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Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child

Introduction: Activity-based therapies (ABTs) focus on activating the neuromuscular system below the level of spinal cord injury (SCI) promoting neuromuscular capacity. Case description: A 2 year 7 month old with history of prematurity at 29 weeks, neonatal epidural abscess, resultant cervical SCI,...

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Autores principales: Goode-Roberts, MacKenzie, Bickel, Scott G., Stout, Danielle L., Calvery, Margaret L., Thompson, Jennifer E., Behrman, Andrea L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827889/
https://www.ncbi.nlm.nih.gov/pubmed/33435403
http://dx.doi.org/10.3390/children8010036
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author Goode-Roberts, MacKenzie
Bickel, Scott G.
Stout, Danielle L.
Calvery, Margaret L.
Thompson, Jennifer E.
Behrman, Andrea L.
author_facet Goode-Roberts, MacKenzie
Bickel, Scott G.
Stout, Danielle L.
Calvery, Margaret L.
Thompson, Jennifer E.
Behrman, Andrea L.
author_sort Goode-Roberts, MacKenzie
collection PubMed
description Introduction: Activity-based therapies (ABTs) focus on activating the neuromuscular system below the level of spinal cord injury (SCI) promoting neuromuscular capacity. Case description: A 2 year 7 month old with history of prematurity at 29 weeks, neonatal epidural abscess, resultant cervical SCI, respiratory failure, and global developmental delays presented for enrollment in an outpatient activity-based therapy program. Upon presentation to this program, he required nighttime mechanical ventilation via tracheostomy and daytime suctioning. He could not perform any age-appropriate activities and was described by his mother as ‘present’, neither engaged nor attentive. During and after 7 months of participation in ABTs including locomotor training and neuromuscular electrical stimulation, the patient demonstrated unexpected changes in his respiratory status leading to ventilator weaning with concomitant improvements in head and trunk control, participation, development, and quality of life. Discussion: ABT was not only safe for a medically complex child, but also this intervention had a remarkable effect on unresolved respiratory capacity and a more widespread impact on other functions as well as development. A child with a chronic, severe SCI demonstrated positive and impactful improvements in health, functional status, and quality of life during an episode of ABT.
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spelling pubmed-78278892021-01-25 Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child Goode-Roberts, MacKenzie Bickel, Scott G. Stout, Danielle L. Calvery, Margaret L. Thompson, Jennifer E. Behrman, Andrea L. Children (Basel) Case Report Introduction: Activity-based therapies (ABTs) focus on activating the neuromuscular system below the level of spinal cord injury (SCI) promoting neuromuscular capacity. Case description: A 2 year 7 month old with history of prematurity at 29 weeks, neonatal epidural abscess, resultant cervical SCI, respiratory failure, and global developmental delays presented for enrollment in an outpatient activity-based therapy program. Upon presentation to this program, he required nighttime mechanical ventilation via tracheostomy and daytime suctioning. He could not perform any age-appropriate activities and was described by his mother as ‘present’, neither engaged nor attentive. During and after 7 months of participation in ABTs including locomotor training and neuromuscular electrical stimulation, the patient demonstrated unexpected changes in his respiratory status leading to ventilator weaning with concomitant improvements in head and trunk control, participation, development, and quality of life. Discussion: ABT was not only safe for a medically complex child, but also this intervention had a remarkable effect on unresolved respiratory capacity and a more widespread impact on other functions as well as development. A child with a chronic, severe SCI demonstrated positive and impactful improvements in health, functional status, and quality of life during an episode of ABT. MDPI 2021-01-09 /pmc/articles/PMC7827889/ /pubmed/33435403 http://dx.doi.org/10.3390/children8010036 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Goode-Roberts, MacKenzie
Bickel, Scott G.
Stout, Danielle L.
Calvery, Margaret L.
Thompson, Jennifer E.
Behrman, Andrea L.
Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title_full Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title_fullStr Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title_full_unstemmed Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title_short Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child
title_sort impact of activity-based therapy on respiratory outcomes in a medically complex child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7827889/
https://www.ncbi.nlm.nih.gov/pubmed/33435403
http://dx.doi.org/10.3390/children8010036
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