Therapy for Spastic Blind Child?

[dmpedneuro]

Hi, I am treating a spastic Double hemiplegic child with birth history of prematurity (7 months) who also has associated congenital blindness (probably due to retinopathy of prematurity). Presently the child is 1yr 2 mths old, though still does not right the head when held in upright position. She occasionally lifts head when in prone on forearm while reaching up with one hand but does not sustain it.

I had been trying to use NDT .... but am STUCK UP .... as don't understand how to encourage/ motivate the child to right her head without important visual feedback. As the parents of the child are very desperate .... I implore you to please help me with any suggestions. Thanking u in anticipation.

[Hessa]

because he is not use his eye so you cannot motivate him to look up for a toy< insted you can use other toys that has a sound and you try to move the sounded toy up, so the child will try to move head up to follow the sound
(Always use toys according to the child limitation and child prepheras)
Hessa

[dmpedneuro]

Originally Posted by Hessa

because he is not use his eye so you cannot motivate him to look up for a toy< insted you can use other toys that has a sound and you try to move the sounded toy up, so the child will try to move head up to follow the sound
(Always use toys according to the child limitation and child prepheras)
Hessa

Hi Hessa,
Thanks a lot for the reply . I agree and have put it to practice.
the problem now I face is that.... the child lifts her head only when there is some sound to reach for overhead . I mean she does not hold it when the stilmulus is removed... leaving her head to drop again. could u give some suggestion which help her to understand how to right her head with trunk in upright positions and sustain is in absence of stimulus (like sound). I would also like to add that the child has predominent extensor tone .