The Outcomes of an Individualized Physical Therapy Program in CALFAN Syndrome: A Case Report

Pediatr Phys Ther. 2022 Jul 1;34(3):432-437. doi: 10.1097/PEP.0000000000000903. Epub 2022 May 25.

Abstract

Purpose: This case report investigated the effectiveness of an individualized physical therapy program in CALFAN syndrome.

Case description: A 13-year-old girl participated in physical therapy, which included trunk stabilization, balance training, and functional exercises for 12 weeks.

Assessments: The International Cooperative Ataxia Rating Scale; Trunk Impairment Scale; Pediatric Quality of Life Inventory; Functional Independence Measure for Children; Quick Disability of the Arm, Shoulder, and Hand Questionnaire; 9-Hole Peg Test; and Cobb measurement were used as outcome measures.

Results: Positive changes were observed in the International Cooperative Ataxia Rating Scale; Quick Disability of the Arm, Shoulder, and Hand Questionnaire; Pediatric Quality of Life Inventory; Trunk Impairment Scale; Functional Independence Measure; and the 9-Hole Peg Test. The Cobb angle was increased by 2° in the thoracic region and reduced by 11° in the lumbar region.

Conclusions: Physical therapy improved quality of life, functional independence, trunk control, and upper extremity performance.

What this adds to evidence: This case report is the first to support the effectiveness of physical therapy for a child with CALFAN syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Ataxia
  • Child
  • Exercise Therapy
  • Female
  • Humans
  • Physical Therapy Modalities*
  • Quality of Life*
  • Upper Extremity