If the child is stable I think that daily treatment (out patient) or twice daily treatment (in patient) can be of great benefit. As I review recent studies it seems that more frequent treatment has greater benefit, especially initially. If the type of facilitation/assistance required is fairly straightforward the best solution may be to train caretakers to use a walkable or MX unit in the home, that way the sessions can fit easily into the child's daily routine and be relatively cost effective.
Any recommendations as to frequency of treatment for a 5 yo with T9 paraplegia due to neuroblastoma? He has questionable degree of lesion (ie complete vs incomplete) due to the nature of the problem but no volitional active mov't of the LE's has been seen, does have some spasms, and the plan is to do a trial with him to see if any changes occur. He is presently WC bound, does not have any bracing except for AFO's. Thanks, Julie
