Abstract
Background and Purpose: This case report describes a decision-making process that was used to progress a home-based intervention that coupled treadmill and walker stepping for a preambulatory toddler with spina bifida. Case Description: The toddler in this report had an L4-L5 level lesion, and began this home-based intervention at 18 months of age when she was pulling to stand. Intervention: The intervention included parameters for treadmill stepping that prepared this toddler for gait with orthotics and was progressed to overground walking with a walker using a decision-making algorithm based on data obtained from a parent log and coded video. Outcomes: This toddler progressed from not stepping at the start of the study to ambulating 150 m with a walker at age 23 months, after 18 weeks of this intervention. Discussion and conclusion: The intervention and decision-making process used in this study were family centered and may be applicable to gait intervention with other populations.
| Original language | English |
|---|---|
| Pages (from-to) | 53-61 |
| Number of pages | 9 |
| Journal | Pediatric Physical Therapy |
| Volume | 23 |
| Issue number | 1 |
| DOIs | |
| State | Published - Mar 2011 |
Keywords
- ambulation
- case study
- decision making
- family centered care
- gait/physiology
- infant
- longitudinal studies
- lumbar vertebrae
- meningomyelocele/physiopathology
- meningomyelocele/psychology
- meningomyelocele/rehabilitation
- motor activity/physiology
- muscle contraction/physiology
- orthoses
- transfer of training
- walkers