2021 Volume 58 Issue 3 Pages 320-324
[Introduction] We report a case of twins with juvenile myelomonocytic leukemia (JMML), who underwent physical therapy during chemotherapy and hematopoietic stem cell transplantation.
[Cases] Case A (first-born boy) was diagnosed as having JMML at the age of 6 months. He was treated by unrelated bone marrow transplantation at the age of 18 months. Case B (second-born boy) was diagnosed as having JMML when he was 5 months old, and unrelated umbilical cord blood transplantation was performed at the age of 7 months. Both twins were trained to walk, and they could walk independently at the ages of 22 and 18 months, respectively.
[Discussion] Various physical therapy programs based on developmental risk factors were provided to each twin. The causes of retarded development were different, but an extended period was required to enable both toddlers to walk without aids. It is important to carry out a thorough evaluation of each patient and provide rehabilitation tailored to each condition.
