Physiotherapy rehabilitation of 3-year-old girl having spastic diplegic cerebral palsy

Priya Tikhile, Chaitanya A. Kulkarni*, Waqar M. Naqvi

Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Cerebral palsy is a concept that denotes a collection of long-term motion and posture disturbances that hinder daily tasks. The incidence has been estimated to be between 2 and 2.5 per 1000 live births. Non-progressive reforms with in brain's progress across foetal or child advancement are viewed as evidence of this disorders. Cerebral palsy can be segregated into certain sorts of motor impediments relying on their topography: Diplegia, hemiplegia, quadriplegia, monoplegia, and triplegia. Such patients seemed to have cognitive, sensory, or motor illness. It has an effect on motion, posture, and physical activity as well. Supplemental abnormalities such as spasticity, which have an effect on general health and makes studying fresh chores distressing, are also prevalent in children with CP. Spasticity is a pervasive feature of a CNS lesion. This leads to issues with functionality. Medical surgical and physiotherapeutic approaches such as stretching, positioning, manual therapies such as massage, MFR, MET and Cryotherapy are also used along with a few other physiotherapy approaches to alleviate spasticity. MFR and cryotherapy have been shown to help children with CP counteract spasticity. The objective of this project is to focus on the perks of physiotherapy restoration in cerebral palsy, along with the influences of MFR and cryotherapy on spasticity in the limbs in a 3-year-old girl with spastic diplegic cerebral palsy. The key concerns of the patient were hurdle in rolling and crawling, failure to stand and sit without aid, and spasticity. When the assessment was performed using GMFCS and spasticity by MAS and MTS, the diagnosis of spastic diplegic cerebral palsy was ascertained. It has been claimed that physiotherapy care is viable in fulfilling intended outcomes. The following are the outcomes: Cryotherapy and Myofascial Release technique were used to manage spasticity, as well as ROM exercises, gradual passive stretching, balance training, swiss ball exercises, weight bearing exercises, orthosis, and a decent home fitness regimen. The analysis revealed that physiotherapy measures like those of cryotherapy and myofascial release technique had a promising effect on improving spasticity and raising ability to stand, roll, partial neck control, crawl, balance posture, and stand with AFO help.

Keywords:

Cerebral Palsy, Spastic diplegic, Physiotherapy Intervention, Modified Ashworth Scale.