Does Physical Therapy Improve Outcome in Infants with Joint Hypermobility and Benign Hypotonia?

Author:

Mintz-Itkin Rina1,Lerman-Sagie Tally2,Zuk Luba3,Itkin-Webman Taly1,Davidovitch Michael4

Affiliation:

1. Child Development Center, Maccabi Health Services, Rishon Le-Zion, Israel

2. Pediatric Neurology Unit, Wolfson Medical Center, Holon, and Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel, asagie@ post.tau.ac.il

3. Physical Therapy Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel

4. Faculty of Industrial Engineering and Management, Technion-Israel Institute of Technology, Haifa, Israel

Abstract

This study examined the effect of the frequency of physical therapy on the outcome of infants referred for delayed motor development due to joint hypermobility and benign hypotonia. The study groups comprised 29 infants (8-12 months) who were randomly placed into a monthly and weekly treatment groups. No difference was found between the 2 study group scores on the different tests at all assessment points. However, assessment of walking at the age of 15 months revealed a clear advantage of the infants who were treated weekly. Our study demonstrated a minor benefit of weekly treatment protocol only in the achievement of independent walking in children with joint hypermobility and benign hypotonia. It did not prove an advantage of weekly physical therapy. It seems that monthly physical therapy combined with a home treatment protocol implemented by the primary caregivers is sufficient to achieve motor catch-up.

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

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