ABSTRACT
Musculoskeletal manifestation in child with cerebral palsy post COVID-19 can present with refusal to walk and rehabilitation can facilitate recovery. He is a 4-year-old boy with spastic bilateral cerebral palsy gross motor function classification system level 4 presented to the outpatient rehabilitation consult 3 weeks after COVID-19 infection with refusal to walk. He had 2 days of fever and was relatively well. Subsequently, he refused to stand or walk after 1 week from the onset of fever. During clinical examination, he was uncooperative and refused weight bearing on left lower limb which was kept in a flexed hip and knee position. Further investigation was conducted which included left lower limb X-ray and inflammatory markers. All investigations were reported normal. Child was given a provisional diagnosis of post COVID-19 myalgia. Oral analgesic was prescribed to children for pain control. He was enrolled in a multidisciplinary rehabilitation programme with the aim for gradual return to walking. Exercise prescription included gentle stretching to prevent contractures. Child was put on supported standing with gradual increase time. Play therapy was included to encourage child's participation. He was able to return to his previous walking status after 10 sessions of therapy.Early rehabilitation intervention with strategy to identify the complications in a child with disability post COVID-19 infection may leverage the recovery in this special group.