Acute flaccid myelitis: Rehabilitation challenges and outcomes in a pediatric cohort

Michelle E. Melicosta, Janet Dean, Kaitlin Hagen, Kathleen Oppenheimer, Courtney Porter, Suzanne Rybczynski, Cynthia Salorio, Cristina Sadowsky

Research output: Contribution to journalArticle

Abstract

PURPOSE: To describe one institution's experience in the rehabilitation of children with acute flaccid myelitis (AFM). This study reviews the medical and rehabilitative course and functional outcomes of a cohort of children who underwent Activity Based Restorative Therapy (ABRT) at a single center. METHODS: Children with AFM presenting for rehabilitation between March 2005 and January 2017 were identified and a retrospective chart review was conducted. Changes in medical and functional status were assessed using multiple standardized instruments, as well as a chart review of medical progress. RESULTS: Thirty-one children with AFM treated at our institution in the study time period were identified. Of these, seventeen received inpatient treatment, and fourteen received solely outpatient interventions. Their medical and functional outcomes are described with use of standardized measures when available. CONCLUSIONS: Children with flaccid paralysis due to AFM undergoing structured, comprehensive rehabilitation interventions, even when these are initiated long after paralysis onset, can make significant neurologic and functional gains. Recovery of function and prevention of comorbidities are the main therapeutic targets for interventions in this population.

Original languageEnglish (US)
Pages (from-to)245-253
Number of pages9
JournalJournal of pediatric rehabilitation medicine
Volume12
Issue number3
DOIs
StatePublished - Jan 1 2019

Fingerprint

Myelitis
Pediatrics
Rehabilitation
Paralysis
Recovery of Function
Nervous System
Comorbidity
Inpatients
Outpatients
Therapeutics
Population

Keywords

  • Acute flaccid myelitis
  • paralysis
  • rehabilitation functional outcomes
  • spinal cord injury

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Acute flaccid myelitis : Rehabilitation challenges and outcomes in a pediatric cohort. / Melicosta, Michelle E.; Dean, Janet; Hagen, Kaitlin; Oppenheimer, Kathleen; Porter, Courtney; Rybczynski, Suzanne; Salorio, Cynthia; Sadowsky, Cristina.

In: Journal of pediatric rehabilitation medicine, Vol. 12, No. 3, 01.01.2019, p. 245-253.

Research output: Contribution to journalArticle

Melicosta, Michelle E. ; Dean, Janet ; Hagen, Kaitlin ; Oppenheimer, Kathleen ; Porter, Courtney ; Rybczynski, Suzanne ; Salorio, Cynthia ; Sadowsky, Cristina. / Acute flaccid myelitis : Rehabilitation challenges and outcomes in a pediatric cohort. In: Journal of pediatric rehabilitation medicine. 2019 ; Vol. 12, No. 3. pp. 245-253.
@article{42a6aae662d94895ab0abbad7360ac64,
title = "Acute flaccid myelitis: Rehabilitation challenges and outcomes in a pediatric cohort",
abstract = "PURPOSE: To describe one institution's experience in the rehabilitation of children with acute flaccid myelitis (AFM). This study reviews the medical and rehabilitative course and functional outcomes of a cohort of children who underwent Activity Based Restorative Therapy (ABRT) at a single center. METHODS: Children with AFM presenting for rehabilitation between March 2005 and January 2017 were identified and a retrospective chart review was conducted. Changes in medical and functional status were assessed using multiple standardized instruments, as well as a chart review of medical progress. RESULTS: Thirty-one children with AFM treated at our institution in the study time period were identified. Of these, seventeen received inpatient treatment, and fourteen received solely outpatient interventions. Their medical and functional outcomes are described with use of standardized measures when available. CONCLUSIONS: Children with flaccid paralysis due to AFM undergoing structured, comprehensive rehabilitation interventions, even when these are initiated long after paralysis onset, can make significant neurologic and functional gains. Recovery of function and prevention of comorbidities are the main therapeutic targets for interventions in this population.",
keywords = "Acute flaccid myelitis, paralysis, rehabilitation functional outcomes, spinal cord injury",
author = "Melicosta, {Michelle E.} and Janet Dean and Kaitlin Hagen and Kathleen Oppenheimer and Courtney Porter and Suzanne Rybczynski and Cynthia Salorio and Cristina Sadowsky",
year = "2019",
month = "1",
day = "1",
doi = "10.3233/PRM-180549",
language = "English (US)",
volume = "12",
pages = "245--253",
journal = "Journal of Pediatric Rehabilitation Medicine",
issn = "1874-5393",
publisher = "IOS Press",
number = "3",

}

TY - JOUR

T1 - Acute flaccid myelitis

T2 - Rehabilitation challenges and outcomes in a pediatric cohort

AU - Melicosta, Michelle E.

AU - Dean, Janet

AU - Hagen, Kaitlin

AU - Oppenheimer, Kathleen

AU - Porter, Courtney

AU - Rybczynski, Suzanne

AU - Salorio, Cynthia

AU - Sadowsky, Cristina

PY - 2019/1/1

Y1 - 2019/1/1

N2 - PURPOSE: To describe one institution's experience in the rehabilitation of children with acute flaccid myelitis (AFM). This study reviews the medical and rehabilitative course and functional outcomes of a cohort of children who underwent Activity Based Restorative Therapy (ABRT) at a single center. METHODS: Children with AFM presenting for rehabilitation between March 2005 and January 2017 were identified and a retrospective chart review was conducted. Changes in medical and functional status were assessed using multiple standardized instruments, as well as a chart review of medical progress. RESULTS: Thirty-one children with AFM treated at our institution in the study time period were identified. Of these, seventeen received inpatient treatment, and fourteen received solely outpatient interventions. Their medical and functional outcomes are described with use of standardized measures when available. CONCLUSIONS: Children with flaccid paralysis due to AFM undergoing structured, comprehensive rehabilitation interventions, even when these are initiated long after paralysis onset, can make significant neurologic and functional gains. Recovery of function and prevention of comorbidities are the main therapeutic targets for interventions in this population.

AB - PURPOSE: To describe one institution's experience in the rehabilitation of children with acute flaccid myelitis (AFM). This study reviews the medical and rehabilitative course and functional outcomes of a cohort of children who underwent Activity Based Restorative Therapy (ABRT) at a single center. METHODS: Children with AFM presenting for rehabilitation between March 2005 and January 2017 were identified and a retrospective chart review was conducted. Changes in medical and functional status were assessed using multiple standardized instruments, as well as a chart review of medical progress. RESULTS: Thirty-one children with AFM treated at our institution in the study time period were identified. Of these, seventeen received inpatient treatment, and fourteen received solely outpatient interventions. Their medical and functional outcomes are described with use of standardized measures when available. CONCLUSIONS: Children with flaccid paralysis due to AFM undergoing structured, comprehensive rehabilitation interventions, even when these are initiated long after paralysis onset, can make significant neurologic and functional gains. Recovery of function and prevention of comorbidities are the main therapeutic targets for interventions in this population.

KW - Acute flaccid myelitis

KW - paralysis

KW - rehabilitation functional outcomes

KW - spinal cord injury

UR - http://www.scopus.com/inward/record.url?scp=85073184033&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073184033&partnerID=8YFLogxK

U2 - 10.3233/PRM-180549

DO - 10.3233/PRM-180549

M3 - Article

C2 - 31476175

AN - SCOPUS:85073184033

VL - 12

SP - 245

EP - 253

JO - Journal of Pediatric Rehabilitation Medicine

JF - Journal of Pediatric Rehabilitation Medicine

SN - 1874-5393

IS - 3

ER -