Physical therapy intervention for an adolescent with a knee flexion contracture and diagnosis of multiple pterygium syndrome.
OBJECTIVE
The purpose of this case report is to describe a course of physical therapy for a client with a rare genetic condition, multiple pterygium syndrome (MPS).


CONCLUSIONS
MPS is a rare genetic disorder characterized by connective tissue webbing across multiple joints, dysmorphic facies, and various visceral and skeletal deformities. Before the patient commenced physical therapy, surgical amputation was recommended for the client's knee flexion contracture. The client's treatment plan included stretching, manual therapy, and resisted exercise. Long-term outcomes were decreased back and knee pain and improved range of motion, strength, and ambulation.


CONCLUSIONS
Therapists using techniques to improve joint range of motion in clients with MPS should be aware that pterygia may include contractile tissue, nerves, and blood vessels and there may be underlying skeletal deformity or weakness in these areas. Children with MPS are at high risk of developing scoliosis and should be appropriately assessed in early childhood.
Bellamy
Sandra Gail
SG
Physical Therapy Department, University of the Pacific, Stockton, California 95211, USA. sbellamy@pacific.edu
Gibbs
Karen
K
Lazaro
Rolando
R
D000293:Adolescent; D003286:Contracture / Q000628:therapy*; D006801:Humans; D007717:Knee; D008297:Male; D010146:Pain; D026741:Physical Therapy Modalities; D011625:Pterygium / Q000628:therapy*; D016059:Range of Motion, Articular; D013577:Syndrome; D016138:Walking