Spastic Diplegia Cerebral Palsy Johnny is a seven year old boy who has severe involvement (disability) in the lower extremity, mostly in his legs. He has recently been able to walk, but his gait is not normal of a seven year old boy, but more of a crouch. His upper arms are more mobile and functional within his control than his legs. Cerebral Palsy Case Studies Cerebral palsy Treatment protocol in cerebral palsy affected individuals is decided on the basis of careful evaluation taking into consideration of clinical presentation (type), topography (extent of problem), age of individual, associated medical … Nathaniel was diagnosed with CP when he was 5 years old and has experienced intermittent hip pain since his teenage years. This case study involves Nathanial, an adult male living with Cerebral Palsy (CP). Kayla is now 20 years old and a sophomore in college. THURSDAY, Oct. 1, 2020 (HealthDay News) -- Genetic problems cause about 14% of cerebral palsy cases, and many of the implicated genes control the wiring of brain circuits … She was born prematurely and has received physical therapy services in a variety of settings since infancy. He is an active, 24 year old male who presents to physiotherapy with hip pain. This case study focuses on the physical therapy management of Kayla, a young woman with spastic, diplegic cerebral palsy (CP).