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Gross Motor Function of a Child With Antley-Bixler Syndrome
1Physical Therapy Department, School of Health Sciences, Stockton University, Galloway, New Jersey.
Insights
Physical therapy (PT) for Antley-Bixler syndrome (ABS) improved a child's ability to maintain developmental positions. Standardized tools did not capture functional gains, highlighting the need for further research in ABS rehabilitation.
Area of Science:
- Pediatric Physical Therapy
- Genetic Disorders
- Rehabilitation Medicine
Background:
- Antley-Bixler syndrome (ABS) is a rare genetic disorder characterized by multiple bone malformations.
- Management typically focuses on medical and surgical interventions, with less emphasis on rehabilitation.
- This case report details the physical therapy (PT) for a child with complex ABS.
Observation:
- A 3-year-old girl with ABS and significant developmental delay received PT from 12 to 36 months.
- The child was treated in a specialized long-term care facility.
- PT interventions were tailored to her complex medical needs.
Findings:
- The child showed improvements in assuming and maintaining developmental positions.
- These improvements were observed during annual examinations.
- A standardized assessment tool failed to adequately measure functional changes.
Implications:
- This case highlights the potential benefits of PT in managing ABS.
- Further research is needed to develop effective PT strategies for ABS.
- Standardized outcome measures may need refinement for this population.
Background And Purpose:
Antley-Bixler syndrome (ABS) is an exceptionally rare genetic disorder presenting multiple malformations of bone requiring extensive medical and surgical management for survival. Current literature focuses on medical and surgical care without an emphasis on (re)habilitation. This case report describes the physical therapy (PT) care of a child with particularly complex ABS.
Case Description:
The child was a 3-year-old girl with ABS with a significant developmental delay. She received PT between the ages of 12 and 36 months within a specialized long-term care facility.
Outcomes:
After treatment, she demonstrated change in her ability to assume and maintain developmental positions as noted during annual examinations. The standardized assessment tool used failed to capture change in functional abilities.
Discussion:
Further research was recommended to guide clinical reasoning and determine effectiveness of PT for children with ABS.
Video Abstract:
For more insights from the author, access Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A86.
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