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CASES


Teya

She began CME® Therapy at the age of four and a half years old (in 2002), with the diagnosis of congenital cerebellar hypoplasia and deafness. To understand better Teya’s case we will briefly explain the cerebellum characteristics, information adapted from the NINDS web page:

“The cerebellum is composed by two large hemispheres, and is located in the inferior posterior portion of the head, directly dorsal to the brainstem and pons, inferior to the occipital lobe. Cerebellum who means “little brain“ in Latin is a region of the brain that plays an important role in the integration of sensory perception and motor output.

Many neural pathways link the cerebellum with the motor cortex which sends information to the muscles causing them to move, and the spinocerebellar tract which provides feedback on the position of the body in the space or proprioception.

The cerebellum integrates these two functions, using the constant feedback on body position to fine-tune motor functions. Because of this “updating” function of the cerebellum, lesions within it are not so debilitating as to cause paralysis, but rather present as feedback deficits resulting in disorders in fine movement, equilibrium, posture, and motor learning”.

Teya was under the health care system in her country since a very early age, receiving all the necessary services including conventional physical therapy, and during the previous months before the beginning CME® Therapy she was receiving training to use a walker frame.

Furthermore the mother was advised to apply for a wheel chair, because none of the professionals involved in Teya‘s care considered her to be a candidate for motor independence, probably due to the severe diagnosis and poor aging-developmental-evolution.

But the mother had the courage to disregard standard motor therapy and to find CME® Therapy, and decided to make a big effort to bring her daughter to Santiago, Chile, to take intensive CME® physical therapy with Ramón Cuevas.

In the initial assessment of Teya in August 2002, she stopped getting 3 or complete response in item “28: Standing posture by hands on wall”. She got a “1 or minimal response”; because she was afraid to keep standing position only by hands on the wall. This item needed the basic balance control response of keeping the center of gravity inside the base of support without the “grasping” compensation, which is the first immature reaction that motor delayed children do in order to keep standing posture and taking steps.

Teya was never before placed in a standing position without grasping a solid support. In item “32: Steps by one hand-arm horizontal” she got a zero and then also a zero in item “34: Standing posture free”. Her final motor level from assessment was equivalent of 10 month of age, being 4 ½ years old.

Luckily, since the first set of intensive therapy sessions Teya showed good tolerance to the new therapy responding very well to the exercises, but due to her size and total lack of control of balanced reactions, it was very hard for the mother and for the therapist to provoke functional responses holding such a tall girl by the ankles.

However, it was a worthy effort because slowly but steadily Teya never stopped progressing since the beginning of CME® Therapy, and currently she can stand up from the floor by herself, walk freely on the street almost an unlimited distance turning to any necessary direction with functional balance control and step up and down small stair cases.

Teya is still dealing with severe cerebellum atrophy and deafness and is not completely independent yet, but considering the way in which she manages strolling around after the last set of intensive therapy (March 2006), the option to become totally motor independent despite the diagnosis is increasing every single day.

Rachel

To keep privacy, the real name of the child was changed, and her personal information will not be mentioned, only the motor level at the beginning and at the end of the 4 days of CME® therapy.

Rachel was 5 years old when she came to CME® Therapy for the first time in July 1996 by the recommendation of other satisfied parents. Her diagnosis was developmental delay with motor and mental impairment detected in the post natal period. She began conventional stimulation immediately after diagnosis and the physical therapy intervention when Rachel was younger than 1 year old.

The CME® Therapy initial assessment results showed a functional motor level equivalent to 10/11 months of a standard motor development performance. Her head and trunk control were appropriate and the highest motor function was “walking supported by 2 hands”. Rachel was unable to maintain a free standing posture, neither was she able to initiate free steps, furthermore, she was taking the maximum of standing control from the hands of the parents and holding her trunk inclined forward.

Her parents brought her for an 8 session program and the following inserted pictures illustrate Rachel’s evolution during the 4 days of CME® Therapy.

This type of quick motor progress is not the norm in to the CME® Therapy interventions, furthermore, to obtain positive results constant effort from the families and therapist is necessary and perseverance with no dismay to stimulate the child until achieving the wanted motor response under only one condition: the brain must assimilate and organize the postural-functional motor information.

The results of CME® Therapy in Rachel’s case was exactly the aim of the parents, and a very important issue for Rachel’s family because the achievement of independent walking was the missing part that conventional motor therapy did not achieve in four years of regular intervention.

There are many cases like Rachel in which the CME® Therapy intervention by Ramón Cuevas or by other CME® Therapy practitioners, was the turning point in the life of many children and their families, maybe taking more time to achieve the positive motor responses, but marking an objective advantage when compared to the former motor therapy that those children were receiving.

Guiti

Guiti P.was born premature from a twin pregnancy, with low weight (less than 4 pounds), microcephaly and other difficult conditions; her twin sister enjoyed total indemnity. Muscle tone was abnormal with combination of spastic conditions plus functional dyskinesia with athetosis and ataxic components which affected more the right side of the body.

She began CME® Therapy when she was two and a half months old in 1990, in Caracas, Venezuela, and Guiti’s mother took pictures on April 1991, when Guiti was 14 months old. The CME® Therapy session focused on the provocation of Guitis’s motor recovery potential concentrating the effort on the standing position and the steps.

Mackayla

Mackayla was born in April 2001, with severe perinatal hypoxia as a consequence of quadriplegic spastic-athetoid cerebral palsy. She received conventional therapy treatment from birth until mid 2004 when she began to receive CME® Therapy with a certified CME® II practitioner.

From the beginning the parents noticed small but significant improvements in Mackayla motor functions as a result of the new physical therapy. The father brought Mackayla to Chile in April 2006 for an intensive CME® Therapy program of 7 days (21 sessions) with Ramón Cuevas. At the initial assessment, she presented the characteristic signals of athetoid neck movements and posture as well in upper extremities.

Mackayla experienced significant improvement in two basic functions during the 7 days of CME® Therapy; the first was trunk control reaction when sitting on the sofa with no trunk support, function which was totally absent 4 days before.

The other wonderful improvement was the endurance to keep the standing position and take steps supported by the ankles. Mackayla only began to control the standing position by the ankles after the family incorporated CME® Therapy as a basic routine.

The average amount of guided steps by the ankles, before the intensive therapy in Chile was 11 steps followed by collapsing sitting down and surprisingly, during the therapy session number 12 on the fourth day of the program Mackayla was able to take 246 consecutive steps guided by the ankles.

She became excited and collapsed sitting 10 inches before touching the elevator door in front of Ramon’s office; the father and the grandfather were witnesses of this amazing performance. This response to the exercise means that Mackayla has a great potential for postural control.