Abstract
A patient with calcium/calmodulin-dependent serine protein kinase (CASK) genetic disorder with associated microcephaly with pontine and cerebellar hypoplasia was seen for physical therapy treatment 16 sessions, 2 times/week for 8 weeks for outpatient physical therapy. Treatment was provided by a student physical therapist under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Popliteal Angle Hamstring Length Assessment, 2 Minute Walk Test, 10 Meter Walk Test, Gross Motor Function Measure-66, and a plan of care was established. Main goals for the patient were to improve length of hamstrings, aerobic endurance, and strength during functional activities, gait speed, and gross motor function to facilitate increased participation with a higher degree of functional independence. Main interventions used were treadmill training, over-ground gait training, task-specific training, and functional training. The patient improved hamstring length, gross motor function, functional strength and increased participation in activities with her family. The patient was discharged to continue living at home with her family with a home exercise program and recommendations to follow up with outpatient physical therapy.