History and condition before starting G-Therapy:

He is the third child of non consanguineous marriage. He has 2 elder sisters who are normal. There was an episode of antenatal bleeding and he was delivered at 34 weeks with birthweight of 4 lbs. The baby suffered from birth asphyxia and was severely cyanosed. He was kept in ICU for 4 days. No other neonatal problem.

He had one episode of febrile convulsion at 9 months of age. He was a floppy child with delayed motor and mental milestones. He had social smile and parental recognition at 3 years. Neck control and sitting at 2 ½ years of age. Did not creep or crawl. Started walking around 3 years of age. Speech development at 4 years.

His head circumference is 51 cm. He has a prominent mandible with carious teeth and dental malocclusion and some drooling. No squint. Mastication for hard objects-not good. He was very hyperactive initially.

Neurologically-mild wasting, and slight hypotonia in UL with drooping shoulders was noted. Power in shoulders Gr. IV + and hand grip Gr. III/IV – Hips Gr. IV + /V. Deep jerks just elicitable, plantars downgoing.

No cerebellar or extrapyramidal signs noted. Now he can walk long distances, climb stairs unsupported, jumps, even rides a bicycle however, cannot apply brakes (owing to reduced power in hand muscles).

He is right handed and can feed himself and write and draw as well. He is being tutored individually at home. He can remove his clothes-but cannot wear them or button his shirt or tie laces. He has learnt to gargle now.

Improvements note after taking G-Therapy for 8 months:

• Significant hyperactivity before which has virtually disappeared.
• Short attention span and difficulty in trainability. Now concentration while writing or being talked to is very good.
• His father has trained him to say tables up to ‘4’ now. He is much more obedient and very relevant in his response and also makes certain spontaneous remarks while watching T.V.
• He was very co-operative during my examination, responding relevantly to all questions, with good attention span.
• Wrote few sentences in English on dictation, drew a house, a tree, a triangle, Recognizes colors. Creativity is poor.
• Speech is quite clear. Sentence construction is good. Slight dyslalia and monotone to voice. He has complete sphincter control and there is no evidence of hyperactivity.

Dr. Sabiha A. Sayed
(M.B.B.S.,D.C.H)
Date:5-1-99

Further observations 2002:

The boy is improving further and his attention span is much better, concentration has improved, and hyperactivity has reduced remarkably.

- Dr. Oswal