# A Case Report: Can Prioritizing Sensory Integration Therapy Help Improve Gross Motor Function in a Rare Case of Neurogenic Arthrogryposis Multiplex Congenita?

## TL;DR

This case report explores how sensory integration therapy combined with physiotherapy helped improve motor skills in a rare case of a congenital joint disorder.

## Contribution

The first reported use of sensory integration therapy alongside NDT for treating AMC.

## Key findings

- The patient achieved motor milestones within one year of physiotherapy.
- Combining SIT and NDT showed potential for functional recovery in AMC.
- The case highlights the need for more research on non-surgical physiotherapy approaches for AMC.

## Abstract

Arthrogryposis multiplex congenital (AMC) is a congenital disorder diagnosed with extremity contractures, restricted joint range of motion, foot abnormalities, and hip dislocation. The current literature emphasizes medical and surgical management, but very few studies provide insight into physiotherapy management for AMC. We reported the case of a 16-month-old male diagnosed with AMC, operated on both hips for teratologic dislocation. Physiotherapy examination was conducted, and treatment was planned based on the principles of Sensory Integration Therapy (SIT) and neurodevelopmental technique (NDT) with orthosis to assist in functional recovery. He achieved motor milestones within one year of regular physiotherapy treatment. As per our literature search, this is the first study where an attempt has been made to utilize sensory integration along with NDT for the treatment of AMC, although the clinical presentation of the patient shows more musculoskeletal abnormalities.