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Physical Therapy for a Patient With Alternating Hemiplegia of Childhood

A Case Report

Lardinois, Kara L. PT, DPT, C/NDT; Guge, Nora PT, DPT

doi: 10.1097/PEP.0000000000000630
CASE REPORTS
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Purpose: Alternating hemiplegia of childhood (AHC) is a rare neurological disorder that can influence posture and movement during critical periods of motor development. There are no descriptions of physical therapy for children with AHC. The purpose of this case report is to present an example of physical therapy evaluation, intervention, and outcomes for a child with AHC.

Summary of Key Points: Physical therapy services were provided over 9 sequential plans of care between 14 and 52 months of age. The child demonstrated improvements in motor control, walked independently at 16.5 months of age, and her Gross Motor Function Measure-88 score increased from 78% to 95% between 27 and 52 months of age.

Conclusions and Recommendations for Clinical Practice: The importance in this case lies in the use of a multisystem approach to treatment, careful consideration of frequency of intervention, and discussion of the unique features of AHC.

The purpose of this case report is to present an example of physical therapy evaluation, intervention, and outcomes for a child with alternating hemiplegia of childhood.

Department of Physical and Occupational Therapy, Division of Pediatrics, Duke University Health System, Durham, North Carolina.

Correspondence: Kara L. Lardinois, PT, DPT, C/NDT, Department of Physical and Occupational Therapy, Division of Pediatrics, Duke University Health System, 3000 Erwin Rd, Durham, NC 27705 (kara.lardinois@duke.edu).

The authors declare no conflicts of interest.

Copyright © 2019 Academy of Pediatric Physical Therapy of the American Physical Therapy Association