BACKGROUND AND PURPOSE: This case report describes a decision-making process that was used to progress a home-based intervention that coupled treadmill and walker stepping for a preambulatory toddler with spina bifida. CASE DESCRIPTION: The toddler in this report had an L4-L5 level lesion, and began this home-based intervention at 18 months of age when she was pulling to stand. INTERVENTION: The intervention included parameters for treadmill stepping that prepared this toddler for gait with orthotics and was progressed to overground walking with a walker using a decision-making algorithm based on data obtained from a parent log and coded video. OUTCOMES: This toddler progressed from not stepping at the start of the study to ambulating 150 m with a walker at age 23 months, after 18 weeks of this intervention. DISCUSSION AND CONCLUSION: The intervention and decision-making process used in this study were family centered and may be applicable to gait intervention with other populations.
BACKGROUND AND PURPOSE: This case report describes a decision-making process that was used to progress a home-based intervention that coupled treadmill and walker stepping for a preambulatory toddler with spina bifida. CASE DESCRIPTION: The toddler in this report had an L4-L5 level lesion, and began this home-based intervention at 18 months of age when she was pulling to stand. INTERVENTION: The intervention included parameters for treadmill stepping that prepared this toddler for gait with orthotics and was progressed to overground walking with a walker using a decision-making algorithm based on data obtained from a parent log and coded video. OUTCOMES: This toddler progressed from not stepping at the start of the study to ambulating 150 m with a walker at age 23 months, after 18 weeks of this intervention. DISCUSSION AND CONCLUSION: The intervention and decision-making process used in this study were family centered and may be applicable to gait intervention with other populations.
Authors: Jennifer K Sansom; Caroline Teulier; Beth A Smith; Victoria Moerchen; Karin Muraszko; Beverly D Ulrich Journal: Pediatr Phys Ther Date: 2013 Impact factor: 3.049
Authors: Amanda J Arnold; Joshua L Haworth; Victor Olivares Moran; Ahmad Abulhasan; Noah Steinbuch; Elena Kokkoni Journal: Arch Rehabil Res Clin Transl Date: 2020-04-05