Therapeutic Scoliosis-Specific Exercises for a Child With Spinal Muscular Atrophy: A Case Report.

IF 1.5 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI:10.1097/PEP.0000000000001188

Cara H Kanner, Rafael Rodriguez-Torres, Rebekah Wallach, Prachi Bakarania, Jacqueline Montes

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Abstract

Purpose: The purpose of this study is to report on therapeutic scoliosis-specific exercises (PSSE) for a child with spinal muscular atrophy (SMA) who had spinal fusion.

Methods: PSSE were recommended after scoliosis was diagnosed and exercises focused on posture and improving strength preoperatively and restoring function postoperatively.

Results: Gross motor function remained stable before spinal fusion, briefly decreased after the procedure, and then stabilized post-surgery. Distance walked on the 6-minute walk test decreased post-surgery but improved after the addition of PSSE to the Standard of Care.

Conclusions: Including PSSE as an adjunct to traditional interventions may be beneficial for children with SMA. Evidence supports incorporating PSSE to improve posture preoperatively in idiopathic scoliosis. Its use postoperatively and in children with SMA is not well studied. Controlled studies are needed to understand the impact of pre- and post-op PSSE in children with SMA.

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脊髓肌肉萎缩症患儿的脊柱侧弯矫正训练：病例报告。

目的：本研究的目的是报道治疗性脊柱侧凸特异性训练（PSSE）对脊髓性肌萎缩症（SMA）患儿脊柱融合术的疗效。方法：诊断为脊柱侧凸后推荐PSSE，术前以姿势和力量训练为主，术后以功能恢复为主。结果：大运动功能在脊柱融合术前保持稳定，术后短暂下降，术后稳定。6分钟步行测试的步行距离在手术后减少，但在标准护理中加入PSSE后有所改善。结论：将PSSE作为传统干预措施的辅助措施可能对SMA儿童有益。有证据支持在特发性脊柱侧凸术前结合PSSE改善体位。其在术后和儿童SMA中的应用尚未得到很好的研究。需要对照研究来了解术前和术后PSSE对SMA儿童的影响。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.