Physical Rehabilitation Based on International Classification of Functioning, Disability and Health (ICF) Model of a Child with Arthrogryposis Multiplex Congenita

Author(s): Faruq Ahmed, Zannatul Mawa, Mohammad Nazmul Hasan, Suria Akter, Md Shujayt Gani, Chowdhury Muhsinin Mosharofy Aroshi

Background: Arthrogryposis Multiplex Congenita (AMC) is a condition used to portray inborn contractures with at least two different body limbs behind a general predominance of 1 out of 3000 at live births. The aim of the study was to provide information about appropriate physical rehabilitation protocol using ICF model for the child with AMC.

Case Description: The reported case for the study was 13 years old girl born with suffering from AMC. During pregnancy period mother had history of malnutrition and prolong labour pain was present and child had deformity at different joints. Child was not able to sit properly except modified cross sitting, stand or walk due to deformities. Patient had no history of operation and serial plaster casts for this deformed condition. She was residential students and attended the inclusive school where he participated in a regular special education program. He took routine based individual physiotherapy, occupational therapy and hippotherapy intervention. The Child and her mother gave consent and agreed to participate in this observational case report study for 12 months. Purposive sampling technique was applied considering the inclusion and exclusion criteria. The research was carried out between July 2021 and June 2022. Measurement tools were used ICF model, prone positioning time, passive ROM and muscle strength. This article enlightens rehabilitation treatment strategies for child with AMC.

Conclusion: Physical therapy of AMC children ought to be multi-focused, continual and holistic. Early way to deal with physiotherapist limits the complexity following AMC. Early physiotherapy treatments can help in delaying the early requirement of surgical management during formative age.