Application of Top-Down Approach for a Child with Cerebral Palsy to Physical Therapy Practice: A Case Report

서지정보

· 발행기관 : 국제물리치료학회
· 수록지 정보 : Journal of International Academy of Physical Therapy Research / 14권 / 4호
· 저자명 : Changho Kim

목차

INTRODUCTION
SUBJECTS AND METHODS
Subjects
Outcome Measures
Intervention
RESULTS
The body function and structure level
The activity level
The participation level
DISCUSSION
CONCLUSION
REFERENCES

영어초록

Background: Cerebral palsy presents significant challenges in motor function for affected children. While conventional bottom-up approaches are common in physical therapy, there is increasing interest in the efficacy of the top-down approach. Objectives: To investigated the impact of applying the top-down approach in physical therapy for a child diagnosed with cerebral palsy, focusing on functional improvement and quality of life. Design: A single-case study. Methods: The patient was a 15-year-old boy with spastic diplegic cerebral palsy who was entering middle school. Cerebral palsy treatment approach of the top-down method (jumping rope) was used to guide and direct physical therapy. Results: The child improved in muscle strength of lower extremity, gross motor function, participation and self-esteem, but the pattern of his gait seemed to be more severe on tiptoe. When the child participated in a jumping rope class, he was able to do more than 10 jumps. Conclusion: The effectiveness of the top-down approach in enhancing functional outcomes and quality of life in children with cerebral palsy. It highlights the potential of this approach in pediatric physical therapy, warranting further research validation.

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