Sprouting Up Therapy

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Sprouting Up Therapy

Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Sprouting Up Therapy, Physical therapist, Montgomery, TX.

Our mission is to improve the health and enrich the lives of individuals by working one-on-one to promote independent function and social participation through gross motor skills including strengthening, flexibility, balance, and mobility.

03/14/2026

Let us celebrate National Pi Day by treating ourselves to the most delicious pies loaded with love and sweetness.

03/13/2026

Medical Management for Duchenne's Muscular Dystrophy

Corticosteroids-to prolong walking ability and to preserve UE, cardiac, and respiratory function
-Prednisone 0.75 md/kg/d lowest dose-maximal benefit in slowing disease
-Emflaza (deflazacort-0.9 mg/kg/d

Vitamins

Diet-low sodium, low calorie (less muscle tissue to break down carbs)

Immunizations

Respiratory management: respiratory function assessed every 6 mos

Cardiac management:
Ambulatory stages: ECG, echo, cardio-MRI-at dx and annually
Non-ambulatory stages: cardiac function assessed more frequently

Medication: ACE inhibitors, beta-blockers and diuretics

Orthopedic/surgical management:
Anesthesia risk for surgical interventions due to cardiomyopathy
Contracture management
Scoliosis management-spinal orthosis not recommended due to negative effects on respiration
Bracing and surgeries for continuation of standing and walking (not advised in the late non-ambulatory stage)

PT management-ROM, stretching and strengthening exercise
-Bracing for standing and ambulation and night-time contracture management
-Standing programs (caution with late non-ambulatory stage)
-Rehabilitation after surgical intervention to address contractures and scoliosis
-W/c mobility
-Breathing exercises, assisted cough

03/12/2026

Signs and symptoms associated with Duchenne's Muscular Dystrophy

(+) Gower’s sign
Pseudohypertrophy of gastroc/soleus
Increased lumbar lordosis
Knee hyperextension in stance
Toe-walking leading to equinus ankle contractures
Hip flexor and IT band contractures
Progressive weakness leads to loss of ambulation
Progressive scoliosis

Cause of death is typically respiratory failure or pulmonary infection and often occurs in adolescence or young adulthood, with survival into early 30s becoming more common.

03/11/2026

Duchenne muscular dystrophy occurs in approximately one in 5,000 male births and about 20,000 babies worldwide are born with it each year.

03/10/2026

Muscular dystrophy (MD) is an inherited disorder that causes muscle weakness and atrophy. There are nine main types of muscular dystrophy, some with subtypes. Muscular dystrophy symptoms are similar through all types.

Each type of MD causes weakness and degeneration of the muscles involved in voluntary movement, such as walking. All types of MD are progressive, but they vary by age of onset, severity, and the pattern in which the muscles are affected.

The most common type of MD is Duchenne muscular dystrophy. Typically, Duchenne MD becomes apparent during the toddler years as children begin to walk. Other types of MD, like Becker MD, may appear later in childhood or even in people up to the age of 25.

Some other types of MD, like oculopharyngeal MD, do not appear until you are well into adulthood, generally beginning in your 40s or 50s.

The 9 types of muscular dystrophy include:
Duchenne
Becker
Limb-Girdle
Myotonic
Facioscapulohumeral
Congenital
Oculopharyngeal
Distal
Emery-Dreifuss

03/09/2026

GMFCS is an outcome measure typically used to measure functional level of children with Cerebral Palsy.

03/08/2026

Spring Forward!

Don't forget to set your clocks an hour ahead this evening.

