Moerchen Victoria A, Habibi Mohammad, Lynett Kelly A, Konrad Jeffrey D, Hoefakker Heather L
Physical Therapy Program, Department of Human Movement Sciences, College of Health Sciences, University of Wisconsin-Milwaukee, WI, USA.
Pediatr Phys Ther. 2011 Spring;23(1):53-61. doi: 10.1097/PEP.0b013e318208a310.
This case report describes a decision-making process that was used to progress a home-based intervention that coupled treadmill and walker stepping for a preambulatory toddler with spina bifida.
The toddler in this report had an L4-L5 level lesion, and began this home-based intervention at 18 months of age when she was pulling to stand.
The intervention included parameters for treadmill stepping that prepared this toddler for gait with orthotics and was progressed to overground walking with a walker using a decision-making algorithm based on data obtained from a parent log and coded video.
This toddler progressed from not stepping at the start of the study to ambulating 150 m with a walker at age 23 months, after 18 weeks of this intervention.
The intervention and decision-making process used in this study were family centered and may be applicable to gait intervention with other populations.
本病例报告描述了一种决策过程，该过程用于推进一项针对患有脊柱裂的蹒跚学步幼儿的家庭干预，该干预结合了跑步机行走和助行器行走。
本报告中的幼儿患有L4-L5水平的损伤，在18个月大能够拉着站立时开始了这项家庭干预。
干预包括跑步机行走的参数，这些参数为该幼儿使用矫形器行走做准备，并根据从家长日志和编码视频中获得的数据，通过决策算法进展到使用助行器在地面行走。
经过18周的干预，该幼儿从研究开始时不会行走进展到在23个月大时能够使用助行器行走150米。
本研究中使用的干预措施和决策过程以家庭为中心，可能适用于其他人群的步态干预。
