Activity-Based Restorative Therapy Promotes Progression from Asymmetry to Symmetry in Posture and Gait in a Child with Chronic, Incomplete Spinal Cord Injury

Children, 2023 · DOI: https://doi.org/10.3390/children10030594 · Published: March 20, 2023

Spinal Cord Injury Pediatrics Rehabilitation

Simple Explanation

This case report discusses how a child with a long-term spinal cord injury, who had uneven posture and walking, improved their symmetry through a special therapy program. The therapy, called Activity-Based Restorative Therapy (ABRT), focuses on using the body's ability to adapt and improve through repetitive, specific exercises. The child's posture and walking became more balanced, helping them participate in daily activities more effectively.

Study Duration

4 Months

Participants

One child with chronic, incomplete spinal cord injury

Evidence Level

Level 4: Case Report

Key Findings

1
The child gained symmetry during sitting, standing, and walking after 79 ABRT sessions.
2
ABRT enhanced the child's achievement of kinematically appropriate function for participation in daily activities.
3
Improved symmetry in posture and walking facilitates continued age-appropriate participation.

Research Summary

This case report highlights the positive impact of Activity-Based Restorative Therapy (ABRT) on improving postural and gait symmetry in a child with chronic incomplete spinal cord injury (ISCI). The child, who was already ambulatory, demonstrated significant improvements in symmetry during sitting, standing, and walking after participating in 79 ABRT sessions. The findings suggest that targeting symmetry of movements through ABRT can further enhance function and participation in daily activities for ambulatory children post-ISCI.

Practical Implications

Improved Kinematics

Addressing asymmetries of gait with therapeutic intervention can lead to improved kinematics of posture and walking.

Enhanced Participation

Outcomes of improved symmetry in posture and walking facilitate continued age-appropriate participation.

Potential for Neurorecovery

Children with incomplete spinal cord injuries have the potential for neurorecovery for the initiation of ambulation and increased neurological capacity through ABRT interventions

Study Limitations

1
Single case study limits generalizability
2
Lack of biomechanical outcomes (motion capture or EMG)
3
Intervening variables such as detethering surgery may have affected follow-up scores

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