03/07/2026

Medical management of complications with Cerebral Palsy

Tendon lengthening-z type incision in muscle/tendon increase ROM, decrease muscle spasticity

Tendon transfer-correct deformity, improve alignment and function

Osteotomy-correct bony malrotation, realign joint, reduce sublux, increase efficiency

Arthrodesis-fuses to correct progression, align spine

SEMLS-single even multilevel surgery-combine soft tissue with bony

Stem cell therapies

Antiepileptic drugs

Antispasticity drugs-baclofen, botox, neurolytic blocks

Deep brain stimulator

Selective dorsal rhizotomy- ambulatory children with bilateral spastic CP, age 3-8,
Hip adductor spasticity lower than 3 on modified ashworth scale, GMFM-88 score >60%

Posterior (reverse wheeled) walkers

AFO with Footwear combination

03/06/2026

Signs and Symptoms of Cerebral Palsy

Disturbances of sensation, perception, cognition, communication, behavior
epilepsy
-Unilateral CP: partial seizures are most common (specific focal area) may manifest as staring spells or automatisms (repetitive movements) lip
smacking, eye turning, muscle contraction and relaxation on one side of the body
-Bilateral CP: generalized seizures are most common (both hemispheres) atonic-drop attack, sudden decrease in muscle tone

Secondary musculoskeletal problems:
sc******ng gait
balance deficits
low bone mass density
muscle weakness
muscle co-activation flexors/extensors causing stiffness
dysarthria, sialorrhea, oropharyngeal aspiration, dysphagia
spasticity
common deformities-ankle equinus, hip subluxation, knee crouching, UE contractures

Spasticity and tightness are related but distinct conditions involving muscle stiffness, but spasticity specifically refers to a velocity-dependent increase in muscle tone, while tightness is a general term for muscle stiffness that can be caused by various factors. Spasticity is often associated with neurological conditions causing disruption in communication between the brain and muscles, such as CP and is characterized by increased resistance to movement, particularly when the movement is rapid. People often have exaggerated deep tendon reflexes as well. Tightness, on the other hand, can be caused by factors like muscle overuse, inactivity, or even a muscle strain.

03/05/2026

Types of Cerebral Palsy

Spastic CP-consistent cramped-synchronized movements (earlier onset correlates with greater severity of impairment), absent fidgety movements (may be preceded by poor repertoire of cramped-synchronized general movements), transient cramped-synchronized movements followed by absent fidgety movements (neurological outcome is normal if transient cramped-synchronized movements are followed by typical fidgety movements

Dyskinetic (dystonia or athetosis) CP-poor repertoire of general movements, atypical circular UE movements, finger splaying (all types seen together until second post term month, circular UE movements are slow forward rotations of the shoulder and monotonous in their amplitude and speed, circular movements and finger splaying persist until at least the fifth post-term month), lack of midline skills (seen at 3 months of age and later), absence of fidgety movements (seen between 3 and 5 months of age)

Bilateral CP-movement and posture of all 4 extremities and trunk are impaired (diplegia or quadriplegia)-consistent cramped-synchronized movements (if movement type has a later onset and is present for a shorter period of time, UEs are more likely to be less involved than LEs resulting in diplegia, concurrent presence of isolated movements of hands and fingers that occur separately or a part of general movements predicts diplegic CP, in the absence of isolated movements, UEs and LEs are more likely to be equally involved resulting in quadriplegic CP)

03/04/2026

Causes of Cerebral Palsy

Prenatal (75%)-congenital brain malformations, vascular events, maternal infections in the first and second trimesters, rare genetic syndromes, maternal ingestion of toxins, metabolic disorders (ie occlusion of middle cerebral artery, rubella, cytomegalovirus, toxoplasmosis)

Perinatal (6-8%)-problems during labor and delivery associated with perinatal asphyxia, neonatal problems (ie umbilical cord prolapse, obstructed labor, antepartum hemorrhage, untreated jaundice, hypoglycemia, severe infection)

Postnatal (10-18%)-infections, injuries, life-threatening events (ie meningitis, septicemia, malaria, MVA, near drowning, non-accidental injuries, CVA, sequelae of surgical intervention for congenital malformations)

Photo from ABC Law Centers

03/03/2026

This month, we are going to dive into more information on these disabilities.

Stay tuned for more!

Address

Montgomery, TX
77356

Website

http://www.sprouting-up-therapy.com/

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