Lifting more than weights: practical insights into strength training for a child with special needs—a case report

BACKGROUND: Resistance training remains underused in the rehabilitation of children with neurodevelopmental disorders, despite growing evidence of its multidimensional benefits beyond muscular strength. This case describes how an adapted resistance exercise program appeared to support functional, behavioral, and emotional changes in a child with developmental delay secondary to perinatal hypoxic brain injury. CASE PRESENTATION: A 13-year-old girl of European descent with global developmental delay following perinatal cervical trauma and hypoxic brain injury, studying in a specialized educational institution, participated in a 12-week individualized resistance training program. Sessions were held 3 times per week for 45-60 min, depending on her concentration and tolerance. Exercises included bodyweight squats while holding on to wall bars (stall bars), knee push-ups, assisted abdominal crunches with leg fixation, and pull-ups on an inclined rehabilitation board (Evminov board), all tailored to her abilities and closely supervised. Her communication was limited to a few words and gestures, and she presented with impulsive behavior, poor motor control, and sensory processing difficulties. After 12 weeks, she showed observable improvements in posture, gait stability, endurance, and engagement during physical tasks. Teachers and caregivers also noted reduced irritability, better emotional regulation, and more consistent participation in group activities. CONCLUSIONS: This case illustrates the feasibility and potential benefit of integrating individualized resistance training into rehabilitation programs for children with developmental disabilities. Such low-cost, simple interventions may complement standard therapies and enhance well-being in institutional or school settings. These observations are based on qualitative reports and should be interpreted with caution.