Physiotherapy Assessment and Home program of Spastic Hemiplegic Cerebral Palsy Child

Name : XyZ

Age /sex : 16 years

DOB : 1-07-2005

Birth cry ; yes

Delivery ; normal Delivery

Diagnosis : mental retardation with seizures

Disorder with old CVA ( RT fronto temporo parietal infarct )

Past medical history

: Fever and jaundice

Current medical history

Frequent episode of Seizures

Problem list ;

Circumductory gait

High steeping

Internal tibial torsion left leg

Both side hams tight

Left side T A tight

Flat feet

Left hand flexed internal rotated wrist flexion ulnar deviation

Tightness of pectoral muscle

Shoulder flexor

Pronator teres tightness

Gross muscle weakness of left side of upper limb and lower limb

Physiotherapy management

Mild Hamstring stretching of left side leg

T .A stretching left side

Hip flexor stretching

Left hand Pronator stretching

Basic active muscle strengthening exercise

Bridging

Pull to stand

Pull to sit

Throwing ball high Sitting

Standing and kneeling

Sit to stand high level chair to low level chair

Squatting to standing with maintaining alignment

Kneeling activity oriented

Half kneeling balance exercise

Half kneeling to standing

Standing oriented exercise

One foot standing

Step standing

Yard standing

Stride standing

Walking over foot mark

hand function activity :

pick and drop

shape sorter activity

theraputty – rolling tearing , cutting ,

punching ( use stapler )

paper cutting ( using scissor )

paper tearing soft – hard

picking coin drop to other bucket

pushing and pulling

cleaning mirror in high sitting and cross sitting

squeez smile ball

bead lacing

Writen and edit by

Dr Akshay Raj Chandra

Consultant Pediatric Physiotherapist

www.physiohomebased.com

Ph +917827068869

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