Hypotonic Cerebral Palsy

In Hypotonic Cerebral Palsy tone in the body is too low so they cannot maintain posture and balance. Most of the time presentation can change into other varieties like athetoid/spastic variety. Outcomes are not satisfactory in persistent hypotonia. These children need good therapy, brace and supportivemeasurese. In these children,n hypothyroidism should be ruled out. According to the GMFCS level: The gross motor functional classification system is a 5-level clinical classification system that predicts prognosis based on self-initiating movement ability by a child. GMFCS level is fixed for every child affected with cerebral palsy & not meant for outcome assessment but usually, one level shift can be seen after treatment. Our protocol for these children is to give them maximum efficient gait as much as possible by intensive therapy, brace, walking aid and correction of torsion, deformity, contracture and muscular weakness by surgical intervention. It has been shown in the last 10 years that by our protocol we were able to change one level of GMFCS and increase their gait efficiency as measured by FMS score.