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PNA RESEARCH CASE LIBRARYPaediatric Rehabilitation · 2023

Multiple Approaches of Neuro-Physiotherapy Used for Improving Balance, Normalizing Tone, and Gait Training in a Child With Ataxic Cerebral Palsy: A Case Report

Dhanashree S. Upganlawar, Snehal Samal, Prishita Koul, Jaee P. Kapre

Cureus · 2023 · DOI: 10.7759/cureus.50264

Free full text available · Open access article; attribute the original authors and confirm the licence on the source page.

THE CASE IN PLAIN ENGLISH

What happened?

A seven-year-old girl with ataxic cerebral palsy had difficulty walking, standing for longer periods and performing gross and fine motor activities. The report describes a goal-oriented neuro-physiotherapy programme.

Clinical findings

  • Difficulty with gait, prolonged standing and gross/fine motor activities.
  • MRI was reported to show generalized cerebellar atrophy.
  • The child received medical care alongside physiotherapy.

Rehabilitation described in the report

  • A goal-oriented combination of approaches was described, including Rood-based activities, constraint-induced movement therapy, PNF and passive stretching.
  • The article reports a multimodal plan; it does not isolate the contribution of each component.

Reported outcomes

  • The authors reported improved balance and gait, with independent walking and a more appropriate gait pattern described after treatment.

Clinical lessons to consider

  • Set goals around participation and age-relevant activities, not tone alone.
  • Paediatric rehabilitation should be individualized and coordinated with the family and wider team.
  • Measure balance, gait and everyday function in a way that fits the child.

Limitations — what this case cannot tell us

  • A single case cannot determine which intervention was responsible for the gains.
  • The findings should not be generalized to all children with cerebral palsy or all ataxic presentations.

Original source

Dhanashree S. Upganlawar, Snehal Samal, Prishita Koul, Jaee P. Kapre. “Multiple Approaches of Neuro-Physiotherapy Used for Improving Balance, Normalizing Tone, and Gait Training in a Child With Ataxic Cerebral Palsy: A Case Report.” Cureus, 2023. DOI: 10.7759/cureus.50264

View the original publication

This page is an independently written educational summary, not a reproduction of the full paper. Check the original article for complete methods, outcome tables, references and licensing.