ABSTRACT
Out of many causes of Paediatric Stroke, Sickle Cell Disease is one of the crucial conditions with the risk of Stroke highest during the first decade that is between the ages of 2 & 5 years. Reported here, however, is a case of a 10-year-old male child with sudden onset left side hemiplegia with facial muscle weakness, who was a known case of Sickle Cell disease since 6 months of age. With the inability to use the upper extremities & walk independently, the patient was functionally dependent with a Fugl Meyer score of 55/126 & Berg balance scale score of 18/56. After 4 months of Physiotherapy Treatment patient was able to use the Upper extremities for functional activities and was able to walk independently with a Berg balance scale score of 46/56.With very few cases of pediatric Stroke receiving Physiotherapy care being reported in the literature, this case report establishes the role of Physiotherapy in preventing long-term neuro developmental disability.
ABSTRACT
Background: Stroke is the commonest neurological cause of morbidity and mortality all over the world. Alterations in scapular position and motion occur in 68–100% of patients due to changes in the tone of the upper extremity and reduced strength, leading to an altered position of the scapula. Scapular stabilizing exercises and Scapular PNF have been shown to be effective individually in improving scapular control. However, its effect on functional tasks and objective measurement has not been studied. So, the purpose of the study is to compare these two techniques to identify the better technique with respect to objective measurement and its effect on functional tasks. Methodology: An Experimental study was done in a tertiary care hospital on 18 patients according to inclusion criteria and was divided into two groups. Group A Scapular Stabilizing Exercises and Group B Scapular Proprioceptive Neuromuscular Facilitation and Intervention were given for four days, and pre and post-assessment were done by Palpation meter (PALM) and Functional tasks (lifting and lowering the cup). Results: The results showed significant improvement in both techniques, i.e., there is a decrease in the Total Height discrepancy (t = 3.4) (p 0.003) and the time taken for lifting and lowering the cup (t = 2.2) (p 0.04). Conclusion: Scapula Proprioceptive Neuromuscular Facilitation Exercises are more effective than Scapula Stabilizing Exercises and have a better short-term effect on Scapular Alignment and Functional Tasks in patients with Stroke.