Shashank Kanaujiya, a ten month old male child was referred to us with global developmental delay following birth asphyxia. His CT Scan was suggestive
of cortical atrophy with infarcts and demyelination. On developmental assessment his motor age was only 3.3 months and mental age 6.5 months. Head holding
was not achieved and he had left hemiparesis with generalized hypotonia. The child was from Sandila, a small town in UP with no facilities for intervention.
Since the parents could not bring the child to the center on a regular basis, the strategy was to provide a home-based intervention program with medications
and supportive care. The mother was taught exercises mainly for improving Shashank's head holding and truncal control. Exercises for extremities to improve
the tone were also taught to the mother. The childwas followed up on a monthly basis and intervention was monitored periodically. Shashank achieved complete
head control within two months and started to sit with support. On follow up, a lot of drooling was noted and oromotor stimulation and exercises were taught
to the mother. On subsequent follow up in April 2013, the child has shown significant improvement in all areas of development. He can sit without support
and stands with support. The positioning of the hemiparetic left body has also improved significantly. When one considers that the intervention to bring
about such a dramatic improvement in the child was only due to the mother's active participation in treatment, who is not even a graduate, the true import
of this case is understood better. This case study clearly shows the impact that simple home based intervention therapies can have on outcomes in children
with developmental delays.
Nisha is a 3 year old girl who was identified at the Urban Disability Camp in Lucknow and her screening revealed developmental delays. Further assessment
revealed an untreated fracture of the upper limb and a bilateral congenital cataract condition. Initially medical support was provided in the form of a POP
cast and follow up by an orthopaedic surgeon, shortly followed by cataract surgery. Simultaneously, physiotherapy was started for early intervention. An immense
amount of improvement was visible in just a 3-month period. She is now talking and communicating and more active. Follow up is being continued for her eyes
Archana Saubhagya is a 5 year old girl studying in Sr.kg. She was referred for assessment with complaints of her poor academic performance. She lives in a nuclear family. Her father has not completed SSC and is into business. Her mother has studied till SSC and is also into business. She also has a twin sister. Assessment showed that her social functioning was in the dull normal range. She had severe difficulties in colour/shape recognition, had poor writing skills, low attention span and poor expressive language and classroom behaviour. At the start of her intervention and remediation, the special educators found her very shy and low in self-esteem. Impact assessment after 3 months showed a drastic improvement in all her areas of weakness, with achievement in alphabet/number/shape recognition and noted improvement in her attention span and expressive and social skills. She is more verbal now and is able to perform more at par with her grade level.