The Impact Of A Multi-Treatment Approach In A Young Child With Spina Bifida: A Retrospective Case Report
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 12:00 AM
Abstract
Description: Over the past 30 years, the survival rate of infants with myelomeningocele has increased causing myelomeningocele to become a cause of chronic disability. Neurodevelopmental treatment (NDT) and task-specific interventions have not been analyzed in children with myelomeningocele. The purpose of this retrospective case report is to investigate the impact that a multi-treatment early intervention (EI) physical therapy approach on the progression of delayed gross motor milestones.
Case Description: The patient was an infant Caucasian female with L5 myelomeningocele and many secondary diagnoses. At the initial evaluation at 2 months of age, the patient was found to have a 50% delay in the reflexes and stationary gross motor subsets of the Peabody Developmental Motor Scales-2 and had developmental quotient of 66.67 indicating a mild delay.
Outcomes: The patient’s reflexes and stationary gross motor subsets decreased from a 50% delay at initial evaluation to a 0% delay at 8 months. The reflexes sub-test increased to 11% delayed at 9 months. Her locomotion sub-test increased to a 12.5% delay at 8 months and a 22% delay at 9 months. Her developmental quotient was within normal limits at 8 and 9 months.
Discussion: These improvements demonstrate the progression of the patient’s gross motor skills indicating improved strength, ability to transition in and out of functional positions, and functional mobility related to her chronological age. This retrospective case report demonstrates the benefits of multi-treatment approach utilizing NDT techniques in combination with task-specific interventions for an individualized physical therapy treatment plan for a young child with L5 myelomeningocele
Faculty / Staff Sponsor
Dr. Roberta OShea
The Impact Of A Multi-Treatment Approach In A Young Child With Spina Bifida: A Retrospective Case Report
Description: Over the past 30 years, the survival rate of infants with myelomeningocele has increased causing myelomeningocele to become a cause of chronic disability. Neurodevelopmental treatment (NDT) and task-specific interventions have not been analyzed in children with myelomeningocele. The purpose of this retrospective case report is to investigate the impact that a multi-treatment early intervention (EI) physical therapy approach on the progression of delayed gross motor milestones.
Case Description: The patient was an infant Caucasian female with L5 myelomeningocele and many secondary diagnoses. At the initial evaluation at 2 months of age, the patient was found to have a 50% delay in the reflexes and stationary gross motor subsets of the Peabody Developmental Motor Scales-2 and had developmental quotient of 66.67 indicating a mild delay.
Outcomes: The patient’s reflexes and stationary gross motor subsets decreased from a 50% delay at initial evaluation to a 0% delay at 8 months. The reflexes sub-test increased to 11% delayed at 9 months. Her locomotion sub-test increased to a 12.5% delay at 8 months and a 22% delay at 9 months. Her developmental quotient was within normal limits at 8 and 9 months.
Discussion: These improvements demonstrate the progression of the patient’s gross motor skills indicating improved strength, ability to transition in and out of functional positions, and functional mobility related to her chronological age. This retrospective case report demonstrates the benefits of multi-treatment approach utilizing NDT techniques in combination with task-specific interventions for an individualized physical therapy treatment plan for a young child with L5 myelomeningocele