Home-based Rehabilitation to Reduce Spasticity in Spastic Quadriplegic Cerebral Palsy: A Case Report

Mufidha Zulfia, SM Mei Wulan

Abstract

Cerebral palsy is the most common cause of childhood disability in the developed world. Spasticity affects 80 percent of cerebral palsy children. Most of them will have spasticity as the main motor disorder. Spasticity and its management are major challenges for treatment teams. Spasticity can prevent function, and present major difficulties for caregivers. There is no standardize approach to spasticity management of cerebral palsy. Adequate assessment of specific impairment is necessary for appropriate interventions. An eight month-old girl was referred from the pediatric department with cerebral palsy. Her parent complained about spasticity all over her body and neck. Physical examination showed spasticity in four extremities with modified asworth scale 3, trunk and neck, increasing deep tendon reflexes, and positive asymetric tonic neck reflex. Our rehabilitation program includes spastic inhibition with tapping, icing, also positioning, facilitation for lifting the head, and oromotor stimulation. Due to the family living far away, we decided to provide a home-based rehabilitation program. Now, her age is 24 months old, and the spasticity of her trunk has decreased, with no joint contractures, and she can sleep in a supine position. Spasticity of extremities turn to Modified Aswoth Scale 2, she can raise her head and babble in a louder voice. Home-based rehabilitation programs can also be effective to manage spasticity in Cerebral Palsy. Family is one key role related to successful rehabilitation management.

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Paper Citation


in Harvard Style

Zulfia M. and Wulan S. (2017). Home-based Rehabilitation to Reduce Spasticity in Spastic Quadriplegic Cerebral Palsy: A Case Report.In Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM, ISBN 978-989-758-334-6, pages 90-92. DOI: 10.5220/0007316300900092


in Bibtex Style

@conference{imrm17,
author={Mufidha Zulfia and SM Mei Wulan},
title={Home-based Rehabilitation to Reduce Spasticity in Spastic Quadriplegic Cerebral Palsy: A Case Report},
booktitle={Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,},
year={2017},
pages={90-92},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0007316300900092},
isbn={978-989-758-334-6},
}


in EndNote Style

TY - CONF

JO - Proceedings of the International Meeting on Regenerative Medicine - Volume 1: IMRM,
TI - Home-based Rehabilitation to Reduce Spasticity in Spastic Quadriplegic Cerebral Palsy: A Case Report
SN - 978-989-758-334-6
AU - Zulfia M.
AU - Wulan S.
PY - 2017
SP - 90
EP - 92
DO - 10.5220/0007316300900092