Background: Spinal arteriovenous metameric syndrome (SAMS), also known as Cobb syndrome is a rare metameric developmental disorder presenting as an extradural-intradural vascular malformation that involves bone, muscle, skin, spinal cord, and nerve roots.Case Report: An 11-year-old girl presented with history of progressive paraparesis, lower extremity sensory loss, along with bowel and bladder incontinence who was diagnosed with Cobb syndrome. She underwent endovascular embolization of one arterial feeder and two metameric components. Post embolization patient experienced further decline in muscle strength. Physiotherapy regimen was implemented for 4-5 days per week for period of two months. The patient was discharged with a home exercise programme.Result: At the time of discharge, muscle power was improved. Patient was able to walk with the help of walker. Conclusion:Spinal metameric arteriovenous syndrome is a complex nonhereditary genetic vascular disorder associated with variety of neurologic deficits. Physiotherapy management will play a major role in minimizing disability hence improve clinical outcome.

Background: Postural control is defined as the act of maintaining, achieving or restoring a state of balance during any posture or activity. STS is a movement of the body's center of mass (CoM) upward from a sitting position to a standing position without losing balance. STS requires skills, such as coordination between trunk and lower limb movements, muscle strength, control of equilibrium and stability, which is gained from postural control training. The aim is to assess the effect of postural control training and education on sit to stand ability and balance in patients with stroke.Methods: 40 subjects were trained for postural control by verbal commands and demonstration for correction of their posture. They were trained for 10 days,5 days a week for 2 weeks. Berg balance scale(BBS) and Five Times Sit to Stand test(FTSTS) were used to measure balance and time required for sit to stand before and after the training.Results: There was a significant statistical difference with the pre intervention and post intervention in balance(p=0.001) and FTSTS(p<0.001). This demonstrated an overall clinical and statistical improvement in the balance and time to perform sit to stand task after the intervention. Interpretation and Conclusion:The present study demonstrates the improvement in the sit to stand transition and balance in stroke after the postural control training.