title: Listening to the patient as a possible route to cost-effective rehabilitation: a case report.
abstract: BACKGROUND
  Adolescents with cerebral palsy often do not need a specific rehabilitative treatment; however, when specific needs are expressed, clinicians should listen and try to answer them.
  
  
  METHODS
  We present the case of a 17-year-old Italian male patient with hemiplegia who had received standard physiotherapy and, ultimately, after a period of adapted physical activity performed in a group, was under consideration for discharge. However, due to unsatisfactory hand control, he asked for help to reach a personal goal, the ability to drive a motorbike, without surgery. Functional taping showed efficacy, but was neither cost-effective nor practical for the patient and his family; by contrast, a dynamic orthosis associated with training in a real-life environment was instead successful.
  
  
  CONCLUSIONS
  The present case underlines the importance of considering solutions involving the motivation and compliance of the patient in order to improve his activity and participation.
authors.affiliation: Don C Gnocchi Foundation, Piazzale Morandi 6, 20162 Milan, Italy. mchiappedi@dongnocchi.it.
authors.forename: Attilia
authors.initials: A
authors.lastname: Grandi
authors.forename: Marcella
authors.initials: M
authors.lastname: Mazzola
authors.forename: Lucia
authors.initials: L
authors.lastname: Angelini
authors.forename: Matteo
authors.initials: M
authors.lastname: Chiappedi