Applying motor-control theory to physical therapy practice: a case report.
OBJECTIVE
This case report describes the application of an integrated, systems-based theory of motor control to physical therapy practice.Client Description: The patient was a 5-year-old boy with spastic hemiplegic cerebral palsy who was entering kindergarten. Parent concerns related to the child's safety in playground activities such as playing on the slide.


METHODS
Motor-control theory, including factors related to the task, the environment, and the individual, was used to guide and direct physical therapy management related to the patient goal of safely and effectively climbing the ladder to the playground slide.Patient Outcomes: When the child entered kindergarten, he was able to safely ascend the ladder to the playground slide, using a modified movement pattern, when distractions were minimized. However, attentional issues continued to affect task execution when other children were present.


CONCLUSIONS
This case report demonstrates a means by which current knowledge and theory can be integrated into clinical practice.


CONCLUSIONS
Applying motor-control theory to this case led to the development of clinical questions for future research.
Lisa K. Kenyon, PT, PhD, PCS:  Assistant Professor, Physical Therapy Program, Grand Valley State University, Grand Rapids, Michigan, USA.
Lisa K
LK
Kenyon
Mary T
MT
Blackinton
D035843:Biomedical Research; D002547:Cerebral Palsy / Q000534:rehabilitation; D006801:Humans; D009043:Motor Activity; D026741:Physical Therapy Modalities; D010988:Play and Playthings; D012574:Schools