Reason for Referral: When little P walked into the therapy room for the first time, she was just eight years old—but her small frame carried the weight of many challenges. Born with congenital hydrocephalus, P had already braved multiple health hurdles, including a history of seizures. She was also diagnosed with moderate intellectual disability (40%) and left-sided motor involvement, which affected both her upper and lower limbs.

Her posture told its own story. Her left arm remained tightly flexed, limiting her ability to reach or grasp objects. Her trunk was unstable, her hip misaligned, and her movements lacked balance. She seemed hesitant, as if her body didn’t feel like her own. When I met her for the first time, I could feel both the weight of her challenges and the strength quietly burning within her. I knew that she didn’t just need physical exercises. She needed hope, encouragement, structure, and someone who would believe in her every single day.

Therapeutic Approach: Her therapy journey began with a vision to build her hip strength and trunk control, encourage the use of her left arm in daily activities, and support her overall posture and alignment. We focused on helping her feel safer in her body while giving her opportunities to succeed in small but meaningful ways. I introduced Neurodevelopmental Treatment techniques to guide her through controlled, purposeful movements. Weight-bearing and balance activities helped her lower limbs grow stronger and gave her the confidence to hold herself up. We worked on real-life skills like reaching for her clothes or feeding herself, turning her therapy sessions into moments of independence. To support her posture, I gently wrapped a crip bandage around her left arm to help it stay in a more open, aligned position. Daily stretching and strengthening exercises were woven into her routine, and we added elements of play through swings—like the T swing and bolster swing—that made full-body strengthening feel fun and natural.

Progress & Outcome: Over time, the changes in P were beautiful to witness. She began to sit and stand on her own with better balance. Her left arm, once held tightly against her body, slowly began to open. She reached out for toys, picked up small objects, and began to explore her environment more freely. She started attempting dressing movements, showing a spark of determination and a quiet sense of pride.

What stood out the most was her transformation beyond just movement. She walked into

therapy with more confidence. She laughed more. She made eye contact. She began to

participate in group tasks without hesitation. I could see her belief in herself growing, and

with every small success, she stood a little taller—both physically and emotionally. P’s story is a powerful reminder that every child holds untapped strength—they just need someone to help them find it. Through a consistent, personalized, and caring physiotherapy approach, P has made tremendous progress. Today, she is more independent, more expressive, and more connected with her world. Her journey is not just about physical milestones. It’s about discovering confidence, building hope, and unlocking the joy of possibility.