Combined Sensory Motor Approach to Enhance Participation of a Child with West Syndrome: A Follow-Up Case Study

Abstract

This is a follow up case report of male child with West Syndrome, brought to Physiotherapy department at the age of 1 year with a chief complaint of unable to transit to sitting, standing and walking. He had poor ability to focus and orient to environment and poor somatosensory, kinesthetic, and proprioceptive awareness throughout his body. Parents also complained that he becomes aggressive and irritated on moving surfaces. Treatment strategies were targeted towards specific impairments of the sensory, neuromuscular, and musculoskeletal systems to improve his gross motor abilities. At the early age of 1 year the score of GMFM was 3.98% and GMFCS level was V. At the age of 5 years there was increase in score of GMFM with 84.07% and GMFCS changed to level II indicating level of independence is also improved. This suggest that participation of a child with West Syndrome can be improved with combine sensory motor approach.

Neurodevelopmental Outcome in A Child With West Syndrome On Multidisciplinary Intervention – A Case Report

“…7 Sensory stimulation is equally important for motor learning as it helps in modulating and active participation in environment. 7,8 In one study, 33.9% had severe outcome and 2/3 rd had acceptable quality of life requiring assistance with early diagnosis and multidisciplinary treatment. 9…”

“…6 Sensory integration and neurodevelopmental therapy is given keeping in mind the plasticity of the developing brain. 7,8 A major task during physical rehabilitation is a removal or possibly maximal diminishment of the movement disturbances, as well as gaining control of the kinetic functions like locomotive and manipulative activities for everyday functioning. 7 Sensory stimulation is equally important for motor learning as it helps in modulating and active participation in environment.…”