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Functional Mobility Improved After Intensive Progressive Resistance Exercise in an Adolescent With Spina Bifida

Carol L Baym¹, James B Hedgecock, Mary Jane K Rapport

¹Physical Therapy Program (Drs Baym and Rapport), University of Colorado Anschutz Medical Campus, Aurora, Colorado; Children's Hospital Colorado (Dr. Hedgecock), Aurora, Colorado.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association

|March 27, 2018

Abstract

Purpose:

To describe the use and effectiveness of a novel intensive progressive resistance exercise (PRE) approach to address the functional goals of a 14-year-old adolescent with a myelomeningocele.

Summary Of Key Points:

The child had lower extremity weakness, knee and hip flexion contractures, impaired somatosensation, and cardiopulmonary deconditioning, affecting gait mechanics and functional ambulation. An 8-week intensive PRE-based intervention was designed to improve walking in the home by targeting both power-generating and stabilizing lower extremity musculature. Secondary intervention focused on cardiopulmonary endurance training.

Conclusions:

The child demonstrated improvements in gait speed, walking endurance, and functional lower extremity strength. Knee contracture was moderately responsive to sustained stretching and positioning.

What This Case Adds To Evidence-Based Practice:

This intensive PRE training approach had been effective for improving function among youth with cerebral palsy, and to our knowledge it had not yet been applied to youth with other neurological conditions.

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