Abstract
A 28-month old child with Polymicrogyria resulting in diplegic cerebral palsy was seen in physical therapy treatment for 12 sessions over 3 months in a pediatric outpatient physical therapy clinic. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The child was evaluated at the initial encounter with the Modified Ashworth Scale, the 66 Item Gross Motor Function Measure, Gross Motor Function Classification System, Peabody Developmental Motor Scales, Pediatric Evaluation of Disability Inventory, and goniometry to establish a plan of care. Main goals for the child were to initiate ambulation with a reverse walker, improve lower extremity extensor strength, and achieve adequate heel strike during ambulation. Main interventions used were over-ground gait training with a reverse walker, assisted stair climbing and sit to stands, and posting the child’s ankle foot orthosis. The child improved in motor control and sequencing, which led to developing the ability to ambulate independently under supervision with a reverse walker. He was discharged home with a home exercise program and follow up with outpatient therapy.