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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…
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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…
For nearly 3 years, I’ve been working with Michael as his primary clinician for physical therapy. Within the past month, I decided to move to a different physical therapy location in Ft. Worth Texas. A few weeks before the change was made, Michael and I discussed his physical therapy needs…
In 1980, when Michael was 15 years old, he underwent scoliosis surgery at Scottish Rite Hospital in Dallas. During his preop preparation, his parents performed percussion therapy on his back to keep excess fluid and mucus from building up in his lungs. They did this for three months…
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