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Open AccessCase Report

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

1
Frazier Rehab Institute, UofL Health, Louisville, KY 40202, USA
2
Department of Pediatrics, University of Louisville, Louisville, KY 40202, USA
3
Department of Neurological Surgery, University of Louisville, Louisville, KY 40202, USA
*
Author to whom correspondence should be addressed.
Children 2021, 8(1), 36; https://doi.org/10.3390/children8010036
Received: 16 December 2020 / Revised: 2 January 2021 / Accepted: 5 January 2021 / Published: 9 January 2021
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. View Full-Text
Keywords: spinal cord injury; respiration; trunk control; development; pediatrics; activity-based therapy; cervical injury spinal cord injury; respiration; trunk control; development; pediatrics; activity-based therapy; cervical injury
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MDPI and ACS Style

Goode-Roberts, M.; Bickel, S.G.; Stout, D.L.; Calvery, M.L.; Thompson, J.E.; Behrman, A.L. Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child. Children 2021, 8, 36. https://doi.org/10.3390/children8010036

AMA Style

Goode-Roberts M, Bickel SG, Stout DL, Calvery ML, Thompson JE, Behrman AL. Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child. Children. 2021; 8(1):36. https://doi.org/10.3390/children8010036

Chicago/Turabian Style

Goode-Roberts, MacKenzie; Bickel, Scott G.; Stout, Danielle L.; Calvery, Margaret L.; Thompson, Jennifer E.; Behrman, Andrea L. 2021. "Impact of Activity-Based Therapy on Respiratory Outcomes in a Medically Complex Child" Children 8, no. 1: 36. https://doi.org/10.3390/children8010036

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Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

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