11/11/2024
36/F presented with the history of spastic quadriparesis of unknown etiology. On observation normal heel to toe gait was impaired due to excessive tension in ankle PFs & patient had proprioceptive balance deficits.
On examination, the patient had mild cognitive deficit, mild coordination deficit, impaired static and dynamic balance.
A stretching program was introduced for 1 week followed by balance training. After 4 weeks of intervention patient was able to ambulate on linear surfaces with minor assistance for pivoting around, step over hurdles, and independent community ambulation.
Note: The video recording and upload was consented by the patient.
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