Brk Case Study Exercise

Procedures- The interventions were provided by the author and two clinicians. B.H underwent 30 to 45 minutes for a duration of 18 months. The two main practice interventions during this case report were to restore gait. Initial evaluation showed a decrease in strength B.H were given strengthening activities such as sitting on a therapy ball doing tossing tasks, and tall kneeling. While using her ankle orthotics, she was given task-specific walking activities.

Standing Activities- Standing activities were given from week 2 to month 10. To help with standing, B.H were given custom posterior leg troughs with Aquaplast. These helped her with standing balance, a lumbar lordosis by extending her legs. Standing activities were done in bouts of 15s to 2 min, with a total of 21 treatments sessions.
The session occurred 1.5 times a week. A 1.5 cm lift was placed on the outside of her shoe to help correct the leg length discrepancy. The initial body weight was 30%. The body weight gradually decreased as improvements in stepping responses were seen in B.H gait parameters. Her initial speed started a .5 mph, but as her skills increase, the speed was increased as well. B.H had one person for each limb and one person to stabilize her trunk, for a total of 3 people used for assistance. Each treatment session was 4-15 minutes, with a total of 73 total training sessions.
Over Ground walking-
B.H starting this intervention at week 4, after starting LTT. B.H used many different assistive devices such as a rolling walker with and without bilateral forearm platform attachment, and platform walker. The platform walker was chosen as the best assistive device that was used by B.H because of weak leg muscles. A total of 137 sessions were given.