Greta – Cerebral Palsy – spastic, quadriplegic

Brief description of environment of facility/school

Greta is served through  Early Intervention with a trans-disciplinary, family routines-based model and Physical Therapist as primary service provider.

Basic Info about client

  • Greta
  • Age: 30 months
  • Diagnosis: Cerebral Palsy – spastic, quadriplegic
  • Brief history:
    • born after an uncomplicated pregnancy at 39 3/7 weeks
    • at birth, she had a heart rate of 92 but no spontaneous respirations
    • Apgars were 3 at birth; 4 at one minute; and 4 at ten minutes
    • shortly after birth, Greta had Sarnat stage III encephalopathy and on admission to Newborn Intensive Care Unit at 2 ½ hours of age, she had stage II encephalopathy
    • initial EEG showed occasional electrographic seizures. She was cooled for 72 hours and her EEG showed improvement
    • receives regularly scheduled botulinum toxin injections to most affected areas (usually upper extremity)
    • had trial of Sinemet for motor function, but drug was discontinued due to gastrointestinal side effects (vomiting)

Read More

Eli – Cerebral Palsy

Basic Info about client

Client’s Name: Eli
Age: 2 (will be 3 on 4/2/15)
Diagnosis: Cerebral Palsy
Brief history:
Premature birth – 35 weeks gestation
Sustained intrauterine ischemic event with damage to left parietal lobe, right occipital lobe, Macrodactyly left foot
Current Situation: Eli’s primary means of independent mobility is crawling with a non-reciprocating “bunny hop” pattern. He crawls up and down stairs and pulls to standing independently. He has decreased function of his right upper extremity, but consistently uses his right “helper hand”. Spasticity is present through both legs and right arm. Eli demonstrates typical crouch gait alignment in standing, tending toward bilateral ankle plantarflexion, and flexion at both knees and hips. He propels a gait trainer with minimal assist with forearm prompts and does best with ankle prompts to minimize scissoring and anterior rotation of the left side of the body. He requires verbal prompting to step to or step through with his right foot. Eli has bilateral Ankle Foot Orthotics (AFOs) to assist with alignment of his feet and lower legs. Read More

Dempsey – Achondroplasia, Cerebral Palsy

Brief description of environment of facility/school

Dempsey is seen by his school district’s Early Intervention team, with visits from the Physical Therapist twice per month as primary service provider with consultation from Early Childhood Special Education teacher and Service Coordinator.

Basic Info about client

Clients Name – Dempsey
Age – 10 months
Diagnosis – achondroplasia, cerebral palsy
Brief history – Dempsey’s mother experienced premature preterm rupture of membranes (PPROM) at 31 weeks, 3 days gestation and was hospitalized. Dempsey was delivered at 34 weeks, 1 day gestation with birth weight of 2400 grams. His Apgar scores were 3 at 1 minute and 8 at 5 minutes. He required positive pressure ventilation with oxygen and had ongoing care in the NICU for respiratory distress syndrome. MRI indicated severe hypoxic ischemic injury, multifocal cerebral, cerebellar, and intraventricular areas of microhemorrhage. Read More