Effect of an evidence-based modified developmental physiotherapy intervention on muscle tone, motor functions, and trunk control in a child with hereditary spastic paraplegia type 47: A case report.
Background: Most current studies on Hereditary Spastic Paraplegia (HSP) focus on adolescents and adults. There is a lack of research on the effectiveness of structured, evidence-based developmental physiotherapy during early childhood. While early intervention strategies for children with motor deve...
| Publicado en: | Physiotherapy Theory & Practice Vol. 42; no. 8; pp. 1120 - 1130 |
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| Autor principal: | |
| Formato: | case study research tables/charts Journal Article |
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Taylor & Francis Ltd
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195864962&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195864962 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: Aug2026 vid: 42 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 195864962 190816151 195864962 195864962 10.1080/09593985.2026.2615379 195864962 ppf: 1120 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Effect of an evidence-based modified developmental physiotherapy intervention on muscle tone, motor functions, and trunk control in a child with hereditary spastic paraplegia type 47: A case report. aug: au: Sırrı, Bayram affil: Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Muş Alparslan University, Muş Merkez, Muş, Türkiye sug: subj: Physical Therapy Methods Motor Activity In Infancy and Childhood Torso Physiology Spastic Paraplegia, Hereditary Complications Child Development Home Health Care Spastic Paraplegia, Hereditary Rehabilitation Treatment Outcomes Human Motor Skills Family Centered Care Early Intervention Medical Practice, Evidence-Based Infant Muscle, Skeletal Physiology Parental Attitudes Consent Pretest-Posttest Design Muscle, Skeletal Program Implementation Program Evaluation Descriptive Statistics Standing Scales Infant: 1-23 months ab: Background: Most current studies on Hereditary Spastic Paraplegia (HSP) focus on adolescents and adults. There is a lack of research on the effectiveness of structured, evidence-based developmental physiotherapy during early childhood. While early intervention strategies for children with motor development delays offer a useful framework, no specific guidelines have been developed for early physiotherapy in HSP. This report aimed to describe the effects of a home-based, evidence-based developmental physiotherapy approach in a child diagnosed with HSP Type 47 (SPG47). Case Description: A two-year-old child with SPG47 participated with parental consent. Before intervention, the child was unable to stand up using support or take more than a few side steps. Muscle tone, motor function, functional level, and trunk control were assessed using MAS, GMFCS, GMFM-66, and SATCo, respectively. Interventions: A developmental physiotherapy program based on current evidence was implemented at home for 2 hours daily over 8 weeks, with daily home implementation by the family. The intervention was grounded in family-centered care principles and evidence-based early developmental physiotherapy, tailored to the child's clinical presentation. Outcomes: After the program, GMFM-66 increased by 7.2%. The child gained the ability to stand independently and take more than five side steps. MAS scores improved, SATCo increased from level 6 to 7, and GMFCS improved from level III to II. Conclusion: In this child with SPG47, an early structured developmental physiotherapy approach was associated with improved motor function and reduced spasticity, supported by motor learning, environmental adaptations, and family involvement. Integrating early intervention principles with HSP-specific considerations enabled targeted task progression and practical home implementation. These findings apply only to this child, and further research is needed to determine whether similar strategies may benefit children with AP4B1-related HSP. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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