Background: Despite the most significant efforts of many experts to provide natural therapeutic therapies, spinal cord injury (SCI) is a traumatic event with limited functional recovery. After a spinal cord injury, paraplegia can develop. Damage to the ligaments, vertebrae, or discs of the spinal column causes this. Paraplegia is the loss of muscle function in the lower half of the body, including both legs. Leg paralysis, in this case in which affects all parts of the pelvic organs, legs, and torso. This is partly owing to the complex character of SCI, which involves a great deal of disarray and malfunction as a result of the initial injury. Secondary degeneration is caused by neurotoxicity, vascular malfunction, neuroinflammation, apoptosis, and demyelination. Presentation of Case: 34year old male patient with wedge compression was diagnosed on x-ray after a fall from the tree. Discussion: The requirements for regeneration, rehabilitation, and neuroprotection appear to necessitate a diverse set of therapeutic approaches that can be used at different stages of the post-injury response. Conclusion: We'll focus on one strategy, in particular, physical training/exercise, which looks to have a wide range of applications and benefits for those with a chronic or acute SCI.

Due to its widening geographical range, Japanese encephalitis (JE) has lately been named a notifiable disease in India. The disease notification makes it easier to put preventive measures in place and manage cases. JE is a vector-borne disease that is preventable with vaccination. The virus that causes it is the Japanese encephalitis virus (JEV), which belongs to the Flaviviridae family. The present case report is of an infant of 18 months old presented with problems of decreased tone, loss of developmental achieved milestones and convulsions with severe fever. On examination there was hypotonia, lack on neck control, difficulty in rolling, low pitch cry and smile. We managed the child with standard physiotherapy protocol. We framed goals focusing both on preventing complications and promoting recovery. We gave treatment for a period of 4 weeks. We measured Modified Ashworth Scale (MAS) and Gross motor function measure (GMFM-88) Pre and post treatment. We would like conclude our case report by mentioning the importance early and goal specific supportive and restorative care to a child will enable him or her to take more vigorous physiotherapy care in future for restoring sensorimotor and behavioral function.

Background: Ischemic injury to the brain caused by a sudden drop in blood supply causes over 80% of strokes. Large artery blockage occurs in about 25-35 percent of strokes, and patients in this category often have severe neurological impairments. The prognosis is bleak if treatment is not started right away. Imaging of the brain after a stroke is crucial for determining the extent of tissue damage and guiding treatment. Aim: To determine the effect of early hand rehabilitation post ischemic stroke. Presentation of Case: A 35-year-old woman with a history of hypertension acquired aphasia, left hemiplegia, and hemisensory loss all at the same time. She was sent to the hospital's emergency room. On CT the blockage of the right middle cerebral artery revealed an acute ischemic stroke. The Motor Assessment Scale is taken in which there is a hand function domain also to assess it. Discussion: There are many studies on hand rehabilitation, but usually we stated hand rehabilitation late. Our primary focus during rehabilitation is upper limb and lower limb, hand is a little neglected part. So, in this case study we will be focusing on early had rehabilitation. Conclusion: The case data confirms a diagnosis and appropriately planned physical rehabilitation care that resulted in a progressive improvement on STREAM Score, Motor Assessment Scale Score, Barthal index score and WHO-QOL score.

Introduction: Acoustic neuromas are most common tumors of CP angle, accounting more than 90% of all such tumors. Meningioma, primary cholesteratoma and facial nerve schwanoma are the different type of tumors. Acoustic neuroma is a benign tumor situates in CP angle which has a fibrous growth and originates from the division of vestibulochochlear nerve. Aim: Impact of Balance Training and Co-ordination Exercises in Post-Operative Left Cerebellopontine Angle Tumor Case Presentation: A 40 year old male with right hand dominance was referred to physiotherapy department. On examination he presented mild impairment in balance and co-ordination, assisted walking. Discussion: This case report is an important to the published literature on rehabilitation of a patient witha CPA tumor, as it presents the sequential management in the patients post CPA tumor. Conclusion: Acoustic neuroma is most common CPA tumor. Management of CPA tumor is important to improve quality of life. As per the reference articles and the exercises planned can progressively improve balance and co-ordination of patients.

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