Background: Single-event multilevel surgery (SEMLS) is a common procedure performed on patients with cerebral palsy (CP) to correct two or more musculoskeletal concerns at different levels in one surgery to reduce overall recovery time. Minimal guidance is offered in terms of treatment progression for these patients following surgery in current clinical practice guidelines. Therefore, the purpose of this case report is to expand upon the available clinical practice guidelines for rehab following SEMLS and elaborate on potential exercise progression. Case Description: The subject of this case report is a young male, Gross Motor Function Classification System (GMFCS) level III, who underwent a SEMLS procedure. Interventions: The first three weeks of his outpatient physical therapy services consisted of a gradual progression from non-weight bearing to weight bearing exercises, ambulation, and stair navigation. Outcomes: After three weeks of receiving outpatient physical therapy services, the patient saw improvements toward his prior level of function, progressed toward his functional goals, and increased GMFM-88 item scores. Discussion: The promising initial outcomes in this case report indicate that current CPG recommendations are appropriate for functional outcomes but are limited by weak evidence and lack recommendations related to loading, which future personalized rehab programs may benefit from.
Dissertation
Personalized Rehabilitation Program for a Child with Cerebral Palsy Following Single-Event Multilevel Surgery Based on Limited Clinical Practice Guidelines
University of Iowa
Doctor of Physical Therapy (DPT) , University of Iowa
Autumn 2022
Free to read and download, Open Access
Abstract
Details
- Title: Subtitle
- Personalized Rehabilitation Program for a Child with Cerebral Palsy Following Single-Event Multilevel Surgery Based on Limited Clinical Practice Guidelines
- Creators
- Ciera Stitz - University of Iowa
- Contributors
- Laura Frey-Law (Advisor) - University of IowaMichael Petrie (Advisor) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Case Report
- Degree Awarded
- Doctor of Physical Therapy (DPT) , University of Iowa
- Degree in
- Physical Therapy & Rehabilitation Science
- Date degree season
- Autumn 2022
- Publisher
- University of Iowa
- Number of pages
- 11 pages
- Copyright
- Copyright © 2022 Ciera Stitz
- Language
- English
- Academic Unit
- Doctor of Physical Therapy Case Reports
- Record Identifier
- 9984560252402771
Metrics
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