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DIAGNOSIS AND INITIAL FUNCTIONAL ABILITIES
Nathan is a 15-year old male and a motor vehicle accident (April 1997) survivor who sustained a head injury.
The accident particularly affected his left side. He was in a coma for approximately three months. His memory
remains affected, but is improving. His voice is weak and he has trouble speaking.
Upon admission to the NeuroTherapeutics Program, he was able to walk using a wheeled walker, bilateral ankle braces, bilateral forearm
supports and the assistance of one person for balance and walker control. He required frequent verbal cueing. He
was unable to stand alone and required significant assistance with transfers. He was unable to use his left upper
extremity to assist in any functional task.
GOALS
Nathan was referred to the NeuroTherapeutics Program for EMG biofeedback and physical therapy to increase
independence in standing balance, gait and upper extremity functioning.
PROGRAM
A detailed evaluation was conducted and an individualized treatment plan established. Weekly treatment included:
- EMG biofeedback to increase more functional neuro pathways to the lower extremities and back muscles.
- Physical Therapy to help Nathan learn to utilize the newly established neuro pathways for improved
strength and functional use of his legs and back.
OUTCOME
Nathan has made significant functional changes since beginning the 12 EMG biofeedback sessions and physical therapy
treatments. His balance has materially improved thereby allowing him to stand independently for five to ten seconds.
With no assistance, he is beginning to take steps. He continues in aquatic therapy to further improve upon skills learned.
Gait speed with a platform walker has improved, allowing him to walk one-quarter mile in 16 minutes vs. 40 minutes prior
to receiving any treatment at the clinic. Additionally, sitting and standing posture have significantly improved.
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