This case report assesses gaze stability, postural control, and balance pre- and post–physical therapy intervention, including vestibular rehabilitation
, in a 4-year-old child with posterior fossa syndrome
following gross total resection of a juvenile astrocytoma brain tumor.
Summary of Key Points:
The child in this case study had improved balance and gaze stability, as determined by the Pediatric
Balance Scale and the Dynamic Visual Acuity test upon completion of the 10-week intervention.
Statement of Conclusion and Recommendations for Clinical Practice:
This case provides preliminary support of the need for vestibular screening in children with a diagnosis of posterior fossa syndrome
. The success of the intervention suggests that vestibular rehabilitation
exercises can be modified for use in preschool-aged children, and the specific intervention outlined in this case report can be easily replicated in a variety of treatment settings.