OUTCOMES: Rather than face pulmonary and functional decline, the decision to undergo PSF with instrumentation to stabilize a progressive scoliosis was made despite the existing condition of Type III OI. The patient presently attends school and receives weekly outpatient PT. The patient was readmitted upon suspicion of spinal infection, underwent incision and drainage, followed by a 12 week inpatient rehabilitation stay to ensure consistent medical follow-up and PT. Post discharge the patient had poor appetite, fever, refused to cooperate with home PT and missed clinic appointments. The patient was discharged home with home PT, nursing, and weekly follow-up to the pediatric clinic. The inpatient post-op course was complicated by fear of fracture, pain, fever, and poor appetite. Via interdisciplinary efforts of PT and medical staff the patient received twice-daily graduated PT activities, including exercise, education regarding proper body mechanics, transfer and ambulation training, nutritional and social work counseling. Following PSF, inpatient PT started post-op day 2.
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Preop the patient ambulated 300 feet/trial with a walker and used a manual wheelchair for community mobility. The Gross Motor Function Measure (GMFM), Children's Assessment of Participation and Enjoyment (CAPE), and the Gillette Functional Walking Scale (GWFS) were used to assess function and participation changes.ĬASE DESCRIPTION: A 12 year old girl with Type III OI and 61° right thoracic, 13° left lumbar scoliosis underwent PSF with instrumentation.
The purpose of this case report is to highlight the role of PT and the interdisciplinary care for this patient pre and post-operatively to achieve a successful outcome. For this patient, posterior spinal fusion T2-L4 with instrumentation (PSF) and early physical therapy (PT) helped reduce these complications. Bone fragility in children with Type III OI presents unique challenges for adequate spinal fixation, healing, early mobilization, and function due to scoliosis, immobilization and fracture risk. Thoracic scoliosis >60° in children with Type III OI leads to adverse pulmonary function. RESULTS: There were significant task effects for average velocity (p 30°are almost certain in children with Type III OI, as young as 7 years old.
Initial foot contact patterns were recorded for each subject. A repeated measures ANOVA was performed to test the equality of means for the four task conditions. Coefficient of Variation (CV) was calculated for each measure.
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Gait trial videos were analyzed using Dartfish analysis software in order to determine average velocity, stride length, and cadence. MATERIALS/METHODS: Participants walked under four task conditions: slow speed, comfortable speed, fast speed, and dual-task walking carrying an empty tray. NUMBER OF SUBJECTS: 11 individuals with CDCS (ages 4-23) Thus, the purpose of this study was to investigate the effects of three walking speeds and a manual dual task on gait parameters in individuals with CDCS. Gait and motor function research in individuals with CDCS is limited. PURPOSE/HYPOTHESIS: Cri du Chat Syndrome (CDCS) is a rare genetically based neurodevelopmental disorder caused by a deletion on chromosome 5. POSTER PRESENTATIONS EFFECTS OF SPEED AND DUAL TASK CONDITIONS ON TEMPORAL-SPATIAL AND KINEMATIC GAIT MEASURES IN INDIVIDUALS WITH CRI DU CHAT (5P-) SYNDROMEĪbbruzzese LD, Quam A, Cooper S, Bornheimer R, Columbia University, New York, NY
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