PMID- 36277570
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221025
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 9
DP  - 2022 Sep
TI  - The Effect of Neuro-Physiotherapy on Gross Motor Function in a Male Child With 
      Spastic Diplegic Cerebral Palsy: A Case Report.
PG  - e29310
LID - 10.7759/cureus.29310 [doi]
LID - e29310
AB  - Cerebral palsy (CP) is a condition caused by a non-progressive lesion in the 
      developing brain. CP has a wide range of prevalence, ranging from 1.5 to three 
      cases per 1,000 persons. Newborns weighing less than 2,500 grams now account for 
      half of all incidences of CP. Clinical management in physical therapy is a 
      paradigm for enhancing organizational capacity, integrating evidence-based best 
      practices, and enhancing outcomes. This is a case report of a 21-month-old male 
      child with a history of sudden onset of seizure, fever, drowsiness, frothing from 
      the mouth, and up rolling of eyes. He had a global developmental delay with 
      microcephaly and breakthrough seizures with anemia under evaluation. Magnetic 
      resonance imaging (MRI) brain revealed the possibility of hypoxic-ischemic 
      insult. The child was managed conservatively using medications i.e., ibuprofen 
      (7.5mL/6hrly), cephalosporin (450mg/day in divided doses), and phenytoin. 
      Physiotherapy management was provided with integrative approaches including 
      Neurodevelopmental treatment principles, passive stretching, static 
      weight-bearing exercises, and task-oriented approaches. The evaluation was done 
      using the Modified Ashworth Scale and Gross Motor Function Measure-88 (GMFM-88). 
      Early physiotherapy with integrative approaches helps in the improvement of gross 
      motor developmental milestones in children with Spastic diplegic CP.
CI  - Copyright (c) 2022, Harjpal et al.
FAU - Harjpal, Pallavi
AU  - Harjpal P
AD  - Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical 
      Sciences, Wardha, IND.
FAU - Raipure, Anushka
AU  - Raipure A
AD  - Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical 
      Sciences, Wardha, IND.
FAU - Kovela, Rakesh K
AU  - Kovela RK
AD  - Physiotherapy, NITTE Institute of Physiotherapy, NITTE (Deemed to be University), 
      Mangalore, IND.
FAU - Qureshi, Moh'd Irshad
AU  - Qureshi MI
AD  - Neuro-Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of 
      Medical Sciences, Wardha, IND.
LA  - eng
PT  - Case Reports
DEP - 20220919
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9579827
OTO - NOTNLM
OT  - case report
OT  - cerebral palsy
OT  - physiotherapy
OT  - rehabilitation
OT  - spastic diplegia
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/10/25 06:00
MHDA- 2022/10/25 06:01
PMCR- 2022/09/19
CRDT- 2022/10/24 04:35
PHST- 2022/09/01 00:00 [received]
PHST- 2022/09/19 00:00 [accepted]
PHST- 2022/10/24 04:35 [entrez]
PHST- 2022/10/25 06:00 [pubmed]
PHST- 2022/10/25 06:01 [medline]
PHST- 2022/09/19 00:00 [pmc-release]
AID - 10.7759/cureus.29310 [doi]
PST - epublish
SO  - Cureus. 2022 Sep 19;14(9):e29310. doi: 10.7759/cureus.29310. eCollection 2022 
      Sep.