{"title":"结合全身振动、连续铸造与治疗治疗偏瘫性脑瘫1例。","authors":"Emily J Quinn, Bethany M Sloane","doi":"10.1097/PEP.0000000000001231","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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).</p><p><strong>Summary of key points: </strong>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.</p><p><strong>Statement of conclusion and recommendations for clinical practice: </strong>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.</p><p><p>Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A657 .</p>","PeriodicalId":49006,"journal":{"name":"Pediatric Physical Therapy","volume":" ","pages":"505-511"},"PeriodicalIF":1.5000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Combining Whole-Body Vibration, Serial Casting, and Therapy to Treat Hemiplegic Cerebral Palsy: A Case Report.\",\"authors\":\"Emily J Quinn, Bethany M Sloane\",\"doi\":\"10.1097/PEP.0000000000001231\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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).</p><p><strong>Summary of key points: </strong>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.</p><p><strong>Statement of conclusion and recommendations for clinical practice: </strong>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.</p><p><p>Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A657 .</p>\",\"PeriodicalId\":49006,\"journal\":{\"name\":\"Pediatric Physical Therapy\",\"volume\":\" \",\"pages\":\"505-511\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Physical Therapy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/PEP.0000000000001231\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/10/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/PEP.0000000000001231","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/2 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
Combining Whole-Body Vibration, Serial Casting, and Therapy to Treat Hemiplegic Cerebral Palsy: A Case Report.
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 .
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.
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