Occupational therapy intervention in a child with multicentric carpotarsal osteolysis: Case report

Introduction: Multicentric Carpotarsal Osteolysis (MCTO) is a rare, genetic disabling disease beginning in early childhood, resulting in the destruction and resorption of carpal and tarsal bones. The aim of this study was to describe the occupational therapy intervention on a child with MCTO to evaluate the impact of the treatment on daily function, autonomy, and participation in activities of daily living. Methods and case description: Interventions focused on self-care, power wheelchair mobility, and environmental adaptations. The Canadian Occupational Performance Measure measured the child’s progress. After 5 months, he was independent in directing his care and driving his power wheelchair; he also increased participation in games and social activities with peers. Conclusions: The intervention process and the occupational therapist’s role are detailed. This study contributes to future research to create standards of care aimed at improving patients’ functional independence and quality of life.