Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury
Incomplete spinal cord injuries (ISCI) in pediatrics and adults can lead to asymmetric motor impairments exhibiting as asymmetries of posture and gait. Recently, rehabilitation guidelines for adults with neurologic injuries have focused on gaining a functional gait pattern as measured by speed and d...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/3/594 |
| _version_ | 1797612618955882496 |
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| author | Laura Leon Machado Kathryn Lucas Andrea L. Behrman |
| author_facet | Laura Leon Machado Kathryn Lucas Andrea L. Behrman |
| author_sort | Laura Leon Machado |
| collection | DOAJ |
| description | Incomplete spinal cord injuries (ISCI) in pediatrics and adults can lead to asymmetric motor impairments exhibiting as asymmetries of posture and gait. Recently, rehabilitation guidelines for adults with neurologic injuries have focused on gaining a functional gait pattern as measured by speed and distance, even if asymmetry deficits persist. Activity-based restorative therapies (ABRT) take advantage of activity-dependent neuroplasticity to change an individual’s neuromuscular capacity. This is a report of an ambulatory child with chronic ISCI presenting with significant postural and gait asymmetries who enrolled in an ABRT program. Across 79 ABRT sessions, the child gained symmetry during sitting, standing, and walking. Even though this child was a functional ambulator at enrollment, targeting symmetry of movements via improved neuromuscular capacity further enhanced her achievement of kinematically appropriate function for participation in daily activities. |
| first_indexed | 2024-03-11T06:43:37Z |
| format | Article |
| id | doaj.art-488182f771444945853ee98ce7619f33 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T06:43:37Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-488182f771444945853ee98ce7619f332023-11-17T10:22:29ZengMDPI AGChildren2227-90672023-03-0110359410.3390/children10030594Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord InjuryLaura Leon Machado0Kathryn Lucas1Andrea L. Behrman2Frazier Rehabilitation Institute, UofL Health, Louisville, KY 40202, USADepartment of Neurosurgery, University of Louisville, Louisville, KY 40202, USADepartment of Neurosurgery, University of Louisville, Louisville, KY 40202, USAIncomplete spinal cord injuries (ISCI) in pediatrics and adults can lead to asymmetric motor impairments exhibiting as asymmetries of posture and gait. Recently, rehabilitation guidelines for adults with neurologic injuries have focused on gaining a functional gait pattern as measured by speed and distance, even if asymmetry deficits persist. Activity-based restorative therapies (ABRT) take advantage of activity-dependent neuroplasticity to change an individual’s neuromuscular capacity. This is a report of an ambulatory child with chronic ISCI presenting with significant postural and gait asymmetries who enrolled in an ABRT program. Across 79 ABRT sessions, the child gained symmetry during sitting, standing, and walking. Even though this child was a functional ambulator at enrollment, targeting symmetry of movements via improved neuromuscular capacity further enhanced her achievement of kinematically appropriate function for participation in daily activities.https://www.mdpi.com/2227-9067/10/3/594non-traumatic spinal cord injurypediatricsincomplete spinal cord injuryneurorecoveryasymmetrygait |
| spellingShingle | Laura Leon Machado Kathryn Lucas Andrea L. Behrman Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury Children non-traumatic spinal cord injury pediatrics incomplete spinal cord injury neurorecovery asymmetry gait |
| title | Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury |
| title_full | Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury |
| title_fullStr | Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury |
| title_full_unstemmed | Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury |
| title_short | Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury |
| title_sort | activity based restorative therapy promotes progression from asymmetry to symmetry in posture and gait in a child with chronic incomplete spinal cord injury |
| topic | non-traumatic spinal cord injury pediatrics incomplete spinal cord injury neurorecovery asymmetry gait |
| url | https://www.mdpi.com/2227-9067/10/3/594 |
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