Children, 2021 · DOI: 10.3390/children8010036 · Published: January 9, 2021
This case report describes how activity-based therapy (ABT) improved the respiratory function of a young child with a severe spinal cord injury. The child, who also had prematurity and other health issues, was able to reduce his reliance on a ventilator and improve his overall development through ABT. The therapy involved locomotor training and neuromuscular electrical stimulation, which helped him gain better head and trunk control, leading to improved breathing and quality of life.
Consider referral to intensive ABT programs for children with complex medical history of SCI and respiratory compromise.
Implement activity-based locomotor training and neuromuscular electrical stimulation to improve respiratory function and development in children with SCI.
Educate caregivers on strategies that reinforce progression and gains in neuromuscular capacity at home and in the community.