Hiral Bheda
Hiral Bheda

Mother had huge loss of amniotic fluid prepartum. This lowered the mother’s BP and baby’s heart rate also went down.  Hiral was born premature with C- section; he did not cry and was diagnosed on MRI as mild degree of cerebral atrophy.  When Dr. Vasa saw him for the first time, he looked almost like skin and bone with severe contracture in limbs and also in rib cage. He used to turn blue for few seconds quite often when got scared and stopped breathing from fear. He had startle reflex active even at the age of 11. Hiral started with Vasa Therapy at age 7.

Hiral - before VASA CONCEPT

Before starting therapy with Dr. Rajul Vasa, Hiral was literally a piece of LOG who would be just lying supine all the time with severe hip knee flexion contracture more than 40 degrees which could not be stretched passively even by external force from 3 people.

Following is an account of observation made by Hiral's parents over the years while being treated with VASA CONCEPT

2005

  • Jan - Dec

    Visible Progress

    • Hiral was so stiff that initially when we started with Dr. Vasa, it was difficult for us to make him do the exercise and it required 3 people to hold him and put him into different postures. But we kept following madam’s instructions and in the first year itself Hiral could get up on his own from supine position and come into dog posture.
    • He could do dog to cobra with lot of practice.
    Hiral - Just Beginning to Dog Posture

2006

  • Jan - Dec

    Visible Progress

    • We tried lot of things with Hiral as per madam’s instruction but his contracture was so severe that it simply refused to give up.  We did try to serial plaster cast him, but all in vain; such severe was his contracture.
    • Though we realized that treating his spasticity should be the priority, at that point of time we were much focused on his academic career and schooling.  He went to school daily for 4 hours and lost 2 hours of his valuable time in travelling.  So, though we wished to focus on exercises, a lot of time was spent on his schooling.  Then at a later stage Hiral took break from his school and we concentrated only on his exercises and then we could see major changes in him.
    Hiral kneeling with support

2007

  • Jan - Dec

    Visible Progress

    • His thumb is opening up now.  Left hands fingers are developing.
    • He can mix the bajra flour with his left hand; there is considerable change in both his hands.
    • He can also eat mango salad by himself.  He can also eat anything dry without any ones help.
    • He can now maintain in horse position.
    • He is also doing horse-to-cobra on his own though the movement is not smooth.
    • Since he is getting good head neck control, now he doesn’t have to take his eyeballs up and see awkwardly at the objects around.
    • His spine is much improved.  He is sitting quite straight unlike before when his spine used to be bent totally.
    • He still has severe hip knee flexion contracture which is difficult to resolve.

    His spine is much improved. He is sitting quite straight unlike before when his spine used to be bent totally.

    Hiral crawling with tight fist

2008

  • Jan - Dec

    Visible Progress

    • Though he takes 1 full hour to eat his complete food, but good point is that he does it himself. Rice –Dal also he eats with spoon. We took him to hotel & there also he ate Chinese bhel all by himself. I was so glad to see his confidence!!
    • He can move around the whole house on his own by crawling.  He can also reach the bathroom on his own.  All we have to do is carry him and make him sit on the toilet. And he conducts himself well in the toilet.
    • Not only in the house, but he also goes to our neighbors by strolling on his knees, he can also cross the step of their house.  He can open main door’s stopper also.
    • He is also rolling over, but the pelvis is still log like.  Everything moves as one piece; the pelvis, hips, trunk.
    • He is speaking small sentences, but the pronunciation is not so clear.
    Hiral doing sand bag exercise

2009

  • Jan - Dec

    Visible Progress

    • He is now crawling more swiftly with alternate leg movements.
    • He holds the remote of the TV and also changes the channels.  On the calculator he can use plus, minus and multiply buttons also.  His mind has also become strong and sharp.
    • Skating, exercise helped his feet to bend, weight on the pipe has helped his fingers and hand much to develop.
    • Earlier Hiral used to get scared and he get startled. But it has now reduced considerably. His fear has also reduced.
    • He can also sit cross legged and then he stretches himself upwards.  This has helped in building the waist muscles which were tight earlier but now have loosened up.
    • He can say the mantra “oṃ bhūr bhuvah svah”
    Coming down the steps by himself

