Author Archives: Emily Jones

There are many different modalities and activities that have been successful in progressing Michael, our patient with SMA, towards reaching his goals of less pain during activities as well as increased independence. Over the past four years, we have attempted many different techniques with Michael and have noted the ones…

Recently, Michael, our patient with SMA, has exhibited some increased tenderness and reduced tissue mobility to his calf muscles bilaterally. This is no surprise since he doesn’t wear footrests and is constantly in a plantarflexed, or toe-down position. In this position, his calf muscles are constantly in a shortened…

As mentioned in our previous article, Michael, our patient with SMA, had been suffering from tailbone pain that was subsided by a modified stuck drawer technique to his sacrum. We had initially intended on performing this every other week, but since Michael has been having no complaints of pain, we…

Our bodies are not designed to sit all day long. We are designed to absorb shock through many different joints throughout the day, such as hips, knees, and ankles. When a patient is unable to use the lower half of their body and must sit all day, all that pressure…

A frequent complaint and limitation for patients that have been diagnosed with SMA is lack of flexibility throughout their body. Contractures, or shortening of muscles leading to deformity of joints, can occur secondary to lack of ability to perform active range of motion and being in a seated position for…

Individuals that are sedentary, like my patient Michael, are more prone to having kidney stones secondary to too little activity as well as possible reduced fluid intake due to other restrictions, such as reduced upper extremity strength and ability to self-nourish. In the past 20 years, Michael has undergone surgery…

Throughout Michael’s physical therapy treatments, there have been several progressions of seated balance activities that we have worked on as he has demonstrated improved abilities to perform these activities. When we were first able to transfer Michael to the therapy table, all that was performed in a seated position was…

Cervical, or neck, range of motion is important for many different reasons. A major reason it is needed has to do with safety with scanning the environment during functional activities. Due to scoliosis, Michael has had most of his thoracic and lumbar spine fused, which has limited his range…

When patients are limited in their range of motion, this can lead to an inability to tolerate certain positions. For example, Michael, who has been diagnosed from an early age with SMA, is severely lacking hip and knee extension, making it hard for him to assume a prone position. This…

People with SMA spend most of their time sitting in a wheelchair. Because of this, they are at an increased risk of developing pressure ulcers. This is due to the increased time spent with weight-bearing through a specific area, usually, a bony prominence, such as the “sit bones,” although they…