Collaborative Therapist-Patient Decision Making: A Power-Based Exercise Program for an Adolescent With CMT1A.

Area of Science:

• Neuromuscular disorders
• Physical therapy interventions
• Pediatric rehabilitation

Background:

• Charcot Marie Tooth disease (CMT) is a progressive neuromuscular disorder affecting peripheral nerves.
• Adolescents with CMT often experience functional limitations impacting daily activities.
• Tailored exercise programs are crucial for managing CMT progression and improving quality of life.

Observation:

• A case report details the care of an adolescent diagnosed with CMT subtype 1A (CMT1A).
• The intervention involved a power-based progressive resistance exercise (PRE) and balance program.
• The program's design was centered on the participant's self-defined functional goals.

Findings:

• The power-based PRE and balance program was feasible and well-tolerated by the adolescent.
• Significant improvements in functional performance were observed, aligning with participant-defined goals.
• Incorporating the patient's "lived experience" provided valuable insights into clinical outcomes.

Implications:

• This approach highlights the success of goal-oriented, individualized exercise for pediatric CMT.
• Dosing interventions based on specific task requirements and muscle performance enhances outcomes.
• Integrating patient perspectives is vital for comprehensive and effective rehabilitation strategies.