2010

  • Jan - Dec

    Visible Progress

    • His movements have become swifter.  He is trying to get on chair and bed.  He holds the edge of the sofa and is trying to walk on his knees. He knows names of almost all cars.  He loves to know more about cars.
    • I served him soup but he told me that I do not want this, I want chapatti, my stomach doesn’t get full with soup and feel like puking.  So, I made upma for him and he then ate it very happily.
    • Knee standing is good.  The shape of the foot has become good.  He is laughing a lot and when we ask him why he is laughing, he doesn’t answer.
    • He is now trying to read pointing the text with his finger.   He is having good eye contact with people.
    • We did try making him stand using crutches but he got heel pain; we stopped then.
    Hiral in Hanuman (Monkey God) posture

2011

  • Jan - May

    Visible Progress

    • He stood on his knees and opened and closed the tap in the bathroom.
    • He is trying to pedal the cycle himself.   He is trying to kick himself forward when he is on paatlaa.
    • He can color well using water colors.  He can stand better on knees.  He selects the colors on his own.  One day when I told him to get down from the bed from the other side, he told me “I will get down from this side; this is short cut and that is long cut”.   His understanding has improved.
    Hiral standing against the sofa and trying to catch hanging balloons
  • Jun - Dec

    Visible Progress

    • He is enjoying watching TV.  He enjoys watching garba dance on TV and also enjoys dancing on his knees and also sings Hare Ram Hare Ram, Krishna Krishna Hare Hare.
    • He colored a lamp in this Diwali.  He was very happy when Rajul madam visited our home.  Now he doesn’t cross his legs in sleep, which he earlier used to do.  His legs have become more loose.  His brother met with an accident and Hiral told me “mama, you take care of brother, don’t worry about me”.  He would ring up his brother and ask him how r u doing?.  He was behaving like a big boy.
    • His calf muscles have become bulky.  When I teach him history he understands the difference between stone-age man and modern man.  Speech is more clear.
    Hiral paddling to get ACTIVE knee extension

2012

  • Jan - Jun

    Visible Progress

    • He picks up rings with his left hand.  His understanding has improved.  When I now teach him general science, he can understand the question and answers.
    • He got prize in singing competition.  He was very happy.  His confidence has increased. Speech is also improved.
    • The foot has improved a lot.  Earlier when he used to wear splints, it would hurt him and he would yell, now the legs are very much relaxed.  Now we need not tie the splints forcefully, it has become easy.  His understanding has improved.  He has lot of knowledge about cricket.  He loves to play carom.  The fingers of his right hand have become stronger.  He has become very moody and stubborn.  He has his own likes and dislikes.  When he laughs a lot, some amount of urine is passed.
    Jan - Jun
    Hiral standing alone and enjoying - dancing
  • Jun 12 - Mar 13

    • Hiral’s body movement has become more fluid now.
    • His jerky body movements have reduced.
    • He can now stand with his knees straight (with the help of splints) for longer times.
    • He now stands and bends to lift toys and this repetitive movement; he is able to do for longer times now.
    • Hiral now understands more about cricket, fours and sixes.  He watches the game with interest.
    • His understanding about others behavior has also improved a lot.  He can make out when other people are not in good mood.
    • Hiral does his studies well.  He independently does calculations with the help of calculator.  We need to instruct him about using the buttons.
    • He can now lift glass filled with water with his left hand and take to his mouth to drink.
    • He likes to play carom and he is even able to push the carom coins with his right hand fingers.  He has developed the strength in his fingers to push any object.  Earlier no active push was possible with his hands.
    • He now crawls to the wash basin, comes on his knees and opens the tap with his hands and washes his hands himself.  He is becoming independent in most of his daily activities.
    • He has become very moody, stubborn, has his own likes and dislikes with his growing age.
    • With active loading of his feet happening, his feet have become more flat and the crooked shape of his feet is disappearing.
    • Hiral is now walking with the help of walker. He himself lifts his leg forward.  He likes to move around the house.

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