Role of Physiotherapy Intervention in Rare Case of Moya Moya Syndrome - A Single Case Study
Keywords:Moya moya syndrome, GMFM-88, VMI, MACS, Physiotherapy.
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.