MOVE-ING Forward

A therapeutic alternative for adults with multiple severe disabilities.
Case Report

Jennifer Jacob

BACKGROUND

Most treatment programs for adult patients focus mainly on maintaining and preventing complications.

MOVE focus on task-oriented motor learning, the use of external aids and motivational support; could be a therapeutic alternative for adults with multiple disabilities to facilitate learning functional motor skills such as sitting, standing, walking and making transitions.

Method

PARTICIPANTS

11 Patients

AGES

21-50 Years Old

DURATION

6 Months

Evaluation


  • Amount of aid needed to maintain the different positions (sitting, standing and walking) 
    .

Tracking


  • MOVE Prompt Review Plan™ and Top Down Motor Milestone Test™ before and after each intervention. 

Results

BASELINE: NONE OF THE PARTICIPANTS WERE ABLE TO MAINTAIN ANY OF THE POSITIONS INDEPENDENTLY OR COMPLETE VOLUNTARY MOVEMENTS

ACTIVE IN A WHEELCHAIR

6 MONTHS PROGRAM - 11 PARTICIPANTS

0%

BEFORE

91%

AFTER

ACHIEVED GROSS MOTOR SKILLS

Able to keep sitting position
(Regular Chair , Bed Edge) 

%

11 Patients

Able to keep standing position
(rifton support) 

%

10 Patients

Able to walk up to 3 meters
(Nonstop) 

%

8 Patients


CONCLUSIONS


MOVE could be a relevant alternative for adult patients with low functional levels to begin their motor learning process no matter their age.

The new paradigm of the importance of functionality and group participation is adopted according to the ICF model. 

Dashboard Red
Infogram

IMPLICATIONS


Inactive and completely dependent patients show that their capabilities for learning gross motor skills could be developed.

The program shows potential to enhance quality of life in these patients by being able to realize daily functions, be more physically active and interact more effectively with others.
  

Some amazing people moving forward...

A different approach...

Key factors for the success of treatments of adults with multiple severe disabilities

Motor Learning

Neuroplasticity

Motivation

Jennifer Jacob

Physical Therapist
Master in Neurological Physical Therapy

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