She is the elder child of a non-consanguinous marriage. Her mother had two spontaneous abortion. Younger brother is 7 years and normal. Her antenatal and birth history is normal. She had history of fever for a week at 5 month of age-not hospitalized. She was diagnosed as CP-spastic triplegia at 8 months of age. She started getting convulsions from 1991- generalized tonic clonic lasting for 3 minutes. There have been no further convulsion after 1994. CT scan shows multiple calcified granulomas in both parietal lobes. For the past 4 years she is not undergoing any specific PT/OT or taking any kind of medication.

Her milestones were as follows: Social smile-5 months, Neck holding-9 months, Bunny hopping-2 years, Cruising-4 years, speech-2 years, Toilet needs-4 years

Head Circumference. is 48.5cm. She is alert, co-operative, responds relevantly to all commands. Vision and hearing is good. No squint or facial palsy. Drooling is present Dysarthria ++. There is marked spasticity in lower limbs and hypertonia in Right. UL. Plantar flexion of both legs not possible. UL-mature grasp both hands, though left UL is better than right DJ-exaggerated and Babinski’s sign is positive. Fixed knee contractures bilaterally present.

She is able to walk with support only. Cannot come to stand on own from the sitting position. Sits unsupported for long with mild kyphosis. Climbs steps with hands forward on the step. Cannot balance herself while wearing clothes. She is able to feed herself- and do other coordinated activities like cleaning vegetables.

Six months after G-Therapy: She was assessed again on 29 January 99. Now she is able to walk unsupported for 5 minutes, she is able to rise to standing from sitting position on her own.

She has achieved the above improvements despite of not taking any occupational or physiotherapy and hence the above improvement could be attributed to G-Therapy.

Dr. Sabiha A. Sayed
(M.B.B.S.,D.C.H)
Date: 30-1-99