Article

This case describes the outcomes of a multifaceted rehabilitation program
including body weight-supported overground gait training (BWSOGT) in a
nonambulatory child with cerebral palsy (CP) and the impact of this treatment on
the child's functional mobility. The patient is a nonambulatory 10-year-old
female with CP who during an inpatient rehabilitation stay participated in
direct, physical therapy 6 days per week for 5 weeks. Physical therapy
interventions included stretching of her bilateral lower extremities, transfer
training, bed mobility training, balance training, kinesiotaping, supported
standing in a prone stander, two trials of partial weight-supported treadmill
training, and for 4 weeks, three to five times per week, engaged in 30 minutes of
BWSOGT using the Up n' go gait trainer, Lite Gait Walkable, and Rifton Pacer gait
trainer. Following the multifaceted rehabilitation program, the patient
demonstrated increased step initiation, increased weight bearing through
bilateral lower extremities, improved bed mobility, and increased participation
in transfers. The child's Gross Motor Functional Measure (GMFM) scores increased
across four dimensions and her Physical Abilities and Mobility Scale (PAMS)
increased significantly. This case report illustrates that a multifaceted
rehabilitation program including BWSOGT was an effective intervention strategy to
improve functional mobility in this nonambulatory child with CP.

Langue : ANGLAIS