Skip Navigation LinksHome > Spring 2014 - Volume 26 - Issue 1 > Physical Therapy for a Child With Sudden-Onset Choreoathetos...
Pediatric Physical Therapy:
doi: 10.1097/PEP.0000000000000010
Case Report

Physical Therapy for a Child With Sudden-Onset Choreoathetosis: A Case Report

Smith, Hilary J. PT, DPT

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Abstract

Purpose:

This case report describes the physical therapy examination, intervention, and outcomes for a 5-year-old girl who developed choreoathetosis following mitral valve repair.

Case Description:

This child was admitted to an inpatient short-term rehabilitation program with marked choreoathetosis and dependence for all functional mobility. She received physical therapy twice a day for 5 weeks. Physical therapy intervention included therapeutic exercise emphasizing stabilization and closed chain exercises, aquatic therapy, and functional training to improve gross motor skills and mobility. Tests and measures included the Selective Control Assessment of the Lower Extremity, 66-item Gross Motor Function Measure, and Pediatric Evaluation of Disability Inventory.

Outcomes:

At discharge, this child demonstrated improvements in her Selective Control Assessment of the Lower Extremity, Gross Motor Function Measure, and Pediatric Evaluation of Disability Inventory scores. She was independent in all functional mobility tasks.

Summary:

This case study describes physical therapy tests and measures, intervention, and positive outcomes for a child with sudden-onset choreoathetosis.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins and Section on Pediatrics of the American Physical Therapy Association

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