Kornafel Tracy, Tsao Elaine Y, Sabelhaus Emily, Surges Lori, Apkon Susan D
a Department of Rehabilitation , Seattle Children's Hospital , Seattle , Washington , USA.
Phys Occup Ther Pediatr. 2017 Oct 20;37(5):485-595. doi: 10.1080/01942638.2016.1255289. Epub 2017 Jan 17.
The purpose of this case report is to describe the inpatient rehabilitation program of a 13-year-old boy with acute flaccid myelitis (AFM), specific to physical and occupational therapy examination, treatment, and outcomes.
AFM is a rare, acute neurologic illness in children and young adults who present with weakness and/or paralysis of unknown etiology. The teenager was admitted to the program, dependent for all mobility and self-care. Interventions focused on range of motion, transfer training, self-care, power wheelchair mobility, and environmental adaptations.
Weekly re-evaluations and the WeeFIM were used at admission and discharge to measure the teenager's progress. At discharge, the teenager had made small gains in his passive and active range of motion. He was independent in directing his care and able to drive his power wheelchair with supervision.
Due to the scarcity of published data describing AFM, this report describes an individual's response to a rehabilitation program and will hopefully add to future research in order to provide patients and families with expectations for their recovery and ultimate level of function.
本病例报告旨在描述一名13岁急性弛缓性脊髓炎（AFM）男孩的住院康复计划，具体涉及物理治疗和职业治疗的检查、治疗及结果。
AFM是一种发生于儿童和青年的罕见急性神经系统疾病，患者表现出病因不明的虚弱和/或瘫痪。该青少年被收治入院，所有活动和自我护理均需依赖他人。干预措施集中在关节活动范围、转移训练、自我护理、电动轮椅移动能力以及环境适应性方面。
入院和出院时通过每周重新评估及小儿功能独立性测量量表（WeeFIM）来衡量该青少年的进展。出院时，他在被动和主动关节活动范围方面有了些许改善。他能够独立安排自己的护理，并在他人监督下驾驶电动轮椅。
由于描述AFM的已发表数据匮乏，本报告描述了个体对康复计划的反应，有望为未来研究提供补充，以便为患者及其家属提供关于康复及最终功能水平的预期。
