Combining Whole-Body Vibration, Serial Casting, and Therapy to Treat Hemiplegic Cerebral Palsy: A Case Report.

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-10-01 Epub Date: 2025-10-02 DOI:10.1097/PEP.0000000000001231

Emily J Quinn, Bethany M Sloane

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引用次数: 0

Abstract

Purpose: This case report describes the combined use of whole-body vibration (WBV), serial casting (SC), and physical therapy (PT) for a child with hemiplegic cerebral palsy (HCP).

Summary of key points: A 3-year 10-month-old male with HCP was followed for 10 months. Treatment included 9 weeks of SC due to ankle plantarflexion contracture, hypertonicity, poor orthotic tolerance, and gait limitations. WBV was introduced during week 4 to address hypertonicity and poor tolerance of manual therapy. PT sessions included stretching, gait training, and strengthening exercises, integrating SC and WBV into a comprehensive intervention.

Statement of conclusion and recommendations for clinical practice: This is the first report to explore combining WBV and SC within a PT program. WBV was safe and effective, potentially serving as a preparatory activity for SC. Improved orthotic wear tolerance, dorsiflexion range of motion, and gait efficiency suggest potential benefits of this multimodal approach, warranting further research.

Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A657 .

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结合全身振动、连续铸造与治疗治疗偏瘫性脑瘫1例。

目的：本病例报告描述了全身振动（WBV），连续铸造（SC）和物理治疗（PT）联合应用于偏瘫性脑瘫（HCP）儿童。重点总结：我们对一名3岁10月龄HCP男性患者进行了10个月的随访。治疗包括因踝关节跖屈挛缩、高张力、矫正耐受性差和步态限制而导致的9周SC。在第4周引入WBV，以解决高渗和手工治疗耐受性差的问题。PT课程包括拉伸，步态训练和强化练习，将SC和WBV整合为综合干预。结论声明和临床实践建议：这是第一个在PT项目中探讨WBV和SC结合的报告。WBV是安全有效的，可能作为SC的准备活动。改善的矫形器耐磨性、背屈运动范围和步态效率表明了这种多模式方法的潜在益处，值得进一步研究。视频摘要：补充的数字内容可在http://links.lww.com/PPT/A657上获得。

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.