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Gross Motor Outcomes After Dynamic Weight-Bearing in 2 Children With Trunk Hypotonia: A Case Series
Elizabeth Ardolino1, Megan Flores, Kathleen Manella
1Doctor of Physical Therapy Program, University of St Augustine for Health Sciences, Austin, Texas.
Insights
A home-based dynamic standing program using the Upsee harness improved gross motor function and postural control in two children with trunk hypotonia. This intervention effectively supported weight-bearing and enhanced motor abilities.
Area of Science:
- Pediatric physical therapy
- Neuromuscular disorders
- Gross motor development
Background:
- Trunk hypotonia in children impedes upright posture, affecting postural control and delaying gross motor skill acquisition.
- Limited postural stability can significantly impact a child's ability to achieve developmental milestones.
Observation:
- This case series investigated a home-based dynamic standing program for two children diagnosed with trunk hypotonia.
- The intervention utilized the Upsee harness, implemented over 12 weeks, three times per week.
Findings:
- Both participants demonstrated improvements in gross motor function following the intervention.
- One child also exhibited enhanced trunk control while in a sitting position.
Implications:
- The Upsee harness-assisted dynamic standing program shows promise as an effective home-based intervention for children with trunk hypotonia.
- This approach can aid in achieving weight-bearing capabilities and advancing overall gross motor abilities in affected children.
Introduction:
Children with trunk hypotonia may have limited ability to maintain an upright weight-bearing position, resulting in decreased postural control and a delay in achieving gross motor milestones.
Purpose:
The purpose of this case series is to report the effect of a home-based dynamic standing program on postural control and gross motor activity in 2 children with trunk hypotonia.
Descriptions:
Child 1 (aged 24 months, Gross Motor Function Classification Scale Level IV) and Child 2 (aged 21 months, Gross Motor Function Classification Scale Level V) participated in a standing program using the Upsee harness at home 3 days per week for 12 weeks.
Outcomes:
Both children improved their gross motor function, and Child 1 demonstrated improved trunk control in sitting.
What This Case Adds:
The use of the Upsee harness was an effective intervention for these children with trunk hypotonia to achieve weight-bearing and improve gross motor abilities.
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