Anticholinergic, antibiotics, Botox injection.
· Physiotherapy treatment includes
· Prevention and management of deformities:
Less severe types of deformities may be treated by passive stretching and adequate splinting. Rigid deformities may need manipulation under general anesthesia, followed by plaster and splints.
· Physiotherapy treatment after surgery:
Reeducate the transplanted muscle iliopsoas to function as an effective hip abductor and extensor is of primary importance. ROM range of motion exercises and muscle strengthening at the knee to offer stabilization in standing and walking.
· Management of muscle paralysis:
Muscles like hip abductors, extensors, knee extensors, ankle dorsi flexors, and plantar flexors should be strengthened for weight-bearing. Also strengthen the shoulder girdle and trunk muscles, as they also are functionally important.
Prevent adverse factors like hip flexion, knee flexion, and ankle dorsiflexion contractures by emphasizing hip extension, knee extension, and ankle plantigrade programs.
· Balance and coordination exercises:
To maintain body equilibrium in various positions, arm muscles, visual and auditory feedback techniques can be used. Reeducation of the trunk muscles is required in children with trunk lesions.
· Care of skin and joints:
Proper checking of the splint and brace by frequent careful examination of the skin at pressure points. Parents should also be careful about exposing the insensitive parts of the limb to extreme hot and cold situations.
· Education in ambulation and self-care:
Develop equilibrium, static and dynamic weight-bearing programs. Re-educate in standing and gait training.
Arm and shoulder muscles are strengthened for crutch walking.
· Assistive technologies:
An electric wheelchair is provided to the person with total paralysis of the legs.
· Special leg braces:
Leg braces help to prevent the lower limb muscles from weakening and make the patient independent.