Gait Training for Walking Acquisition in a Child with Hereditary Spastic Paraplegia: A Case Report.

IF 1.3 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-04-15 DOI:10.1097/PEP.0000000000001208

Hirokazu Abe, May Hanamachi

引用次数: 0

Abstract

Purpose: We report the effectiveness of task-specific walking training for a child with hereditary spastic paraplegia using various orthoses, assistive mobility aids, and tasks.

Summary of key points: A 4-year-8-month-old boy, classified as Gross Motor Function Classification System level IV, had selective dorsal rhizotomy and single-event multilevel surgery. The child began walking training using knee-ankle-foot orthoses and a posterior walker, setting the tasks to be "just right" for improving the child's abilities.

Conclusion: At 6 years and 11 months of age, the child walked using bilateral ankle-foot orthoses and crutches at school, and scores improved on the Canadian Occupational Performance Measure, Gross Motor Function Measure-66, and Functional Mobility Scale.Recommendations for Clinical Practice: Physical therapists need to carefully select the factors involved in walking training based on an assessment and the difficulty level of each child in order to optimize improvements.

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步态训练对遗传性痉挛性截瘫患儿行走习得的影响：1例报告。

目的：我们报告了对遗传性痉挛性截瘫儿童使用各种矫形器、辅助行动辅助和任务进行特定任务步行训练的有效性。重点总结：1例4- 8月龄男婴，大运动功能分类系统四级，行选择性背侧神经根切断术及单节段多节段手术。孩子开始使用膝盖-脚踝-脚矫形器和后路助行器进行步行训练，为提高孩子的能力设置了“刚刚好”的任务。结论：在6岁零11个月时，儿童在学校使用双侧踝足矫形器和拐杖行走，并且在加拿大职业表现量表，大运动功能量表-66和功能活动量表中的得分有所提高。临床实践建议：物理治疗师需要根据评估和每个孩子的难度水平仔细选择步行训练中涉及的因素，以优化改进。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.