Consequence of Snake Bite on Foot Posture in Paediatric Population: A Case Report

Abstract

Snakebite envenoming is a potentially life-threatening disease caused by toxins in the bite of a venomous
snake. It is an emergency and dangerous situation, especially for people in rural India, where agricultural sector
is predominantly widespread and lack of medical facility is there. Here, a case is reported of a 8 year old
boy who came with a history of snake bite (around 6 months back) and is recently presenting complaints of
common peroneal nerve and sural nerve palsy. This case reports highlights the exhibiting features at present,
along with an insight of on-going physiotherapy rehabilitation protocol (after sensations are fully intact), which
has shown positive outcomes. The ongoing physiotherapy management included: i. Electrical Stimulation for
common peroneal nerve activation, ii. Rood’s Approach for sensory facilitation (S1 dermatome), iii. Scar tissue
mobilization, iv. Maitland’s joint mobilization technique for ankle joint. v. Exercise therapy, which included lower
limb ROM ex., Gait Training and Play Therapy. Gradual succession is seen in foot posture alignment, on FPI-6
within 20 days interval. Marked improvement can be appreciated in ankle ROM and MMT. This intervention can
be explored further in various age groups and remarkable difference can be observed.