Myles's Story

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Myles During Treatment

Meet Myles

“For us doing it early and trying to get him going as soon as possible whilst he’s still young and while his brain is developing so much is important, which is why we brought him now.” - Chris Fordham, Myles’s Dad
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Follow Myles's Story

'We’ve been joking that he’s been more content and happy than we’ve ever known him.’ ‘We haven’t seen any real frustration since having the cast on'
Beth Fordham, Myles’s Mum.

The Challenge

Myles was diagnosed with cerebral palsy at 6 months old after his parents had noticed that his left side wasn’t being used as much as his right.

Myles presents a neglect of his left upper limb and predominantly uses his right arm in play and function.With the help of CIMT, we hope to improve his bilateral function and worked on increasing awareness in use of his left arm to make a meaningful difference.

“The programme results have been much better than we could have hoped for really” - Beth Fordham, Myles’s Mum.

The Goals

  • Awareness of left upper limb for both unilateral and bilateral activities
  • Muscle strength throughout the upper limb
  • Improving dexterity
  • Spontaneous grasp and release of objects
  • Alignment of his wrist/thumb
  • Confidence when using his left hand successfully

Our Approach

01

Awareness of left upper limb for both unilateral and bilateral activities

02

Muscle strength throughout the upper limb

03

Improving dexterity

05

Spontaneous grasp and release of objects

06

Confidence when using his left hand successfully

The Science-y Bit

CIMT involves constraining the stronger arm in a lightweight cast and completing rehab of the weaker arm and hand, which for infants is undertaken through play and meaningful functional activities for two hours per day as opposed to the three hours per day we work with older children. Having the cast on for 4 weeks has allowed Myles to focus on only using his affected arm in activities which increases awareness of his right upper limb.

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This helps to stimulate formation of new pathways for movement and in turn helps to rewire the brain. The high intensity and repetitive use of Myle’s affected upper limb over a relatively short period of time had produced lasting changes not only in the amount and quality of movement of his weaker arm and hand but within activities involving both hands.

Ruth - Myles's Physiotherapist

“We’re a world away from when we started!”
Beth Fordham, Myles’s Mum.

The Results

Increase Upwards Arrow Icon133%

General Usage

Increase Upwards Arrow Icon71%

Arm Use

Increase Upwards Arrow Icon99%

Grasp-Release (items)

Increase Upwards Arrow Icon100%

Pace items

The Achievements

  • Improvements were noted in overall initiation of use, active range of movement, arm position and functional use of his right hand and arm. Over the four week therapy period Myles’s confidence in using his left hand and arm also improved. He demonstrated significantly more awareness of his left upper limb and, when the cast was removed, was able to demonstrate some immediate bimanual play.
"I feel like we’ve unlocked his potential”
Beth Fordham, Myles’s Mum.
Myles playing  during CIMT treatment.

The Parents Feedback

'It’s been absolutely fantastic, his progress has been amazing, it’s not been stressful, just an enjoyable process for the whole family' - Beth Fordham, Myles’s Mum.

“No question, we’d do it again in a heartbeat, it’s definitely worth it” - Beth Fordham, Myles’s Mum.

The Therapists Feedback

“Myles has improved his awareness and functional use of his right hand and arm greatly! It is inspiring to see the level of change which has occurred for Myles with our infant programme - 2 hours per day of therapy” - Ruth

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