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PHYS THER
Vol. 61, No. 6, June 1981, pp. 907-911
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Case Reports

Effects of Behavioral Modification on the Standing and Walking Deficiencies of a Profoundly Retarded Child: A Case Report

Samuel B Hester, LT, MSC, USNR

Dr. Hester is Chief Psychologist, Neuropsychiatric Clinic, Naval Regional Medical Center, Millington, TN 38054 (USA).

This excerpt was created in the absence of an abstract.

Physical therapists working with severely and profoundly retarded children are frequently confronted with children who are uncooperative, nonverbal, and nonambulatory. Ambulatory deficiencies among such children are primarily the result of neurological impairment. Some deficiencies, however, result from aberrant reinforcement; that is, deficient or nonadaptive behavior is positively reinforced, whereas adaptive behavior receives no positive reinforcement. In such cases, behavioral modification in the form of physical guidance and positive reinforcement is the most effective technique for correcting the child's deficient walking behavior.

Positive reinforcement has been used to modify the behavior of both normal and handicapped persons.1–3 With a severely and profoundly retarded person, however, physical guidance is also necessary, because the person may seldom demonstrate even an approximation of the response that is to be reinforced. Therefore, the therapist initially must guide the person to perform the correct response.4–6

Key Words: Behavioral therapy • Child, exceptional • Gait • Physical therapy


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Copyright © 1981 by the American Physical Therapy Association.