Patient-centered rehabilitation, three years of gait recovery in a child affected by hemiplegia: Case report

M. Petrarca, S. Rossi, L. Bollea, [No Value] Cappa, E. Castelli

Research output: Contribution to journalArticle

Abstract

The aim of this report was to illustrate and to discuss a method capable of improving the person-oriented decision-making process during three years of gait rehabilitation based on the integration of: 1) the fundamental principles of motor learning and 2) the outcomes made available by both clinical standardized assessment tools (SAT) and measures made available by a gait analysis system (GA). The subject studied was a six-year-old child affected by hemiplegia after arterial ischemic stroke (AIS) who had limited upper and lower right-limb function but unaffected sensory and cognitive skills. Four different rehabilitative treatments were chosen when the child was inpatient or outpatient Measurements of gait performance before and after selected treatments were evaluated using PEDI and GMFM (i.e., SAT) and kinematic and kinetic parameters (i.e., GA). Gait pattern and inter- and intralimbjoint coordination changed over time during the three examined years. However, after the first eight months of recovery, gait pattern modifications were detected by GA measures but not by SAT. The integration of SAT and GA findings, during the examined recovery evolution, resulted effective in the decision-making process for a personoriented rehabilitative treatment.

Original languageEnglish
Pages (from-to)35-48
Number of pages14
JournalEuropean Journal of Physical and Rehabilitation Medicine
Volume47
Issue number1
Publication statusPublished - Mar 2011

Keywords

  • Child
  • Gait
  • Hemiplegia
  • Motor activity
  • Motor skills

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

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