A Case Report of an Infant With Arthrogryposis. Issue 3 (2015)

• Record Type: Journal Article
• Authors: Azbell, Kristy; Dannemiller, Lisa
• Is Part Of: Pediatric physical therapy. Volume 27:Issue 3(2015:Autumn)
• Publication Date: 2015
• Subjects: ankle-foot orthoses -- arthrogryposis multiplex congenita -- case report -- fiberglass casts -- human -- infant -- male -- occupational therapy/methods -- orthopedic surgery/methods -- physical therapy/methods; Physical therapy for children -- Periodicals; 615.820832
• DOI: 10.1097/PEP.0000000000000148
• Languages: English
• ISSNs: 0898-5669

Abstract

Abstract : Purpose: This case report documents limitations of body structures and function, activity, and participation for an infant with arthrogryposis multiplex congenita and reports frequency and timing of interventions for this child. Summary of Key Points: The infant was followed from 11 days to 9 months of age while receiving occupational therapy and physical therapy on alternating weeks, with orthopedic visits for lower extremity serial casting. Passive range of motion improved and pain scores decreased during passive range of motion. The Patient Specific Functional Scale score increased; The Peabody Developmental Motor Scales, 2nd edition, standard score decreased from 9 in locomotion and stationary skills to 3 in locomotion and 8 in stationary skills. Recommendations for Clinical Practice: Outcomes demonstrate improvement in impairments of body structures and functions, participation, and some activities, through a program of stretching, strengthening, splinting, casting, and bilateral Achilles tenotomies for this infant with arthrogryposis multiplex congenita. Abstract : Outcomes for this infant with arthrogryposis demonstrate improvement in body structure and function as well as activities and participation, achieved through stretching, strengthening, splinting, casting, and bilateral Achilles tenotomies.