Effectiveness of a Blend of Pelvic Proprioceptive Neuromuscular Facilitation, Task-Oriented Approach, and Rood's Approach in a Three-Year-Old Child With Spastic Diplegia: A Case Report

Abstract

As a result of non-progressive brain damage, cerebral palsy (CP) has traditionally been seen as a disorder of movement and posture; however, more recent classifications enable clinicians to understand more than just the movement issue. Research has evolved with the accurate categorization of cerebral palsy into distribution, motor type, and functional level. Children with spastic diplegia usually have pelvic asymmetry, which affects the child's functional abilities, including their ability to balance and walk independently. Physical therapists currently treat this illness using a variety of treatments, each of which is significant in its own way. A model for enhancing organizational capabilities is clinical management in physical therapy, which incorporates effective practices supported by research and improves outcomes. This case study demonstrates the efficiency of a deliberate physical therapy strategy to enhance functional independence in a three-year-old male child with spastic diplegia. The young patient complained of difficulties with balance and toe-walking and a delay in reaching age-appropriate milestones when seen in the neuro physiotherapy outpatient department. History demonstrated that a delayed cry occurred with an abrupt onset of fever, foaming at the mouth, and other symptoms described.

Keywords: cerebral palsy; proprioception neuromuscular facilitation; rood’s approach; spastic diplegia; task-oriented approach.

Figure 1. Delivering pelvic proprioceptive neuromuscular facilitation to the child in a side lying

Figure 2. Reach out activities to the child in kneeling position

Figure 3. Prolonged stretching of calf muscle

Figure 4. Gait training with involvement of mirror biofeedback