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Effect of a Tailored Physiotherapy Rehabilitation on Developmental Delay Primary to Non-communicating Hydrocephalus:
Chaitali S Vikhe1, H V Sharath2, Raghumahanti Raghuveer3
1Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Insights
Early physiotherapy significantly improved motor skills and neurological function in a one-year-old with hydrocephalus and developmental delay. This intervention enhanced gross motor function and overall development, improving quality of life.
Area of Science:
- Pediatric Rehabilitation
- Neurology
- Developmental Pediatrics
Background:
- Non-communicating hydrocephalus in infants often results in significant developmental delays and neurological impairments.
- Early intervention is crucial for managing the complex needs of affected children.
Observation:
- A one-year-old male with non-communicating hydrocephalus and developmental delay received a comprehensive physiotherapy intervention.
- Therapeutic approaches included neurodevelopmental techniques, sensory stimulation, hippotherapy, and sensory integration therapy.
- Intervention focused on improving head and trunk control, sensory awareness, coordination, and balance.
Findings:
- Post-intervention assessments revealed significant improvements across multiple outcome measures.
- The patient demonstrated substantial gains in gross motor function, neurological status, and developmental milestones.
- These improvements were noted after four months of intensive physiotherapy rehabilitation.
Implications:
- Physiotherapy rehabilitation is effective in addressing developmental delays associated with non-communicating hydrocephalus.
- Early and targeted physiotherapy intervention plays a vital role in enhancing functional outcomes for infants with hydrocephalus.
- This case highlights the importance of a multidisciplinary approach to pediatric neurological conditions.
Abstract:
This case report presents the physiotherapy intervention of a one-year-old male child diagnosed with non-communicating hydrocephalus primary to developmental delay. Hydrocephalus is marked by an accumulation of cerebrospinal fluid and often leads to significant developmental delays and neurological impairments in affected infants. The physiotherapy intervention aimed to achieve head and trunk control, improve sensory awareness, and enhance overall body coordination and balance. Various techniques, including neurodevelopmental techniques, sensory stimulation, hippotherapy, and sensory integration therapy, were utilized to target specific developmental milestones and functional abilities. Outcome measures, including the Gross Motor Function Measure, Infant Neurological International Battery, Hammersmith Infant Neurological Examination, and New Ballard Score, were used to assess the patient's progress pre- and post-intervention. Significant improvements were observed across all outcome measures following four months of physiotherapy rehabilitation. The patient demonstrated substantial gains in gross motor function, neurological examination scores, and overall developmental milestones. These findings underscore the effectiveness of physiotherapy rehabilitation in addressing developmental delays associated with non-communicating hydrocephalus. This case underscores the significance of early physiotherapy intervention, which plays a vital role in enhancing outcomes and improving the quality of life for affected children.
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