Role of Physiotherapy Intervention in Rare Case of Moya Moya Syndrome - A Single Case Study

Authors

  • Parmar Sanjay1 , Lakshita Shah2 , Sampada Kulkarni3 , Jyoti Jeevannavar4 , Sayali Joshi5

DOI:

https://doi.org/10.37506/ijpot.v14i3.9687

Keywords:

Moya moya syndrome, GMFM-88, VMI, MACS, Physiotherapy.

Abstract

Introduction: Moya moya syndrome is a moya moya angiopathy related secondarily to any neurological

symptom or because of a specific acquired or inherited origin presenting with sensory and motor impairments.

Although the disease is quite common in Japan, many cases have been reported around the globe, including

North America, Europe, and India. Epidemiologic studies in Japan have estimated the annual incidence of

moya moya disease to be 0.35 to 0.94 per 100000 people. This case studies the role of physiotherapy as it is

not explored much in the paediatric population.

Material and Methodology: A child who was diagnosed with moya moya syndrome presented to us at

the age of 3.3 years and was evaluated on GMFM-88 scale, Visuo-Motor Integration (VMI) component of

PDMS-2 scale along with Manual Ability Classification System (MACS). Physiotherapy intervention was

done based on impairments to improve motor function.

Results: GMFM-88 was administered for 4 times in 18 months. A total score of 38 was observed at first

administration and a total of 24 score was observed at 18th month of administration. The VMI score of

PDMS-2 scale did not change pre and post intervention.

Conclusion: This single case study shows about the nature of the syndrome and individualized integrated

protocol which is needed for the evaluation and tretment in the cases of moya moya syndrome population

which needs to be segregated from cerebral palsy.

Author Biography

Parmar Sanjay1 , Lakshita Shah2 , Sampada Kulkarni3 , Jyoti Jeevannavar4 , Sayali Joshi5

1 Post Doctoral Fellowship (PDF), Professor, Sri Dharmasthala Manjunatheshwara University, SDM College of

Physiotherapy, Dharwad, 2 Post graduate student in paediatrics (MPT), SDM College of Physiotherapy, Dharwad, 3 Sampada Kulkarni, MPT Paediatrics, Chetana Rehabilitation Centre, Thane (west), 4 MPT (Paediatrics),

Professor, Sri Dharmasthala Manjunatheshwara University, SDM College of Physiotherapy, Dharwad, 5 Post graduate student in Paediatrics (MPT), SDM College of Physiotherapy, Dharwad

Published

2020-07-22