38주 둔위(Breech) 출생 6개월 영아의 운동발달 지연에 대한 운동치료 중재 연구: 사례연구

The Effect of a Physical Therapy Intervention on Motor Developmental Delay in a 6-Month-Old Infant Following a Full-Term Breech Delivery: A Case Report

Objective: This case report evaluates the effectiveness of a physical therapy intervention, integrating Neurodevelopmental Treatment (NDT) with a parent-led home program, for a 6-month-old infant presenting with motor delay and postural asymmetry following a full-term breech delivery Method: The infant's motor function was assessed using the Alberta Infant Motor Scale (AIMS) and the Gross Motor Function Measure (GMFM) at pre-intervention, post-intervention (8 weeks), and a 12-week follow-up. The 8-week, NDT-based intervention focused on improving postural control and symmetrical movement, with a parent-led home program integrated through education in each session. Results: At the 12-week follow-up, the infant's AIMS percentile rank improved from <5th to the 25th percentile, entering the typical developmental range. Post-intervention (8 weeks), GMFM scores increased by 39.6 percentage points for the ‘Lying & Rolling’ dimension and 37.5 percentage points for the ‘Sitting’ dimension. Initial hypotonia and postural asymmetry were resolved, resulting in functional gains such as symmetrical, bidirectional rolling. Conclusion: An NDT-based intervention combined with a parent-led home program effectively improved both quantitative and qualitative motor functions for this infant with motor delay post-breech delivery. These findings underscore the importance of early, comprehensive intervention that incorporates parental engagement for infants with perinatal risk factors.