department of Physical Therapy
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Heather Lever Brossman, PT, DHSc(c), DPT, MS
Board-Certified Cardiovascular and Pulmonary Clinical
Specialist
Board-Certified Pediatric Clinical Specialist
Physical Therapist
GRIT Physical Therapy, LLC
Richboro, Pennsylvania
Bucks County Intermediate Unit #22
Doylestown, Pennsylvania
Deborah Bubela, PT, PhD
Board-Certified Clinical Specialist in Pediatric Physical Therapy
Associate Professor in Residence
Doctor of Physical Therapy Program
Kinesiology Department
University of Connecticut
Storrs, Connecticut
Jill Cannoy, PT, DPT
Board-Certified Pediatric Clinical Specialist
Children’s Healthcare of Atlanta
Atlanta, Georgia
Stacey DiBiaso Caviston, PT, DPT
Board-Certified Pediatric Clinical Specialist
Education and Development Coordinator
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Kathleen Coultes, PT, MSPT
Board-Certified Pediatric Clinical Specialist
Trinity Health Mid-Atlantic MCMC
Mercy Fitzgerald Campus
Darby, Pennsylvania
Mark Drnach, PT, DPT, MBA
Board-Certified Pediatric Clinical Specialist
Department of Physical Therapy
Clinical Professor of Physical Therapy
Wheeling University
Wheeling, West Virginia
Brian P. Emling, MSPO, CPO, LPO
Certified Prosthetist Orthotist
Orthotics and Prosthetics Department
Children’s Healthcare of Atlanta
Atlanta, Georgia
Jean M. Flickinger, PT, MPT
Board-Certified Pediatric Clinical Specialist
Physical Therapist III
Department of Physical Therapy
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Rita Geddes, PT, MEd, DPT
Physical Therapist
Department of Early Childhood Education
Bucks County Intermediate Unit
Doylestown, Pennsylvania
Bensalem Township School District
Bensalem, Pennsylvania
Courtney L. Ginter, PT, DPT
Physical Therapist
Department of Physical Therapy
Seattle Children’s Hospital
Seattle, Washington
Allan M. Glanzman, PT, DPT
Board-Certified Pediatric Clinical Specialist
Co-Chair, Research and Scientific Review Committees
Department of Physical Therapy
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Pg. viii
Elliot M. Greenberg, PT, PhD, DPT
Board-Certified Orthopedic Clinical Specialist
Physical Therapist/Clinical Research Scientist
The Children’s Hospital of Philadelphia Sports Medicine and
Performance Center
Philadelphia, Pennsylvania
Eric T. Greenberg, PT, DPT
Board-Certified Sports Clinical Specialist
Assistant Professor
Department of Physical Therapy
New York Institute of Technology
Old Westbury, New York
Alison Hayward, PT, DPT
Lead Acute Physical Therapist
Acute Care Therapy Services
Legacy Emanuel Medical Center
Oregon Burn Center
Portland, Oregon
Rebecca Hernandez, CPO, LPO
Certified/Licensed Prosthetist/Orthotist
Clinical Supervisor
Orthotics and Prosthetics Department
Children’s Healthcare of Atlanta
Atlanta, Georgia
Jennifer Jones, PT, DPT
Board Certified Clinical Specialist
Department of Physical Therapy
