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Advice on paediatrics needed please
Hi. I'm an OT with 20+ years experience working with adults but 3 months ago agreed to try and help a 5 year old with a diagnosis of cerebral palsy. I'm in North India so resources are limited. However, after 4 x hourly sessions a week Muntaha is now using her left hand/arm, can grip and release, her balance has greatly improved, she can kneel independently and maintain a quadruped position independently and stand whilst holding onto a rail or leaning against a wall. We have achieved a few steps (with a rollator) and I need advice on how to progress to give her greater balance and confidence and ideally independent mobility. I have to use her rollator backwards so I can maintain pelvic stability and use a bit of force to give her momentum but I worry she will fall forwards. I'm also concerned about her developing bad habits. Any advice appreciated. Her mum has given permission for me to discuss her case and to share the video so OT's that are experienced with kids can help us.
I'll try and add the photo of a rollator type frame that may be available to purchase here if we can get some funding... that will be the next challenge!
Thanks in advance, please respond here or contact me via email for the video theoccupationaltherapyclinic@gmail.com
Thanks for the advice. We're having long power cuts and unreliable internet so will attempt to look at facebook page asap. Flickchick thanks for the pics, I had similar concerns about the walking frame. I have a posterior rollator but Muntaha screams and bites whenever we try to use it. We have only managed one successful walk using it backwards with me controlling her pelvis. We have a routine with the gym ball prone, sitting, back & core strengthening and have recently started using the balance board with her sitting cross legged and distracting her with squeaky toys. She has started to copy words but oromotor is poor, she has a visual impairment and doesn't follow anything with her eyes. Hearing is excellent. Left hand function is improving but she still has poor control. I'm not sure how much understanding she has as cooperation is variable. Mobility is so important as she is getting too big to carry but I think it will be a long process. Kavita thanks, I will contact you asap.