-Cerebral_Palsy_Current_Steps-_ed._by_Mintaze_Kerem_Gunel

(Brent) #1
‘Our daughter, till the age of 12, could only sit with maximal support. But after SEMLARASS
and intensive rehabilitation in RECOUP, our daughter is now able to sit without support in
both cross sitting and long sitting and now she is able to stand and walk with walking frame
with minimum support. She now feels more confident’—parents of A.

10. Case study 2

10.1. Pre-op status

(S) A 12-year-old boy with spastic diplegia was not able to walk and perform his daily activities.
His GMFCS level was IV.

10.2. Treatment

He underwent SEMLARASS with OSCSS of bilateral hamstring, psoas and rectus femoris
along with bilateral femoral varus derotation osteotomy.

10.3. Current functional status

At a follow-up of 12 months, he was able to walk independently for over 100 metres and able
to climb up stairs by holding the hand rails and started going to school independently. Current
GMFCS score was 2 (Figure 15).

Figure 15. Pre- and post-rehabilitation status of child S.

‘Our son, born with Spastic Diplegia, could not walk and needed constant support even for
few steps and frequent falls and imbalance were a constant issue. Now, after the treatment at

162 Cerebral Palsy - Current Steps

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