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Daily Intervention for Young Children With Cerebral Palsy in GMFCS Level V: A Case Series
Jill C Heathcock1, Kathleen Baranet, Rachel Ferrante
1Division of Physical Therapy (Dr Heathcock), The Ohio State University, Columbus, Ohio; Center for Perinatal Research (Dr Heathcock) and Department of Clinical Therapies (Drs Baranet, Ferrante, and Hendershot), Nationwide Children's Hospital, Columbus, Ohio.
Insights
A daily physical therapy (PT) program for children with spastic quadriplegia (GMFCS level V) was feasible and well-tolerated. This intensive intervention showed improvements in motor, language, and cognitive skills.
Area of Science:
- Pediatric Physical Therapy
- Neurological Rehabilitation
- Child Development
Background:
- Spastic quadriplegia, classified as Gross Motor Function Classification System (GMFCS) level V, presents significant motor challenges in young children.
- Optimizing therapeutic interventions is crucial for enhancing functional outcomes and overall development in this population.
Purpose:
To describe a daily physical therapy (PT) intervention program and outcomes for 2 young children with spastic quadriplegia, Gross Motor Function Classification System (GMFCS) level V, and to evaluate the feasibility of using a daily program in an urban children's hospital outpatient setting.
Summary Of Key Points:
Two young children, GMFCS level V, received 2 hours of PT intervention based on motor learning principles 5 days a week for 4 consecutive weeks. Gross Motor Functional Measure (GMFM-66, GMFM-88) and the Bayley Scales of Infant Development, Third Edition, were used as pre- and postoutcome measures. The daily, high intensity intervention was well tolerated. Improvements in motor function, language, and cognitive skills were found.
Statement Of Conclusion:
A daily PT program appears feasible and may improve overall development in young children with cerebral palsy in GMFCS level V.
