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Efficacy of Neurodevelopmental Treatment In Combination With Proprioceptive Neuromuscular Facilitation On Gross Motor Function, Other Activities and Participation In A Child With Spastic Cerebral Palsy After Selective Dorsal Rhizotomy and Fibrotomy
introduction: The population of children with bilateral spastic cerebral palsy (CP) after selective dorsal rhizotomy (SDR) and fibrotomy is a very heterogeneous group and each child with this diagnosis has its own individual characteristics and peculiarities. No randomized clinical studies or pilot studies have been published in the databases as a case study examining the efficacy of NDT in combination with PNF on gross motor function in individuals with spastic CP after SDR and fibrotomy. Methods: We performed a case study using the mixed methods, specifically a sequential research plan, and investigated the effectiveness of neurophysiotherapy on improving gross motor function in a boy with spastic CP after SDR and fibrotomy. Results: Based on the analysis of the results of the existing case study using the mixed methods paradigm on the subject, we find that the mentioned neurophysiotherapy program is effective in improving gross motor function over a period of 5 years. Conclusions: Based on the integration of methods, we consequently gained a deeper insight into the subjective experience of the effectiveness of the afore mentioned neurophysiotherapy program of a physiotherapist of a boy with spastic CP after SDR and fibrotomy on improvement in activity and cooperation.