Assignment Task:

Assignment Scenario 
David is a five year old boy with ataxic type of cerebral palsy. The mother reported that she struggled with maternal hypertension and had to be monitored closely throughout her pregnancy. The child was born at 34 weeks gestation and was delivered by caesarean section. He was kept under observation for two weeks and was then discharged. He was noted to be floppy from the initial days but was diagnosed with cerebral palsy and global developmental delay only at ten months of age. 

David developed head control and slowly gained strength in his neck muscles by 10 months and trunk muscles by 24 months. On examination, when positioned in supine, the child generally keeps his extremities in abduction and external rotation. He has a passive range of motion within normal limits in all the joints except for some tightness noticed in his hamstrings and tendo-achilles. A mild hypotonia is noted in the lower extremities bilaterally. He is able to move his upper extremities through a partial range of motion against gravity and is able to take up minimum resistance. He is attracted toward toys and tries to reach but is unable to reach the target due to incoordination. He is able to roll from supine to prone but needs minimal assistance to come to sitting. His posture is slightly kyphotic when held in long sitting. He requires moderate assistance to come to standing and is fairly able to maintain a standing position but with a mild postural sway. It is difficult to obtain good alignment in any upright position. With moderate assistance and supported with orthoses, he is able to walk and take few steps but with a wide based gait. 


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  • Uploaded By : Alex Cerry
  • Posted on : July 17th, 2019

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