Occupational Therapist's Report -

History and condition before starting G Therapy:

Tone Rt. Lt.
U/E Increased (+) Increased (+)
L/E Increased (++) Increased (++)
Trunk Increased (+++) Increased (+++)

• Cannot come to sitting position on his own.
• Sits passively only, with poor weight bearing on left U/E.
• Creeping present forward and sideways.
• Supported standing possible with proper back support.
• Poor eye-hand coordination.
• No walking possible.

Observations after G-Therapy :

• Slight reduction in tone in the L/E
• Still does not come to sitting position on his own.
• Maintains the quadruped position with poor weight bearing on left U/E.
• When made to stand, lifts his legs forward for walking purpose with full support on elbows.
• Speech improved.

Parents Report -

Physical Improvements :

No noticeable improvements seen or milestones achieved. However, inspite of therapist being out of station for 15 days, she found no tightness after her return. However, during her absence, mother used to make him sit crossed-leg for one hour, besides taking him for an hourly evening round in a stroller with ‘AFO’s on.

Vision : Slight improvement in focussing observed.

Mental Awareness : Maintained at last months level – He is more aware of the surroundings.

Skin Complexion : A little pinkish glow noticed in the complexion.

Toilet Control : is more specific after G. Therapy.

He is on Baclofen 10mg ½ tablet twice a day since last 3 years and is also receiving Valparin. He is on extensive physiotherapy since last 5 years. Overall there is a definite improvement after starting G Therapy.

V.V.J.
Date : 9.1.99