Gross Motor Function Classification System (GMFCS) For Children With Cerebral Palsy

Objectives: The objectives were to find out the sociodemographic characteristics, comorbidities, types of CP, level of GMFCS and to determine the association between GMFCS with age, gender, types of CP and topographic distribution among children with cerebral palsy. Methods and Materials: A retrospectives study was done in children with cerebral palsy. Total 384 participants were included in this study. The study setting was Paediatric Department, Centre for the Rehabilitation of the Paralysed (CRP), Savar, Dhaka, Bangladesh. The samples were collected through convenient sampling. The Chi-Square was used to find out the association between GMFCS with age, gender, types of CP and others. Results: Males were affected than female among all participants. The majority participants came from rural area. The children were more in 2 to 4-year age band in GMFCS. The majority participants (81%) had visual problem, 11% hearing and 31% had convulsion. The common levels were II and III. The age bands, topographic classification was associated with GMFCS (p<0.05) but gender and types of CP were not statistically associated (p>0.05). Conclusion: The Gross Motor Function Classification System (GMFCS) has become an important tool to describe motor function in children with Cerebral Palsy (CP).

Physiotherapy for traumatic brachial plexus injury: A Case Report

The brachial plexus injury is a rare condition that is commonly categorized as traumatic or obstetric injuries. The brachial plexus injuries commonly occurred due to motor vehicle accidents. This plexus is created problem with a lack of sensory and motor dysfunction, neurologic degeneration, atrophy of related muscle groups. The physiotherapist is aware effectively to create a plan of care for the betterment of patient’s condition. The case study was used to highlight the effectiveness of physiotherapy for traumatic brachial plexus injury. 3.6 years old girl was diagnosed as left brachial plexus injury. The child is receiving physiotherapy treatment from November 2018 to till now, 3 times in a week. The treatment focused on improving active movement, muscle power, sensation, weight bearing and unimanual and bimanual function. This child’s clinical status is improving day by day including: ROM, muscle strength, improved symmetrical weight bearing, unimanual and bimanual function. The outcome measures were goniometer, Oxford muscle grading scale and Nrakas Sensory Grading System for sensory assessment. The shoulder active movement especially flexion, abduction and external rotation, elbow flexion was increases. The muscle power of shoulder flexor, abductor, external rotator and elbow flexor were also improved but the sensation of elbow area is only improved. The sensation of shoulder area was not changed. This case studies highlighted that physiotherapy is effective to improve ROM, muscle power, weightbearing as well as function (one hand and both hand) for traumatic brachial plexus injury.