Frontiers in rehabilitation sciences · 2026
A self-made suspension trainer as a tool for core muscle activation and motivation in a girl with cognitive and motor impairments: a case report.
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Maksym Volodymyr
Аннотация
BACKGROUND: Children with combined cognitive and motor impairments often experience persistent difficulties with postural control, core muscle function, and motivation for rehabilitation. Low-cost, engaging approaches may be particularly relevant in resource-limited settings.
CASE PRESENTATION: This case report describes a 13-year-old girl with a history of perinatal hypoxic-ischemic brain injury and early-onset seizures, who had severe cognitive and motor impairment. Caregiver-provided clinical documentation indicated severe intellectual disability (ICD-10: F72.0) and degree II-III activity limitations (as graded within national rehabilitation documentation) across domains including self-care, mobility, communication, behavioral regulation, and learning-related functioning. Clinically, she demonstrated marked core and scapular weakness, a rounded upper back posture, and reduced motivation after years of conventional therapy.
INTERVENTION: A self-made suspension trainer was constructed from accessible materials (rope, gym stick, and floor mat) and integrated into therapy sessions. The main task consisted of supported sit-ups combined with assisted pulling, enabling partial weight support, with gradual progression in repetitions and independence.
OUTCOMES: Across sessions, observable changes were noted in task performance and engagement, including increased repetitions and reduced need for assistance. Outcomes were documented through session logs, therapist observation, and caregiver report; no standardized outcome measures were applied.
CONCLUSION: This single-case report provides qualitative, hypothesis-generating observations suggesting that a low-cost, therapist-made suspension trainer may support engagement and task performance in a child with complex neurodevelopmental needs. These findings are not generalizable and warrant evaluation using standardized outcomes and longer follow-up.
CASE PRESENTATION: This case report describes a 13-year-old girl with a history of perinatal hypoxic-ischemic brain injury and early-onset seizures, who had severe cognitive and motor impairment. Caregiver-provided clinical documentation indicated severe intellectual disability (ICD-10: F72.0) and degree II-III activity limitations (as graded within national rehabilitation documentation) across domains including self-care, mobility, communication, behavioral regulation, and learning-related functioning. Clinically, she demonstrated marked core and scapular weakness, a rounded upper back posture, and reduced motivation after years of conventional therapy.
INTERVENTION: A self-made suspension trainer was constructed from accessible materials (rope, gym stick, and floor mat) and integrated into therapy sessions. The main task consisted of supported sit-ups combined with assisted pulling, enabling partial weight support, with gradual progression in repetitions and independence.
OUTCOMES: Across sessions, observable changes were noted in task performance and engagement, including increased repetitions and reduced need for assistance. Outcomes were documented through session logs, therapist observation, and caregiver report; no standardized outcome measures were applied.
CONCLUSION: This single-case report provides qualitative, hypothesis-generating observations suggesting that a low-cost, therapist-made suspension trainer may support engagement and task performance in a child with complex neurodevelopmental needs. These findings are not generalizable and warrant evaluation using standardized outcomes and longer follow-up.