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This study describes a physiotherapy program for improving the functional ability of a child diagnosed with complicated HSP and reports the treatment results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 10\u2010year\u2010old boy with complicated HSP received a physiotherapy intervention that included strengthening of the leg muscles and treadmill training for 1\u00a0h per session, three to four times a week for 6\u00a0weeks. Outcome measures included sit\u2010to\u2010stand, 10\u2010m walk, 1\u2010min walk tests, and gross motor function measures (dimensions D and E).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After the intervention, the sit\u2010to\u2010stand, 1\u2010min walk, and 10\u2010m walk test scores improved by 6.75 times, 2.57\u00a0m, and 0.05\u00a0m\/s, respectively. Furthermore, the gross motor function measure dimensions D and E scores improved by 8% (46%\u201354%) and 5% (22%\u201327%), respectively. The gains in each parameter were maintained at the 3\u2010 and 6\u2010month and 1\u2010year follow\u2010ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that structured physiotherapy programs can benefit the functional rehabilitation of children with complicated HSP.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.2006","type":"journal-article","created":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T20:23:48Z","timestamp":1681503828000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Physiotherapy strategies for functional improvement in a child with complicated hereditary spastic paraplegia: 1\u2010year follow\u2010up of a case report using a changing criterion design"],"prefix":"10.1002","volume":"28","author":[{"given":"Ji\u2010Young","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Physical Therapy Dodam Development Center  Cheongju Chungcheongbuk\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7430-7134","authenticated-orcid":false,"given":"Duck\u2010Won","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy College of Health and Medical Science Cheongju University  Cheongju Chungcheongbuk\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung\u2010Min","family":"Son","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy College of Health and Medical Science Cheongju University  Cheongju Chungcheongbuk\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang\u2010Ju","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy College of Health and Medical Science Cheongju University  Cheongju Chungcheongbuk\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0012162203000446"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE\u2010141196"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/17518423.2018.1462270"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.10.025"},{"issue":"1","key":"e_1_2_14_6_1","first-page":"23","article-title":"Are patients with hereditary spastic paraplegia different from patients with spastic diplegia during walking? 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