Efficacy of Neurophysiotherapy On Gross Motor Function of A Girl With Bilateral Spastic Cerebral Palsy After Phase Fibrotomy

Introduction: Phase fibrotomy is used in children with bilateral spastic cerebral palsy. There are currently no published studies and evidence-based neurophysiotherapy regarding the most effective combination of neurophysiotherapy concepts (NDT, hippotherapy, Therasuit, Halliwick concept) and procedures, nor data regarding its intensity and effectiveness . Method: We performed a case study and used a quantitative methodology where the gross motor function data of a girl with CP were obtained using the version-88 gross motor function scale. The main purpose was to evaluate the effectiveness of complex neurophysiotherapy (NDT, hippotherapy, Therasuit, Halliwick concept) on gross motor function after performing a phase fibrotomy over a period of four years. Results: Based on the analysis of the results, we can conclude that the composite neurophysiotherapy program has a positive effect in areas A (lying and turning), B (sitting), D (standing), E (walking, running, jumping) gross motor functions in a girl with spastic CP shape. Conclusions: The existing case study provides us with clinically relevant information on the motor progress of a girl with bilateral spastic CP after phase fibrotomy during the mentioned four-year period when she received a complex neurophysiotherapeutic program.