Efficacy of The Neurophysiotherapy Program On Flexibility In A Person With Bilateral Spastic Cerebral Palsy After Muscle Fibrotomy

Introduction: Muscle fibrotomy eliminates muscle contractures in persons with pathology of the musculoskeletal system, which also includes the population of persons with cerebral palsy. The goal of surgery is to improve motor skills. The Therausit method has been successfully integrated into modern neurophysiotherapy of people with CP, but its effectiveness on mobility in the preoperative as well as postoperative period after muscle fibrotomy has not yet been investigated. Methods: In the case study we used the mixed methods design paradigm, more precisely the convergence model of triangulation and investigated the short-term effectiveness of intensive neurophysiotherapy program (Therasuit method, function-oriented exercise, principles of motor learning, etc.) to improve passive joint mobility. CP after muscle fibrotomy. Results: Based on the analysis of qualitative and quantitative results, we find that there was an improvement in the functional state of the boy in many areas, and that the effects of Therasuit therapy and muscle fibrotomy in addition to improving mobility function are reflected in the level of activity and cooperation. Conclusions: Based on a detailed analysis of mixed methods results, we find that in this way we can improve the understanding of the effectiveness of the neurophysiotherapy program in improving joint mobility of a boy with bilateral spastic cerebral palsy after muscle fibrotomy.