Rehabilitation approaches to children with osteogenesis imperfecta: a ten-year experience.

Abstract:

:Twenty-five children with severe osteogenesis imperfecta were followed and treated with physical and occupational therapy for a mean of five years, two months, 80% since the first two years of life. According to their highest achieved motor skill, they fell into three groups: (A) able to stand in braces, (B) able to ambulate short distances without braces, and (C) able to ambulate in the community without assistance. Preventable functional impairment is caused in group A by shoulder joint and hand contractures and upper extremity weakness, group by hip flexion and plantar flexion contractures of the feet, shoulder joint contractures, and upper extremity weakness, and group C by poor lower extremity joint alignment, impaired balance, and low endurance. Appropriate rehabilitation strategies have led to slow, continued functional improvement in the majority of patients. Results of the ten-year retrospective study suggest that clinical groupings based in part on functional needs will enable the clinician to provide optimal rehabilitation services.

journal_name

Arch Phys Med Rehabil

authors

Binder H,Conway A,Gerber LH

subject

Has Abstract

pub_date

1993-04-01 00:00:00

pages

386-90

issue

4

eissn

0003-9993

issn

1532-821X

journal_volume

74

pub_type

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