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Outpatient physical therapy for a pediatric patient with a diagnosis of hypotonic cerebral palsy
A non-ambulatory pediatric patient with hypotonic cerebral palsy (CP) was seen for outpatient physical therapy twice a week for 5 weeks from March 5 to May 19, 2016. Treatment was provided by a student physical therapist under the direct supervision of a licensed physical therapist. The initial evaluation involved assessment using Peabody Developmental Motor Scale (PDMS-2), Gross Motor Function Measure-66 (GMFM-66), Pediatric Evaluation of Disability Inventory (PEDI), 10- Meter Walk Test, 1-Minute Walk Test, and goniometry, all of which were used to develop a plan of care. The primary goal for this patient was to achieve independent steps; supplemental goals included increasing standing balance, increasing knee extensor and functional strength, gait speed and endurance, and functional independence within the home and the community. Main interventions used were treadmill training, task-specific training, balance and functional strength training. The patient made some improvements in balance, strength, gait speed and endurance, and functional independence. The patient was discharged to continue to live at home with parents and a home exercise program.