Volume 24, Issue 103, May - June, 2020

Case report of a spastic diplegic cerebral palsy patient: Clinical decision making in physical therapy

Akshata Raut¹, Prasad Risaldar¹, Waqar M. Naqvi^2♦, Madhuri Wane³, Arti Sahu¹

¹Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
²Professor and Head of Department, Community Health Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India
³Assistant Professor, Neuro-rehabilitation Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India

^♦Corresponding author
Professor and Head of Department, Community Health Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India; Email: waqar.naqvi@dmimsu.edu.in

ABSTRACT

Introduction: Cerebral palsy (CP) is a non-progressive, perpetual neurological condition with a frequency of 2.2-3.3/1,000 movement, posture, and physical activity. CP is a regional disorder, with a comparable prevalence in developed as well as undeveloped countries. The purpose of this study is to describe the physiotherapy rehabilitation in Cerebral palsy. Patient main concerns were inability to stand without support with truncal imbalance, impaired cognitive and social behaviour, and inability to perform daily living activities without support. Diagnosis Spastic Diplegia cerebral palsy was confirmed when the evaluation was done using GMFCS. Intervention in physiotherapy is found to be effective in reducing the complications and enhancing patient. Results: Physiotherapy intervention included static and dynamic weight bearing exercises balance training, weight bearing exercises, sustained stretching exercises, Roods approach, exercises on swiss ball, orthosis, and proper home exercise programme. Conclusion: Social skill improvement and ability to stand in an alignment gained through the physiotherapy interventions and was able to balance posture and head and neck control, and was stand with minimal support by using KAFO.

Keywords: Cerebral palsy, spastic diplegia

Medical Science, 2020, 24(103), 1809-1813

PDF