title: Physical therapy intervention for an adolescent with a knee flexion contracture and diagnosis of multiple pterygium syndrome.
abstract: 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.
authors.affiliation: Physical Therapy Department, University of the Pacific, Stockton, California 95211, USA. sbellamy@pacific.edu
authors.forename: Sandra Gail
authors.initials: SG
authors.lastname: Bellamy
authors.forename: Karen
authors.initials: K
authors.lastname: Gibbs
authors.forename: Rolando
authors.initials: R
authors.lastname: Lazaro
mesh_terms: 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