Use of orthoses and early intervention physical therapy to minimize hyperpronation and promote functional skills in a child with gross motor delays: a case report.
OBJECTIVE
This case report describes a physical therapy program that included foot orthoses for a child with excessive pronation and gross motor delay.


METHODS
A 25-month-old girl with a 6-month gross motor delay had excessive pronation of both feet. Physical therapy included fabrication of foot orthoses to improve foot alignment and weekly facilitation of strength, coordination, and balance, and family education activities.


RESULTS
The Peabody Developmental Gross Motor Scales revealed a 12-month gain in gross motor skills in 5 months time.


CONCLUSIONS
Physical therapy to facilitate normal foot alignment, trunk control, strength, balance, and coordination may have promoted this child's acquisition of age-appropriate gross motor skills.
Buccieri
Kathleen M
KM
Department of Physical Therapy, Ithaca College, 300 East River Road, Suite 1-102, Rochester, NY 14623, USA. kbuccieri@ithaca.edu
D000058:Accidental Falls / Q000517:prevention & control; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D009048:Motor Skills; D009989:Orthotic Devices; D026741:Physical Therapy Modalities; D011403:Pronation