Physiotherapy
Journey of Progress – Child P
- Therapist: Dr. D. Rebila (PT)
- Child’s Name: P
- Age: 8 years
- Diagnosis: Congenital Hydrocephalus, Moderate Intellectual Disability (40%), Left-Sided Motor Involvement
Introduction
When 8-year-old P first came to physiotherapy, Since her journey had already been marked by many challenges for part 1 year. Diagnosed with congenital hydrocephalus and a history of seizures, she also presented with moderate intellectual disability and motor involvement predominantly on the left side of her body—affecting both her upper and lower limbs. These conditions made everyday activities like standing, walking, dressing, and eating difficult for her. She had poor trunk stability, hip misalignment, and a flexed posture in her left arm that limited her ability to reach, grasp, and use her hand effectively.
During the initial assessment, it became clear that P needed more than just physical intervention—she needed encouragement, structure, and consistency to help her regain control over her body and daily life. Her left side showed signs of significant weakness and spasticity, placing her at risk for joint stiffness and further developmental delays.
When 8-year-old P first came to physiotherapy, Since her journey had already been marked by many challenges for part 1 year. Diagnosed with congenital hydrocephalus and a history of seizures, she also presented with moderate intellectual disability and motor involvement predominantly on the left side of her body—affecting both her upper and lower limbs. These conditions made everyday activities like standing, walking, dressing, and eating difficult for her. She had poor trunk stability, hip misalignment, and a flexed posture in her left arm that limited her ability to reach, grasp, and use her hand effectively.
During the initial assessment, it became clear that P needed more than just physical intervention—she needed encouragement, structure, and consistency to help her regain control over her body and daily life. Her left side showed signs of significant weakness and spasticity, placing her at risk for joint stiffness and further developmental delays.
The Therapy Journey
A customized physiotherapy plan was developed to address her needs. The goals were clear:
A customized physiotherapy plan was developed to address her needs. The goals were clear:
- Strengthen her hips and improve trunk stability
- Encourage functional use of her left upper limb in daily tasks
- Maintain correct alignment and prevent joint contractures
- NDT (Neurodevelopmental Treatment) techniques were used to promote controlled, coordinated movement.
- Weight-bearing and balance exercises were introduced to strengthen her lower limbs.
- Task-specific training focused on real-life activities such as dressing, feeding, and grasping objects.
- A crip bandage was used on her left arm to promote correct alignment during both activity and rest.
- Regular stretching and strengthening routines targeted the muscles on her left side.
- T swing and bolster swing activities were integrated for full-body strengthening and sensory engagement.
The Transformation:
Gradually, positive changes began to emerge. P developed better hip control and improved her ability to sit and stand independently. Her left arm, once tightly flexed, started to open up with improved positioning and reduced tightness. She began to show more active participation in tasks, from handling objects to attempting dressing movements on her own. Her balance also improved significantly, especially during transitions from sitting to standing.
Beyond the physical changes, there was a noticeable boost in P’s confidence and willingness to engage in group and structured activities. She approached therapy sessions with more enthusiasm and started believing in her abilities.
Gradually, positive changes began to emerge. P developed better hip control and improved her ability to sit and stand independently. Her left arm, once tightly flexed, started to open up with improved positioning and reduced tightness. She began to show more active participation in tasks, from handling objects to attempting dressing movements on her own. Her balance also improved significantly, especially during transitions from sitting to standing.
Beyond the physical changes, there was a noticeable boost in P’s confidence and willingness to engage in group and structured activities. She approached therapy sessions with more enthusiasm and started believing in her abilities.
P’s journey stands as a testament to how individualized physiotherapy—blended with the right tools, structured guidance, and emotional support—can lead to meaningful progress. Through consistent intervention and the use of aids like the crip bandage, P has made significant strides in mobility, posture, and daily functioning. At 8 years old, she is now more independent and actively participating in her world with newfound confidence and joy.
