Medical Therapeutic Yoga Community Projects
Pediatric ROM Case Study
Dina Macs
PT, DPT, PYT
2008
This article describes the effectiveness of normalizing a child’s limited ankle range of motion and gait, based on the yoga principles of mindful awareness, stretching with a low-load, prolonged stretch (LLPS), at a total end range time (TERT) of 30 minutes a day per tight muscle group. Evaluated and treated was a 10 year old, toe-walking, previously athletic male, who presented with over a year of heel pain, onset status post growth spurt concurrent with overuse (running for several weeks). Intervention: Applying the principle of TERT, the patient was instructed in a LLPS, dosing individual stretch increments at no less than 60 second holds, for a total end range stretch time of 30 minutes each day, for each tight muscle. Ankle passive range of motion was measured at a two week increment. The most successful approaches for this patient were Staff Pose, (dandasana), Supported Legs-Up-The-Wall Pose (viparita karani), and Corpse Pose (savasana), performed with easily modifiable props (towel rolls and bolster), at a wall. Results: This intervention produced objectively measurable, significant results in two weeks including the following: normal ankle range of motion; normal gastrocnemius, soleus, and hamstring muscle length; and a normal, pain free gait pattern.
