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Meerub, a 7-year-old girl from Mandi Bahauddin, came to our hospital unable to stand or walk independently despite having surgery one year earlier. After 3 months of consistent physiotherapy treatment, she achieved the remarkable milestone of independent walking.
Patient: Meerub, 7-year-old female
Location: Mandi Bahauddin
Chief Complaint: Unable to stand or walk independently
Previous Treatment: Hamstring and Achilles tendon lengthening surgery (both legs) one year prior
Medical History: Birth asphyxia with delayed developmental milestones
When Meerub arrived at our physiotherapy clinic in Mandi Bahauddin, she presented with:
Unable to stand independently
Unable to walk despite surgical intervention one year earlier
Complete dependence for mobility and transfers
History of developmental delays
Parents concerned about her future independence
Our detailed pediatric physiotherapy assessment revealed:
Able to sit independently (achieved milestone)
Unable to stand without support
Unable to walk
Increased muscle tone (spasticity) in:
Hip adductors (bilateral)
Hamstrings (bilateral)
Achilles tendons (bilateral)
Restricted movement in:
Ankle dorsiflexion (limited)
Knee extension combined with hip flexion (reduced)
Hip abduction (reduced)
Decreased power in:
Quadriceps muscles (thigh muscles)
Tibialis anterior muscles (shin muscles)
Spastic Diplegic Cerebral Palsy characterized by increased tone in bilateral lower limbs affecting the hamstrings, hip adductors,
and tendo-achilles, resulting in functional limitations in standing and walking.
Duration: 3 months
Frequency: 6 days per week
Approach: Individualized, comprehensive rehabilitation program
Electrotherapy
Electrical Muscle Stimulation (EMS):
Duration: 30 minutes per session
Target muscles: Quadriceps and tibialis anterior
Purpose: Activate and strengthen weak muscles
Stretching Program:
Tibialis anterior stretching
Hamstring stretching (bilateral)
Hip adductor stretching (bilateral)
Knee-to-chest exercises
Piriformis stretching
Purpose is to reduce spasticity and improve joint flexibility.
Strengthening Exercises:
Bridging exercises (hip and core strengthening)
Prone-on-elbow exercises (trunk stability)
Swiss Ball Therapy
Advanced exercises including:
Balance training on Swiss ball
Equilibrium exercises
Sensory integration activities
Postural awareness training
Benefits: Essential for developing the stability needed for standing and walking independently
Progressive exercises added:
Step-up exercises
Sit-to-stand transfers with assistance
Advanced Swiss ball activities
Increased strengthening intensity
Milestone Achieved: Meerub began standing independently by end of month 2!
Advanced functional activities:
Jumping on Swiss ball
Pushing Swiss ball in lying position
Kicking Swiss ball exercises
Pre-gait activities
Supported walking practice
Initial Progress:
Meerub began taking her first steps
Frequent falls initially (normal part of learning process)
Gradual improvement in balance and confidence
Milestone Achieved: Meerub's Independent walking achieved after 3 months of consistent physiotherapy!
After 3 months of consistent physiotherapy treatment, Meerub achieved the following outstanding results:
From unable to stand → Standing independently
From unable to walk → Walking independently
Improved balance and coordination
Increased quadriceps strength
Improved tibialis anterior activation
Reduced spasticity in lower limbs
Better range of motion in all restricted joints
Independent mobility
Improved self-confidence
Better quality of life
Enhanced participation in age-appropriate activities
If you or someone you know is experiencing similar symptoms, early intervention can make all the difference. Contact Now
Dr. Iqra Ramzan Physiotherapist
Move better, feel better, live better
Contact Details
📍 Overseas Hospital Opposite Satt Sira Chowk Phalia Road, Mandi Bahauddin