Response of Acute Disseminated Encephalomyelitis to Physiotherapy Management-“A case report”

Background : Acute disseminated encephalomyelitis (ADEM) primarily affects children and presents with multifocal neurological deficits and encephalopathy. While medical management with high-dose corticosteroids, intravenous immunoglobulin, and plasmapheresis is well established, physiotherapy plays a crucial role in improving functional outcomes. Case Presentation: This case report describes a 13-year-old male diagnosed with ADEM, who presented with motor weakness, impaired coordination, and gait disturbances. A structured physiotherapy intervention focusing on range of motion exercises, proprioceptive training, balance training, and gait rehabilitation was implemented over 14 weeks. Conclusion: The patient demonstrated significant improvements in muscle strength, mobility, and independence in daily activities. This case highlights the importance of early and structured physiotherapy in optimizing recovery and functional independence in ADEM patients.