Spina bifida cystica myelomeningocele

Date of Completion

1997

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Spina Bifida Cystica, Meningomyelocele

Abstract

This Spina Bifida case study was conducted in order to have a follow-up concerning how a patient is doing in terms of his activities of daily living (ADLs). Some specific recommendations were made concerning the patient's devices, orthosis, physical therapy rehabilitation management and others. This is the case of D.T., a 12 year-old, right-handed Filipino male patient from Naic, Cavite who complains of difficulty in walking and was diagnosed to have Spina bifida Myelomeningocele with Incomplete Peripheral Neuropathy. The researchers conducted a follow-up study of D.T's case. Functional capabilities and limitations were established which all served as guidelines and basis for the planning and implementation of proper treatment approach. The researchers noted that the patient can do such activities alone, however, only lack of confidence hinders him from doing so. Helpful recommendations were made regarding this, motivation and encouragement were also given emphasis. Researchers planned this case study to inform families with a family member born with spina bifida that this kind of patient has to be given special care for their case is not detrimental if appropriately managed. Dealing with this case, the researchers benefited clinical decision making and the determination to make the significant changes on the physical part of the patient. A well monitored improvement is what matters most on the part of the researchers. Recommendations and possible changes or deletion of managements were always considered. the most important recommendations were detailed in this case study. they were as follow: (1) Ambulation aids: Bilateral loftstrand crutches in conjunction with HKAFO to aid in patient’s modified independence in ambulation, which is to be progressed without any assistive device, (2) Proper stair-climbing and transfer techniques, such as bed walker, walker to ordinary chair or car and vice versa, (3)Gradual refraining from mother's support in bathing and lower garment dressing (4) Serial scoliotic X-ray accompanied with Klapp's exercise and scoliotic exercise, (5) Regular check-up and physical therapy session, and (6) Detailed home exercise program focusing on ambulation and self-stretching techniques.

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