AI Article Synopsis

  • A case study details a school-age child diagnosed with acute disseminated encephalomyelitis (ADEM), exhibiting high fever, hemiplegia, and ataxia, who received physiotherapy after being referred from the intensive care unit.
  • The child also faced complications like ventilator-associated pneumonia and a facial injury, necessitating pediatric physical therapy involvement.
  • After 99 intensive therapy sessions over 8 months, the child achieved independence in mobility and showed significant improvements in functional and facial assessment scores, highlighting the effectiveness of physical therapy alongside medical treatments for neurological impairments from ADEM.

Article Abstract

We reported a case of a school-going child, diagnosed with acute disseminated encephalomyelitis (ADEM) who presented with symptoms such as high fever, acute hemiplegia and ataxia and was referred for physiotherapeutic intervention. This case report aims to document the assessment and management of ADEM from the intensive care unit to the home setting by physical therapy. Also, the child developed ventilator-associated pneumonia and a right lower motor neuron facial injury for which the child was referred to paediatric physical therapy. Since then, continuing for 8 months has helped the child to be independent in all aspects of mobility with no complaints. The child showed improvement in WeeFIM scores and Sunnybrook facial grading after 99 sessions of intensive physical therapy for approximately 83 hours along with the home programme. It has been proven an efficient treatment method along with other medical lines of treatment for neurological impairment associated with ADEM.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11015239PMC
http://dx.doi.org/10.1136/bcr-2023-257339DOI Listing

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