Dhan Bir Bk : Progress Report:

Dhan Bir BK, a 4 and half year old male child from Chaurjhari, Rukum, Karnali province was diagnosed with Diplegic CP. He was admitted to ADC on 24^th May, 2019. The main concern of his mother was that he was unable to stand and walk. He had good head control, rolling, creeping and crawling. He has skillful play if taught. The main goal of our team was to make him able to stand and walk within 3 to 6 month. We provided him play and functional therapy, strengthening training, balance and propioceptive exercises, gait training and some basics of special education. On 7^th August, we re-assessed him and found out that he was able to stand with minimal support and can walk properly with the support of walker. His parents are so motivated with progress that they want to keep him more in our rehab center. Also our goal is to make him independent and enhance his quality of life.

                        

                                                                                    

                                                                                

                                                                                                                                                                                      Thank you.

Success Story of Sudarshan Rokaya

Sudarshan Rokaya , 1 and half years old male child from Nalaghat-8, Jajarkot was admitted at ADC on 2^nd Baisakh 2075with a chief complain – unable to sit and crawl independently. According to his mother, he is a preterm baby (7 months) with no history of cry at the time of birth (delivery at home). The baby started to recognize his mother at the age of 1 year, started cooing at 1 year, started to speak 2 letter word at the age of 14 months and rolling at 16 months.

On observation of the child, his build was mesomorphic and facial grimace was normal. He had no drooling and dismorphic features. He has normal hearing and vision with impaired speech. On examination his tone was normal in bilateral upper and lower limb with normal superficial and deep reflexes. He had good head control and rolling but was unable to creep, sit, crawl, stand and walk. He had impaired balance and unable to do toileting, eating and dressing. He was diagnosed as Diplegic Cerebral Palsy. Our anticipated goals for him for initial 1 month was to make him able to creep and make him sit independently with trunk control.

 

The treatment given for him was Neurodevelopmental Therapy (Bobath Approach) for crawling and creeping using different attractive toys. Play therapy while sitting in order to gain his trunk control before independent sitting. Functional exercises like holding and throwimg different objects, reaching etc were done for upper extremity function. Also, basic speech therapy was given.

What we achieved after 1 months of treatment sessions?

             

Now he is able to crawl at least for 5 to 6 steps. He can hold his trunk while siotting for at least 2-3 minutes. He can play different toys for 5 to 10 mins. He can speak 2-3 words more than before.

(Report is prepared by Dipendra Thakur ;  Senior physio therapist of ADC) 

Thank You !