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Combining Whole-Body Vibration, Serial Casting, and Therapy to Treat Hemiplegic Cerebral Palsy: A Case Report
Emily J Quinn1, Bethany M Sloane
1Hillsboro, Oregon (Dr Quinn); Oregon Health & Science University, Portland, Oregon (Dr Sloane).
Purpose:
This case report describes the combined use of whole-body vibration (WBV), serial casting (SC), and physical therapy (PT) for a child with hemiplegic cerebral palsy (HCP).
Summary Of Key Points:
A 3-year 10-month-old male with HCP was followed for 10 months. Treatment included 9 weeks of SC due to ankle plantarflexion contracture, hypertonicity, poor orthotic tolerance, and gait limitations. WBV was introduced during week 4 to address hypertonicity and poor tolerance of manual therapy. PT sessions included stretching, gait training, and strengthening exercises, integrating SC and WBV into a comprehensive intervention.
Statement Of Conclusion And Recommendations For Clinical Practice:
This is the first report to explore combining WBV and SC within a PT program. WBV was safe and effective, potentially serving as a preparatory activity for SC. Improved orthotic wear tolerance, dorsiflexion range of motion, and gait efficiency suggest potential benefits of this multimodal approach, warranting further research.
Abstract:
Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A657 .
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