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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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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…
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…
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