A Collaborative Approach to Optimize Participation in an Education Environment for Students With Bilateral Limb Loss: Case Report.

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-07-01 Epub Date: 2025-06-27 DOI:10.1097/PEP.0000000000001207

Sandra M Ribeiro, Kimberly D Wynarczuk

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引用次数: 0

Abstract

Purpose: This case study highlights team collaboration, individualized interventions, and an inclusive environment to optimize participation in school-aged children with bilateral congenital transfemoral limb loss.

Summary of key points: Two students with bilateral transfemoral limb loss diagnosed with fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) achieve independence in mobility through collaborative goals and strategies following the International Classification of Functioning Disability and Health Model and a clinical practice guideline published by the US Department of Veterans Affairs and the US Department of Defense. The educational team, including the physical therapist, supports students' mobility and participation using individualized interventions.

Conclusion: The collaborative approach supports the students' complexities and participation with framework-guided strategies. An inclusive school creates a community for students to develop autonomy, self-reliance, and independence.

Recommendations for clinical practice: These cases serve as a model for integrating clinical practice guidelines into best practices for physical therapy in the school setting.

What this adds to evidence: This is the first documented case study of children with FATCO and school-based practices.

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一个合作的方法，以优化参与教育环境的学生与双侧肢体丧失：个案报告。

目的：本案例研究强调了团队合作、个性化干预和包容性环境，以优化双侧先天性经股肢体缺失学龄儿童的参与。重点总结：两名被诊断为腓骨发育不全、胫骨扁平和少指畸形（FATCO）的双侧经股肢体丧失的学生，遵循国际功能残疾和健康模型分类以及美国退伍军人事务部和美国国防部发布的临床实践指南，通过合作目标和策略，实现了独立的活动能力。教育团队，包括物理治疗师，通过个性化干预来支持学生的活动和参与。结论：协作式教学在框架引导策略下支持学生的复杂性和参与性。一所包容性的学校为学生创造了一个发展自主、自立和独立的社区。临床实践建议：这些病例作为一个模型，将临床实践指南整合到学校环境中物理治疗的最佳实践中。这增加了证据：这是第一个记录在案的FATCO儿童和学校实践的案例研究。

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.