Lottie's Story

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Lottie Smiling During Treatment

Meet Lottie

“The progress that she’s made...it’s been emotional at times…” - Ben, Lottie’s Dad
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Lottie playing in the mirror.
“Once the cast was on, within 5-10 minutes she was used to it.”
Ben, Lottie's Dad.

The Challenge

Lottie found it difficult to bend and flex her fingers and thumb in her right hand, making it hard for her to grab toys and bottles. Lottie’s feeling in her right hand and arm were reduced so she was less aware of the right hand side of her body.

She also didn’t like to weight bare through her right arm which made her unwilling to crawl. Over the next 3 weeks we wanted to improve the feeling, strength and range of movement in Lottie's right side.

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The Goals

  • To increase her awareness of her right upper limb
  • To increase strength in her right shoulder and arm
  • To improve her grip strength
  • To improve her ability to grasp and release of objects
  • To be able to feed herself with a spoon

Our Approach

01

- Shoulder strength training

Lottie practising pouring tea.
Lottie eating and using utensils.

02

Increase sensory awareness

03

Grip strength

Lottie playing during her therapy.
Lottie playing and practising cleaning.

04

Range of movement exercises

The Science-y Bit

For children with hemiplegia, altered sensation is often a problem. They can perceive physical contact to be too sensitive i.e. experiencing pain or discomfort when touching certain textures, sensitivity to temperatures, etc. Such problems with sensation have a knock on effect to function through ‘learnt disuse’ of the affected limb due to the pain/discomfort caused by its use.

Jennifer Hughes portrait headshot

Jennifer - Neurological Physiotherapist

We attempted to normalise sensation through using different textures, touches with Lottie which was she was comfortable with; we could then extend the programme to build strength and coordination through the repetitive use of Lottie’s affected upper limb, promoting lasting change and encouraging functional use once the programme had finished. Similar to all intensive therapies, the best results are seen with early intervention. For Lottie this allowed her to achieve many long lasting improvements over a relatively short period of time in the clinic!

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The Achievements

  • Lottie was able to independently maintain her grip for long periods meaning she could feed herself with a fork
  • Lottie was able to weight bare through her right arm which allowed her to crawl
  • Lottie demonstrated greater independence with her right arm and was motivated to use it without assistance so she could express herself better through pointing, waving and sending kisses!

The Parents Feedback

“The progress that she’s made, I’ve really enjoyed seeing it. It’s been emotional at times...seeing her fingers open up on her weaker side...it was just lovely to see.” Ben, Lottie’s Dad.

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“The progress that she’s made, I’ve really enjoyed seeing it. - Ben, Lottie’s Dad.

The Therapists Feedback

“Lottie was a little lady with determination and a mind of her own. After mastering the task of grasping a felt tip pen and producing some wonderful drawings, we discovered that Lottie’s favourite repetitive task practice was simply picking up the pen’s one by one, passing them to her Dad to put back into the packet and then taking them out of the packet, to only pass them back again. You can never predict what will entertain one child from the next and that is the great thing about CIMT and the ability to make therapy fun and adaptable for each and every child.

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"You can never predict what will entertain one child from the next and that is the great thing about CIMT and the ability to make therapy fun and adaptable." - Jen, Therapist
Jennifer Hughes portrait headshot

Jennifer - Neurological Physiotherapist

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Call us on 0330 223 0077 or email to speak to
one of our specialist CIMT therapists.

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