Date of birth April,18,1993

Diagnosis; Post Meningitis during birth, as a result of that he was suffering from severe spastic quadriplegia and speech problems.

He was admitted to the JMF and after the physical therapy assessment, the therapist found the following problems;

1. Modern spastic quadriplegia, the upper limbs are better than the lower.

2. Severe shortening in bilateral hamstring muscles , calf muscles,
   and adductors.

3. Inability to sit or stand according to the contractures in both lower limbs and poor balance.

4. Good head control.

5. Inability to use his hands in a normal pattern according to the spasticity.

Firstly, he was admitted to the Home Physical Therapy Program , and after months of treatment he was referred to an orthopedic surgeon for consultation about myotomy to bilateral Hamstring and Adductors muscles and he was recommended to under go the operation.

As a result, the foundation admitted the child to the hospital on 20/8/2005.

After the operation and around 2 months in the case, the physical therapy began and we obtained the following results ;

1. He can now sit with very good balance.

2. An Increase in his standing tolerance up to half an hour by using standing frame.

3. A decrease in the plasticity of both upper limbs by using several exercises.

4. He can now stand and walk on the parallel bars by using bilateral KAFO.

5. Normal muscles length in both lower limbs are maintained after the operation.

6. An improvement in his trunk control.
   
   NOTE: The treatment is continuing in order to reach the ideal results.
   
   
   Physical Therapist
   Omar Rashid