IJPR.2024.114

Type of Article:  Case Report

Volume 12; Issue 3 (June 2024)

Page No.: 4723-4726

DOI: https://dx.doi.org/10.16965/ijpr.2024.114

Optimising Functional Recovery in a Paediatric Stroke Patient Secondary to Sickle Cell Disease: A Case Report

Simran Jethani *1, Prachi Bhagat 2, Suvarna Ganvir 3.

*1 MPT 2, DVVPF’S College of Physiotherapy, Ahmednagar, Maharashtra, India.

2 Assistant Professor, DVVPF’S College of Physiotherapy, Ahmednagar, Maharashtra, India.

3 Professor and Head, Department of Neurophysiotherapy, DVVPF’S College of Physiotherapy, Ahmednagar, Maharashtra, India.

Corresponding Author: Simran Jethani, MPT 2, DVVPF’S College of Physiotherapy, Ahmednagar, Maharashtra, India. E-Mail: Sjethani263@gmail.com

ABSTRACT

Out of many causes of Paediatric Stroke, Sickle Cell Disease is one of the crucial conditions with the risk of Stroke highest during the first decade that is between the ages of 2 & 5 years.

Reported here, however, is a case of a 10-year-old male child with sudden onset left side hemiplegia with facial muscle weakness, who was a known case of Sickle Cell disease since 6 months of age. With the inability to use the upper extremities & walk independently, the patient was functionally dependent with a Fugl Meyer score of 55/126 & Berg balance scale score of 18/56. After 4 months of Physiotherapy Treatment patient was able to use the Upper extremities for functional activities and was able to walk independently with a Berg balance scale score of 46/56.

With very few cases of pediatric Stroke receiving Physiotherapy care being reported in the literature, this case report establishes the role of Physiotherapy in preventing long-term neurodevelopmental disability.

Keywords: Functional Motor Recovery, Paediatric Stroke, Physical Rehabilitation, Sickle Cell Disease.

 REFERENCES

[1]. Fraser S, Pabst L, Smith F. Stroke in the young. Curr Opin Neurol. 2023 Apr 1;36(2):131-9.
https://doi.org/10.1097/WCO.0000000000001145
PMid:36762634
[2]. Runge A, Brazel D, Pakbaz Z. Stroke in sickle cell disease and the promise of recent disease modifying agents. J Neurol Sci. 2022 Nov 15;442:120412.
https://doi.org/10.1016/j.jns.2022.120412
PMid:36150233
[3]. Colah RB, Mukherjee MB, Martin S, Ghosh K. Sickle cell disease in tribal populations in India. Indian J Med Res. 2015 May;141(5):509.
[4]. Kato GJ, Piel FB, Reid CD, Gaston MH, Ohene-Frempong K, Krishnamurti L, et al. Sickle cell disease. Nat Rev Dis Primer. 2018 Mar 15;4:18010.
https://doi.org/10.1038/nrdp.2018.10
PMid:29542687
[5]. Brandow AM, Liem RI. Advances in the diagnosis and treatment of sickle cell disease. J Hematol OncolJ Hematol Oncol. 2022 Mar 3;15(1):20.
https://doi.org/10.1186/s13045-022-01237-z
PMid:35241123 PMCid:PMC8895633
[6]. Ohene-Frempong K, Weiner SJ, Sleeper LA, Miller ST, Embury S, Moohr JW, et al. Cerebrovascular Accidents in Sickle Cell Disease: Rates and Risk Factors. Blood. 1998 Jan 1;91(1):288-94.
[7]. Cooper AN, Anderson V, Hearps S, Greenham M, Ditchfield M, Coleman L, et al. Trajectories of Motor Recovery in the First Year After Pediatric Arterial Ischemic Stroke. Pediatrics. 2017 Aug;140(2):e20163870.
https://doi.org/10.1542/peds.2016-3870
PMid:28710246
[8]. Ciechanski P, Carlson H, Herrero M, Lane C, MacMaster F, Kirton A. A Case of Transcranial Direct-Current Stimulation for Childhood Stroke Hemiparesis: A Brief Report. Dev Neurorehabilitation. 2020 Feb 17;23(2):133-6.
https://doi.org/10.1080/17518423.2019.1655678
PMid:31424312
[9]. Patel BR, Kadam N, Pawar P. Effect of Rood’s approach in diabetic polyneuropathy. Biomed Res. 2019;30(3).
https://doi.org/10.35841/biomedicalresearch.30-19-099
[10]. Guiu-Tula FX, Cabanas-Valdés R, Sitjà-Rabert M, Urrútia G, Gómara-Toldrà N. The Efficacy of the proprioceptive neuromuscular facilitation (PNF) approach in stroke rehabilitation to improve basic activities of daily living and quality of life: a systematic review and meta-analysis protocol. BMJ Open. 2017 Dec 1;7(12):e016739.
https://doi.org/10.1136/bmjopen-2017-016739
PMid:29233831 PMCid:PMC5728303
[11]. Kruse A, Habersack A, Weide G, Jaspers RT, Svehlik M, Tilp M. Eight weeks of proprioceptive neuromuscular facilitation stretching and static stretching do not affect muscle-tendon properties, muscle strength, and joint function in children with spastic cerebral palsy. Clin Biomech. 2023 Jul 1;107:106011.
https://doi.org/10.1016/j.clinbiomech.2023.106011
PMid:37329655
[12]. Ganvir, Suvarna; Harishch, Maheshwari; Kunde, Chetana. Validation of Marathi Version of Stroke-specific Quality of Life. Annals of Indian Academy of Neurology 2018;21(4):290-293.
https://doi.org/10.4103/aian.AIAN_449_17
PMid:30532359 PMCid:PMC6238549

Cite this article: Simran Jethani, Prachi Bhagat, Suvarna Ganvir. Optimising Functional Recovery in a Paediatric Stroke Patient Secondary to Sickle Cell Disease: A Case Report. Int J Physiother Res 2024;12(3):4723-4726. DOI: 10.16965/ijpr.2024.114