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Anand Nagar, Mira Bhayandar

31 Years Old Female with

Locomotor Disability Due to Lt Hemiparesis (Stroke)

Chief Complaint : Difficulty in walking and Unable to straighten hand and do movement

Progression

  • Able to walk independently with balance and also able to climb stairs.
  • Upper limb has significantly improved in relation to tightness and she is able to do movement.
  • Improvement in strength of upper and lower limb.

5 Years Old Female with

Locomotor Disability (Goldenhar Syndrome)

Chief Complaint : unable to initiate sit to stand position due to fear of fall and patient walks on Toes and doesn’t walk independently

Progression

  • Able to walk independently with less intact of toe on ground also able to run for few minutes.
  • Able to get up from sitting position independently and also is able to pick up objects from ground without fear of falling.

A 23 Years Old Male

with Locomotor Disability ( Wilson's disease)

Chief Complaint : Stiffness in both hands and legs, Difficulty in lifting hand and gripping, Unable to stand and sit longer period of time without support, Balance problem.

Progression

  • Able to lift his hand above 90° and able to do his activities of daily living
  • Increase in range of motion and can do movements actively
  • Decreased stiffness in both the limbs
  • Able to sit and stand for prolonged time without support

A 50 Years Old Male with

Physical Impairment (Parkinson's Disease)

Chief Complaint : Unable to stand without support for prolong period of time Unable to walk independently due to fear of fall and balance issues Facial expressions were not present Tightness in both the limbs

Progression

  • Able to walk independently with proper balance.
  • Facial expressions are present.
  • Can do cycling now without support.

A 9 Years Old Female

Case - Multiple Disability

Chief Complaint : Not able to speak two word utterance, receptive and expressive vocabulary delayed, pragmatic behaviours was in emergent phase

Progression

  • Vocabulary utterance has been increase from 2 word to phrase level
  • Cooperative play has been develop
  • Receptive understanding has been develop in terms of lexical items
  • Expressive vocabulary of asking for desired objects verbally improved
  • Narration of past events is improve

A 10 Year Old Male Child

Case - Intellectual Disability

Chief Complaint : Not able to speak proper sentence Short attention span , deficit in topic initiation and maintenance, 2 word vocabulary utterance, poor eye contact

Progression

  • Vocabulary utterance increased from 2 word to sentence level
  • Attention span is increased
  • Child is able to start questioning 'what's question
  • Pragmatic skills regarding topic initiation and maintenance is achieved
  • Receptive vocabulary of the gender concept and the lexical items has been improved

A 19 Years Old Male

with Locomotor Disability

Chief Complaint : Unable to stand without support, Balance issue, Weakness in lower limb.

Progression

  • Able to sit without support and trying to stand without support
  • Weakness in lower limb reduced
  • Able to Climb stairs with support
  • Able to cycling without support and walk on treadmill without support

13 years old Male with

Case- Locomotar disability due to Spina bifida

Chief Complaint :Difficulty in walking and balance and unable to control bowel and bladder, loss of sensation below knee

Progression

  • Able to walk and balance and can walk fastly
  • Can Control bowel and bladder
  • On and off sensation can be seen below knee

21 years old male with Cerebral Palsy

Chief Complaint :
Difficulty in standing and walking without support
Stiffness and heaviness present in both legs

Progression

  • Able to stand independently without support
  • Improvement in strength and daily activities
  • Able to walk better with support

47 Years male with locomotar disabilities

Case- PPRP Left Lower limb

Chief Complaint : swelling and pain in left Rt side ankle joint, Unable to walk more then 10 mintues because of pain.

Progression

  • Swelling of ankle joint is reduced
  • Swelling of ankle joint is reduced.
  • now able to walk more then 10 mintues

4 years old girl with Multiple Disability

Chief Complaint :
Decrease in strength in both upper and lower limb
Not able to sit or stand with or without support
Poor balance and coordination

Progression

  • Increased in strength in both upper and lower limb
  • Able to sit and stand with support
  • Improved balance and coordination

20 years old female with

Case- Locomotor Disability due to Right Hemiparesis

Chief Complaint :
Difficulty in gripping things
Unable to perform full range of motion activities
Decrease in strength

Progression

  • Increased grip strength and able to hold few objects
  • Increased strength
  • Able to perform full range of motion activities

13 years old Male with

Case- Locomotar disability due to Cerebral palsy

Chief Complaint : Unable to do movement of Lower limb , Balance issue , Can't walk indepedently

Progression

  • Able to balance with Walker
  • Partially Movement of the lower limb can be performed by the patient .

32 years Male with

Case- locomotar disabilities due to cerebral palsy & Bells palsy

Chief Complaint : Change in facial expressions, unable to open eye, Can't able to walk independently, weakness in lower and upper limb

Progression

  • Able to walk without support
  • Improve in strength in upper and lower limb
  • Improvement in facial expressions and able to close eye
  • Improve in strength and coordination

60 years old male with Locomotor Disability

Chief Complaint :
Restricted movement in upper limb
Stiffness in lower limb
Pain in the shoulder region and difficulty in activites of daily living

Progression

  • Able to lift hand at full range of motion
  • Decreased stiffness in both upper and lower limb
  • Decreased pain and able to do activities of daily living

A 7 years old Female child

Case- Intellectual Disability

Chief Complaint : can speak few words Behaviour problem One word utterance, poor eye contact, greetings was absent , Echolalic speech, receptive and expressive vocabulary is delayed

Progression

  • Attention span is increased
  • Echolalic speech has been reduced
  • Vocabulary utterance has been increased from one word to phrase level utterance
  • Topic initation is achieved
  • Receptive understanding of common objects, fruit, daily living items , animals has been achieved
  • Expressive vocabulary to express her desire and wants has been achieve