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Congenital diaphragmatic hernia and occupational therapy: a case report

Angela C Bates1

  • 1Occupational Therapy, Cincinnati Children's Hospital, Cincinnati, Ohio 45229, USA. angelabates@cchmc.org

Physical & Occupational Therapy in Pediatrics
|December 3, 2010
PubMed

Insights

This case report details occupational therapy (OT) for a child with congenital diaphragmatic hernia (CDH), showing positive outcomes in motor skills and daily functioning. It highlights the importance of early intervention for survivors.

Area of Science:

  • Pediatric Rehabilitation
  • Occupational Therapy
  • Neonatal Surgery Outcomes

Background:

  • Congenital diaphragmatic hernia (CDH) survivors often require specialized interventions.
  • Limited data exists on long-term occupational therapy (OT) for CDH patients.
  • This report addresses the gap by detailing OT for a CDH case.

Observation:

  • A male infant with left CDH, patch repair, and gastrostomy tube received 2 years of outpatient OT.
  • Intervention followed the Occupational Therapy Practice Framework.
  • Focus was on improving motor skills and functional performance.

Findings:

  • The child demonstrated significant improvements in motor development and occupational performance.
  • Canadian Occupational Performance Measure and Peabody Developmental Motor Scales-Second Edition were used for assessment.
  • Specific skill acquisition timelines were documented.

Implications:

  • Early and consistent occupational therapy is crucial for CDH survivors.
  • This case provides a model for OT intervention in similar pediatric cases.
  • Further research on therapy outcomes for CDH is warranted.

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