nal capacity:Group A consisted of those who were severely dwarfed with large heads and marked bowing , contractures, and weakness of extremities. The highest functional skill expected was independent sitting. Group B was growth deficient, but with a normal sized head. Femoral bowing, scoliosis, and contractures of the hip flexors were characteristics. they were expected to stand and/or ambulate with braces. Group C was less growth deficient, and had good strength, but poor endurance. They had marked joint laxity and poorly aligned lower extremity joints, but were ambulators (Binder, 386-387).Group A patients were the most severely involved. Most were basically sitters. The majority was totally dependent in their self-care. Group B had the potential to become at least short-distance ambulators. These patients had acquired the ability to move to sitting, but had transitional moving problems, such as sitting to standing. All were partially independent in their self-care. Group C had antigravity strength and 50% had good strength in their extremities. All were physically active and age-appropriately independent, but none were good long-distance walkers (Binder, 387-388).Progressive rehabilitation of these groups all included posture exercises and active range of motion and strengthening exercises. Group B had additional ROM and posture exercises, as well as developmental exercises. Group C added coordination activities (Binder, 388).Conclusion, "Management of patients with OI should address the child's functional needs. Even though the degree of disability may be severe, management should not be limited to orthopedic procedures and bracing. Treatment planning should be considered, but not totally based on genetic, anatomical, and biochemical abnormalities. Our experience suggests that clinical grouping based in part on functional potential can be useful in the appropriate management of children with OI"(Binder, 390). Independence was stress...
