Cerebral Palsy Physiotherapy Treatment in Ahmedabad

What Causes Cerebral Palsy?

Cerebral Palsy is a non-progressive neurological condition caused by brain injury or atypical brain development occurring before birth, during delivery, or in early infancy (due to prematurity, birth asphyxia, or neonatal jaundice). It affects motor control, muscle tone coordination, balance, and postural reflexes, making movements stiff, involuntary, or uncoordinated.

Common Symptoms Managed by Pediatric Physiotherapy

• Delayed Motor Milestones: Late in achieving head control, rolling over, sitting independently, crawling, or standing.
• Toe Walking and Scissoring Legs: Crossing legs like scissors during walking due to tight inner thigh muscles and heel cords.
• Persistent Primitive Reflexes: Retained startle or asymmetric neck reflexes that interfere with voluntary purposeful movements.
• Poor Postural Trunk Control: Slumping forward or to the side when sitting on the floor or in a chair.

Early Neurodevelopmental Intervention (NDT / Bobath)

The developing infant brain is exceptionally adaptable. Early Neuro-Developmental Treatment (Bobath NDT) guides the child through natural movement patterns, inhibiting abnormal muscle synergies and facilitating normal postural righting and equilibrium reactions before secondary joint contractures form.

Play-Based Functional Motor Relearning

Children learn movement best through play. We incorporate colorful balls, balance wedges, sensory tunnels, and climbing obstacles to make intensive neuro-rehabilitation an engaging, joyful, and confidence-building experience.

Clinical Assessment

Our assessment begins with standardizing gross motor function using the GMFM-88 (Gross Motor Function Measure), staging GMFCS levels, and recording milestone history.

Joint Mobility, Muscle Tone, and Postural Assessment

We evaluate spasticity on the Tardieu and Modified Ashworth Scales, assess hip joint stability (Galeazzi sign), and measure joint range of motion (popliteal angle, ankle dorsiflexion).

Identifying Functional Mobility and Orthotic Needs

• Gross Motor Function Classification (GMFCS): Determining whether the child is Level I (independent walker) through Level V (supported seating).
• Orthotic & Splinting Evaluation: Prescribing custom dynamic AFOs, knee extension splints, or gait trainers to optimize walking.
• Sensory Processing & Balance Screening: Evaluating vestibular and tactile integration during floor play.

Bobath NDT Pediatric Therapy

Our certified pediatric therapists use specialized hands on key points of control (pelvis, shoulders) to facilitate head control, rolling, crawling, and symmetrical standing alignment.

Sensory Integration and Balance Training

Therapy balls, balance beams, and sensory swings stimulate the vestibular and proprioceptive systems, improving spatial awareness and automatic balance reactions.

Spasticity Management and Passive Stretching

Sustained gentle muscle elongation, tone-inhibiting positioning, and specialized tilt table standing prevent joint contractures and protect hip alignment.

Gait Retraining with Custom Orthotics

Parallel bar training, posterior gait trainers, and custom Ankle-Foot Orthoses (AFOs) eliminate toe-walking, prevent knee hyperextension, and build walking stamina.

Personalised Physiotherapy Treatment

We create a loving, family centered therapy plan that empowers parents with home handling techniques, adaptive seating guidance, and ongoing milestone tracking.

Core Trunk and Pelvic Righting Drills

Building dynamic trunk control enables independent sitting and standing balance:

• Physioball Balance Reaching: Seated on a therapy ball while reaching for toys facilitates automatic abdominal and back righting reactions.
• Supported High Kneeling: Kneeling upright against a low bench builds hip extensor strength and prepares for standing.

Calf and Hamstring Prolonged Stretching

• Slant Board Standing: Standing on an inclined wedge stretches tight Achilles tendons while providing fun tabletop activities.
• Gentle Hamstring Lengthening in Supine: Stretching with the pelvis flat maintains knee extension for straight leg walking.

Supported Standing and Stepping

Standing in a standing frame for 45 to 60 minutes daily stimulates bone growth, promotes hip socket development, and improves digestion.

Parent Handling and Home Play Guidance

We teach parents proper carrying techniques that break spastic scissoring, adaptive chair positioning for feeding, and fun floor play routines.

Pediatric physiotherapy should begin as early as possible (even in infancy as early intervention) when delayed head control, excessive body stiffness, or floppiness is noticed, to harness early brain neuroplasticity.