1. Continued Ambulation Gains Through High School in a Student With Cerebral Palsy
- Author
-
Jeanne OʼNeil McCoy
- Subjects
medicine.medical_specialty ,Time Factors ,Activities of daily living ,Adolescent ,education ,Physical Therapy, Sports Therapy and Rehabilitation ,medicine.disease_cause ,Cerebral palsy ,Disability Evaluation ,Jumping ,Physical medicine and rehabilitation ,Stairs ,Activities of Daily Living ,Dependent Ambulation ,Health Status Indicators ,Humans ,Medicine ,Gross motor function ,Gait disorders ,Mobility Limitation ,Students ,Gait Disorders, Neurologic ,Physical Therapy Modalities ,Schools ,business.industry ,Cerebral Palsy ,medicine.disease ,Treatment Outcome ,Pediatrics, Perinatology and Child Health ,Physical therapy ,Female ,business ,human activities ,Diplegic cerebral palsy - Abstract
Purpose The purpose of this case report is to describe school-based physical therapy services received throughout high school by a student with diplegic cerebral palsy and to share her functional gains. Key points This previously discharged 15-year-old freshman was re-referred due to a perceived walking regression using long-leg braces/reverse rolling walker and her desire to again try crutches. She subsequently resumed walking, typically 4 days per week at school and progressed to axillary crutches on level surfaces and stairs. Gross Motor Function Measure scores increased from 66.4% freshman year to 78.8% senior year, with the greatest dimension changes in standing (35.9%-69.2%) and walking, running, and jumping (8.3%-25.0%). Conclusion School-based physical therapists are uniquely positioned to work with students in natural environments to optimize activity and participation. This report shows that continued ambulation gains in individuals with cerebral palsy are possible throughout adolescence.
- Published
- 2011
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