Social, Motor, and Postural changes in a child with pervasive developmental Disorder (PDD).
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1
James L. Duffy DC LLC, United States
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2
Carrick Institute, United States
Objective: Demonstrate social, motor, and postural changes in a PDD patient following neuromuscular re-education and vestibular rehabilitation program.
Clinical Features: Subject was a 19 year old female with a history of developmental delay, including missing walking and talking milestones, delayed to 2.5 and two years respectively. Subject and her mother reported difficulties in word retrieval, group conversation, fine motor tasks, translational movement, and head extension. Examination revealed an irregular optokinetic reflex (OKR), convergence spasm, post saccadic gaze instability, decreased individualized digit movement on rapid alternating finger movement, inaccurate point localization, and decreased amplitude and slowed finger-tapping test (FTT).
Interventions and Outcomes: The subject received ten treatment sessions over five days in which a customized vestibular and neuromuscular rehabilitation protocol was implemented. Therapies included: vestibular rehabilitation, optokinetic exercises, gait training, Eply maneuver, spinal and extraspinal joint manipulation and left sided passive complex proximal joint movements. The post treatment exam displayed improvement of OKR, increased post saccadic gaze stability, individualized digit movement on rapid alternating finger movement, accurate point localization, and appropriate amplitude and increased speed of FTT. The family also noted profound improvement in fine and gross motor movements, word retrieval, translational movement, and engagement in group conversation. The most significant subjective outcome was the patient’s first time willingness to extend her head.
Conclusions: Intensive rehabilitation program and home therapies developed and implemented to address functional deficiencies in a patient with long-standing PDD. Significant subjective and objective improvements noted after therapy. Further research needed to better determine if results could be replicated outside of a single patient.
Key Words: Pervasive developmental disorder, PDD, vestibular rehabilitation, neuromuscular re-education, convergence spasm, Eply maneuver, functional neurology.
Keywords:
Pervasive developmental disorder,
PDD,
Vestibular Rehabilitation,
Neuromuscular re-education,
convergence spasm,
Eply maneuver,
functional neurology.
Conference:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.
Presentation Type:
Poster Presentation
Topic:
Case Reports for Poster Presentation
Citation:
Patterson
FE and
Duffy
JL
(2015). Social, Motor, and Postural changes in a child with pervasive developmental Disorder (PDD)..
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00017
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Received:
01 Nov 2015;
Published Online:
02 Nov 2015.
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Correspondence:
Dr. James L Duffy, Carrick Institute, Cape Canaveral, United States, jlduffy8272@gmail.com