Cerebral Palsy - OT FUNCTION

Dr. Krishna N S., BOT
 

Medical Case Details:

A child diagnosed with Cerebral palsy (spastic) at the age of 1.5 years in 2018. Initially, the child was treated with Developmental positions as well as NDT (Neuro-Developmental Therapy). Now at the age of 3.5 years, the child developed normal sitting positions and stands independently without support. Need recommendations for reducing spasm in hip abductors, to promote walking.

 


Discussions


Dr. Sudhakar Palanisamy
Paediatrician

Good physio had improved most of babies. If it doesnt work then drugs like baclofen can be tried. Botulism toxin can help of available. Ortho interventions like casp/splint or may be surgical management of adductors can be tried..

26.Aug, 10:26am


Geetika Sethi
Occupational Therapy

Positioning, wt bearing, slow stretching, deep pressure..... if all tried, go for botox followed by proper therapy.

26.Aug, 10:29am

Krishna N S
Occupational Therapy

Thanks for your recommendations

26.Aug, 11:03am

Dr. Mohammed Raees Tonse
Radiation Oncologist

Will require a pediatric orthopaedic opinion. Would recommend taking the opinion for the same. Would recommend Dr Nabila Khan trained from CMC Vellore for an opinion

29.Aug, 08:35am

Dr. Hussain Wahab
Orthopaedician And Traumatologist

Needs Paediatric orthopaedic openion.
As explained by many colleagues, Good physiotherapy, and Botox injection. Most of the time these patients needs adductor tenotomy, surgical management for hip contracture and scissoring gate.

03.Sep, 10:03pm

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