Problem #2

Sarah is a 10 YO Down's child who presents in the clinic with increased instability during gait. It is noticed that Sarah has difficulty following the clinic routine which requires observation of rules/limits. Sarah's mother reports that this is a problem at home also. Sarah's mother asks you if a tumbling class is indicated for Sarah's clumsiness and low endurance.

Subjective:

• -Sarah reports that her feet hurt
• -Sarah also reports that her neck hurts sometimes
• -Sarah's mother reports increased problem with balance loss
• -Sarah attends the local elementary school

Objective:

• -Sarah is obese
• -Sarah displays flat feet bilaterally
• -Sarah has F to F+ trunk strength
• -Sarah demonstrated F+ extremity strength
• -Sarah is unable to run 100 feet x 2 without becoming SOB
• -Sarah maintains unilateral stance 3 secs. R, 2 secs. L

to PT 410 intro