I have come across a very rare condition of Mucopolysaccharidosis that a patient girl with 17 years of age. Mucopolysaccharidosis is a rare condition in which there is defect in metabolism of starch with resutant deposition of starch in the tissues of body like musculoskeletal system, nervous system and other systems of the body. The patient is bed riden, with deformities of upper and lower limbs, muscle wasting, contractures, spinal kyphoscoliosis deformity. What is physical therapy treatment options for that patient apart from doing, ROM exersises, strenthening, joint mobilization, splinting and functional mobility, appliance modification and gait traning?