The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy
Purpose: Limited research exists regarding use of Astym® therapy with neurologic conditions. The purpose of this case was to describe using Astym therapy in treating spastic diplegic cerebral palsy (CP). Case description: A 6-year-old female was treated more than 9 months (36 sessions) for decreased...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-12-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/1179547617746992 |
| _version_ | 1818291103912165376 |
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| author | Mandi M Miller Jessica M Ray R Scott Van Zant |
| author_facet | Mandi M Miller Jessica M Ray R Scott Van Zant |
| author_sort | Mandi M Miller |
| collection | DOAJ |
| description | Purpose: Limited research exists regarding use of Astym® therapy with neurologic conditions. The purpose of this case was to describe using Astym therapy in treating spastic diplegic cerebral palsy (CP). Case description: A 6-year-old female was treated more than 9 months (36 sessions) for decreased flexibility, muscle weakness, spasticity, and abnormal gait. Examination findings: Gait performed with articulated ankle-foot orthoses (75% of the time) or foot orthosis (25%); lack of active dorsiflexion (DF); lack of heel strike during gait; spasticity in hamstrings, gastrocnemius, hip adductors; hamstring flexibility (90/90 test position) 50° right and 60° left; gastrocnemius flexibility neutral bilaterally; and Peabody Developmental Motor Scales, second edition (PDMS-2) age equivalence (in months) 23 locomotion, 25 object manipulation, and 21 stationary tasks. Therapeutic interventions included Astym therapy, stretching, strengthening, neuromuscular reeducation, and gait training. Outcomes: At 6 months, flexibility improved bilaterally to 10° past neutral in gastrocnemius and 0° in hamstrings. The PDMS-2 age equivalence scores were 27 locomotion, 32 object manipulation, and 28 stationary tasks. At discharge, patient ambulated full-time with foot orthosis, exhibiting improved stride length bilaterally with active ankle DF to initiate heel strike. Spasticity was unchanged. Discussion: Astym therapy was effective in treating a child with spastic diplegic CP, resulting in enhanced strength, flexibility, and gait. |
| first_indexed | 2024-12-13T02:38:45Z |
| format | Article |
| id | doaj.art-e1c1d00536b947aa80952967bcc9b4f8 |
| institution | Directory Open Access Journal |
| issn | 1179-5476 |
| language | English |
| last_indexed | 2024-12-13T02:38:45Z |
| publishDate | 2017-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj.art-e1c1d00536b947aa80952967bcc9b4f82022-12-22T00:02:21ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762017-12-011010.1177/1179547617746992The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral PalsyMandi M Miller0Jessica M Ray1R Scott Van Zant2Physical Therapy Program, University of Findlay, Findlay, OH, USAATI Physical Therapy, Tuscola, IL, USAPhysical Therapy Program, University of Findlay, Findlay, OH, USAPurpose: Limited research exists regarding use of Astym® therapy with neurologic conditions. The purpose of this case was to describe using Astym therapy in treating spastic diplegic cerebral palsy (CP). Case description: A 6-year-old female was treated more than 9 months (36 sessions) for decreased flexibility, muscle weakness, spasticity, and abnormal gait. Examination findings: Gait performed with articulated ankle-foot orthoses (75% of the time) or foot orthosis (25%); lack of active dorsiflexion (DF); lack of heel strike during gait; spasticity in hamstrings, gastrocnemius, hip adductors; hamstring flexibility (90/90 test position) 50° right and 60° left; gastrocnemius flexibility neutral bilaterally; and Peabody Developmental Motor Scales, second edition (PDMS-2) age equivalence (in months) 23 locomotion, 25 object manipulation, and 21 stationary tasks. Therapeutic interventions included Astym therapy, stretching, strengthening, neuromuscular reeducation, and gait training. Outcomes: At 6 months, flexibility improved bilaterally to 10° past neutral in gastrocnemius and 0° in hamstrings. The PDMS-2 age equivalence scores were 27 locomotion, 32 object manipulation, and 28 stationary tasks. At discharge, patient ambulated full-time with foot orthosis, exhibiting improved stride length bilaterally with active ankle DF to initiate heel strike. Spasticity was unchanged. Discussion: Astym therapy was effective in treating a child with spastic diplegic CP, resulting in enhanced strength, flexibility, and gait.https://doi.org/10.1177/1179547617746992 |
| spellingShingle | Mandi M Miller Jessica M Ray R Scott Van Zant The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy Clinical Medicine Insights: Case Reports |
| title | The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy |
| title_full | The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy |
| title_fullStr | The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy |
| title_full_unstemmed | The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy |
| title_short | The Effects of Astym Therapy® on a Child With Spastic Diplegic Cerebral Palsy |
| title_sort | effects of astym therapy r on a child with spastic diplegic cerebral palsy |
| url | https://doi.org/10.1177/1179547617746992 |
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