
A first born and the only child of a single mother Helen Wamuyu, Charles Muhoro aged 9 years. As the darling of majority of the residents of MMCI for a long time he has his plight known far and beyond the walls of the centre.
Having been diagnosed with Hydrocephalus and Osteogenesis Imperfecta, he has been off and on PPO since he has brittle bones thus making him prone to fractures.

Through out he has been under therapy sessions, under the two qualified; occupational therapist and Physio therapist in the centre. The two are working tirelessly to achieve the set goals of the child like;
• Increase muscle strength and endurance of the upper limbs
• Enhance hand functions and prehensile patterns
• Increase muscle strength and endurance in sitting
However the team of the two therapists is working on a tight schedule in a quest to achieve the laid down objectives of;
• Passive and active joint range of motion exercises of upper limbs
• Use of sitting aid for trunk stabilization
The team above identified that Muhoro has a problem in:
• Poor trunk posture and alignment in sitting
• Decreased muscle strength and endurance
After an interview with the therapists they emphasized that “The current goal is attainment of the set objectives. Proper positioning is however recommended since the limbs seem to have atrophied.”
They advised that; Due to multiple mal-s of fractures on the lower limbs, there is formation of improper joints. It is a challenge therefore to exercise them. In this regard, the child experiences lots of pain when the limbs are moved. After removal of the POP, the orthopedic surgeon upon evaluation of the x-rays did not recommend any therapy services for the limbs. The child has to under go periodic review clinic at Kenyatta National Hospital.

















