University of Jordan

Rehabilitation Sciences Faculty

Pediatrics I

* Patient with CP *

Supervised by: Dr. Maison Saleh

(Done by: - Saja Dahamshie (0086222
- (Arwa Khatib (0086842
(tibyan alfaqeer (0085990-
(yasmin abu-hannoud (0084975 -

2nd semester

2010/2011
 - Medical History:
- History:
Diagnosis: CP – Lt Hemiplegia
- Childe name: Sarah
Gestational age: 40 weeks
- D.O.B: 10/11/2008
Birth wt: 2.700 kg.
- Date of assessment: 30/03/20011
‫العمر العقلي أقل من العمر الزمني بسنتان‬
- Chronologic age: 3 years, 4 months

- Family History:

She has 3 brothers and 2 sisters, and all are normal. She is the 5th child between them.

- Developmental Milestones:

1. Head control: good head control when pull from supine to sitting and maintain it on sitting

start at 9 months old.

- Present problems:
2. Sitting: sitting without support when she was 11 months old.
1. Gait abnormalities.
3. Rolling: from supine to prone easier than prone to supine
2. She can roll but not in acceptable way.
4. Standing: she can stand independently, start at 14 months 3. Weakness in her Lt Upper limb
5. Walking: she walks when she was 24 months 4. Limitation in dorsal flexion

6. Toileting: she is trying to toilet alone. 5. Speech difficulty.

- Therapist assessment

1. Gait: in the 6 meter test she was able to walk alone without losing her balance but in circumduction gait.

2. Transfer: She can move from supine to set be rolling to her Lt Side, and move from sitting to

standing alone, But not in the appropriate way.

3. Balance: She has good equilibrium and protective reactions.

4. Power: weakness in her Lt Upper limb.

She kicks and throw ball for small distance.

5. Coordination: She has good hand mouth coordination.

6. Fine motor: she has good pencil grasp and she write scribbles.
7. Gross motor: She helps her mother during the dressing.

- Assessment that I'll do for the child:

posture ,scanning for the cardiovascular, sensory, respiratory systems ,muscle tone, ROM, Reflexes

( Deep tendon reflexes , primitive ), Cognition, Leg length, communication, behavior

- Treatment Goals put by the therapist & parent :

- increase the strength in her upper Lt limb.

- normalizes the gait

- prepare her for the preschool and school period , by increase her fine motor functions.

- Suggested treatment goals:

* Long Term Goals:

At the end of the treatment she will be able Walk in an appropriate way independently for

long distances, & perform her ADL alone

* Short Term Goals:

1. increase the strength in her Lt upper & lower limb to be functional in 5

sessions

2. she will be able to roll from supine to prone alone after 4 sessions

3. She will be able to manipulate objects using her Lt arm in 3 sessions

4. Control the muscle tone in the gastrocnemius & hamstring muscles during 4

sessions.

5. Increase her communication abilities and speech fluently during the hole treatment

sessions.

6. She will be able to call her siblings by their names and names of colors, by

teaching her.

- Treatment procedures:

1. muscle strengthening ex`s: - Stand on wall with knee extension and feet in straight way and

fell her "push the wall backward".

- Stand with knee extension and feet in straight way, therapist fixed her knee and tell her to move down

then stand to increase strength of her extensors and flexors muscles of knee
- Strengthening ex`s for upper limb

2. Rolling ex`s: - From Lt Side to Rt with arm and leg flexed on Lt side.

- Ask her to Play rolling game from Lt Side to Rt in straight way.

3. Increase her communication abilities and speech fluently by increased frequency and duration of

speaking in home with her family and refer it to SLP.

* The child was cooperative with the therapist, she often cries when the therapist tries to move her Lt

foot, she smiles to the therapist and her mom , she seems familiar to the treatment given to her.