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Outpatient rehabilitation for a patient with ring chromosome 13
A female patient with ring chromosome 13 was seen for outpatient physical therapy treatment for 12 sessions from March 12, 2015 to April 30, 2015. A student physical therapist provided treatment under the supervision of a licensed physical therapist. The patient was initially evaluated with modified Ashworth scale, Gross Motor Function Measure-66 (GMFM-66), Peabody Developmental Motor Scale 2nd edition (PDMS-2), 6-minute walk test (6MWT), 10-meter fast walk test (10MFWT), timed up stairs, and Cerebral Palsy Quality of Life (CPQOL). Following evaluation, a plan of care was established. Main goals for the patient were to improve postural control, functional strength, ambulatory speed and endurance, gross motor function, and participation in play. Task-specific training including overground gait training and functional exercise were primary interventions utilized in therapy. The patient significantly improved in static and dynamic postural stability, forward independent ambulation, gross motor function, functional strength, and ability to play outside with her brother. The patient was discharged to the care of her parents at her home. Parental assistance with a home exercise program was to be implemented.