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Role of Physiotherapy in Pediatric Lissencephaly: A Case Report and Therapeutic Insights
1Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Insights
Physiotherapy significantly improved muscle tone and developmental milestones in a child with Type 1 lissencephaly. This case highlights the crucial role of early intervention and genetic counseling for rare genetic disorders.
Area of Science:
- Neurology
- Genetics
- Pediatric Physical Therapy
Background:
- Type 1 lissencephaly is a rare genetic disorder characterized by chromosomal abnormalities.
- It presents with severe neurological impairments, including motor deficits and developmental delays.
Observation:
- A 2-year-old male with Type 1 lissencephaly presented with significant limb immobility, delayed milestones, and dysphagia.
- The patient's parents sought physiotherapy intervention for these challenges.
Findings:
- A 12-week physiotherapy program incorporating Rood's approach, neurodevelopmental techniques, hippotherapy, vestibular exercises, and sensory stimulation was implemented.
- Significant improvements were observed in muscle tone and the attainment of delayed developmental milestones post-intervention.
Implications:
- This case underscores the importance of genetic counseling for families affected by genetic disorders.
- It emphasizes the pivotal role of comprehensive physiotherapy in managing Type 1 lissencephaly, improving symptoms, and enhancing quality of life.
Abstract:
Type 1 lissencephaly is a genetic disorder of chromosomal abnormality. This case report glimpses at the physiotherapy rehabilitation for a two-year-old male brought by his parents with complaints of being unable to move his upper and lower limbs, delayed milestones as compared to his peer group, and difficulty in swallowing. Physiotherapy rehabilitation included Rood's approach to neurodevelopmental techniques, hippotherapy, vestibular ball rehabilitation exercises, oral sensorimotor stimulation, and tactile stimulation. The protocol lasted for 12 weeks. At the end of the rehabilitation, there was a significant improvement in the tone of the muscles and delayed developmental milestones. Through this case report, we conclude about the importance of genetic counseling to the parents of genetic disorders babies. We ought to improve awareness about the pivotal role of physiotherapy in managing such disorders. We conclude that physiotherapy significantly improved the symptoms and improved the quality of life of patients with type 1 lissencephaly.
