Treadmill training and overground gait: decision making for a toddler with spina bifida. Pediatr Phys Ther 2011;23(1):53-61
Date
02/10/2011Pubmed ID
21304342DOI
10.1097/PEP.0b013e318208a310Scopus ID
2-s2.0-79953860744 (requires institutional sign-in at Scopus site) 11 CitationsAbstract
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.
Author List
Moerchen VA, Habibi M, Lynett KA, Konrad JD, Hoefakker HLAuthor
Victoria Moerchen BA,BS,MS,PhD Assistant Professor in the Human Movement Sciences department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
AlgorithmsDecision Support Techniques
Disability Evaluation
Exercise Test
Gait
Gait Disorders, Neurologic
Home Care Services
Humans
Infant
Male
Orthotic Devices
Physical Therapy Modalities
Range of Motion, Articular
Spinal Dysraphism
Treatment Outcome
Videotape Recording
Walking
