Gait Training for Walking Acquisition in a Child with Hereditary Spastic Paraplegia: A Case Report.

Purpose: We report the effectiveness of task-specific walking training for a child with hereditary spastic paraplegia using various orthoses, assistive mobility aids, and tasks. Summary of Key Points: A 4-year-8-month-old boy, classified as Gross Motor Function Classification System level IV, had se...

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Publicado en:Pediatric Physical Therapy Vol. 37; no. 3; pp. 390 - 396
Autores principales: Abe, Hirokazu, Hanamachi, May
Formato: case study pictorial tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Gait Training for Walking Acquisition in a Child with Hereditary Spastic Paraplegia: A Case Report.
      aug:
        au:
          Abe, Hirokazu
          Hanamachi, May
        affil: Department of Health Care and Child Development, Saitama Children's Medical Center, Saitama, Japan (Mr Hirokazu and Ms Hanamachi).
      sug:
        subj:
          Gait Training
          Walking Physiology
          Spastic Paraplegia, Hereditary Surgery
          Orthoses
          Assistive Technology Devices
          Children with Disabilities
          Task Performance and Analysis
          Rhizotomy
          Treatment Outcomes
          Male
          Child
          Developmental Disabilities
          Cerebral Palsy Diagnosis
          Mutation
          Motor Skills
          Botulinum Toxins Administration and Dosage
          Physical Therapy
          Muscle Strengthening
          Stretching
          Muscle Spasticity Etiology
          Orthopedic Surgery
          Child: 6-12 years
          Male
      ab: Purpose: We report the effectiveness of task-specific walking training for a child with hereditary spastic paraplegia using various orthoses, assistive mobility aids, and tasks. Summary of Key Points: A 4-year-8-month-old boy, classified as Gross Motor Function Classification System level IV, had selective dorsal rhizotomy and single-event multilevel surgery. The child began walking training using knee-ankle-foot orthoses and a posterior walker, setting the tasks to be "just right" for improving the child's abilities. Conclusion: At 6 years and 11 months of age, the child walked using bilateral ankle-foot orthoses and crutches at school, and scores improved on the Canadian Occupational Performance Measure, Gross Motor Function Measure-66, and Functional Mobility Scale. Recommendations for Clinical Practice: Physical therapists need to carefully select the factors involved in walking training based on an assessment and the difficulty level of each child in order to optimize improvements.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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