修改的约束诱导的运动疗法,以改善平衡和步态在发生囊性心脏病发作的情况下:单一病例研究
Nitika Chavan1, Raghumahanti Raghuveer1
1Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus
|April 3, 2024
概括
这个案例研究强调了一个52岁的男性,患有状囊区域心脏病发作. 早期的物理治疗,包括修改的约束诱导运动疗法,显著改善了他的运动功能和生活质量.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 神经科学是一个神经科学.
背景情况:
- 结节囊区域,包括基底结节核,丘脑和内部囊,对于运动控制至关重要.
- 这个区域的疾病往往表现为运动障碍和认知障碍.
- 这一区域的急性心脏病需要迅速和有针对性的干预.
研究的目的:
- 介绍一个52岁男性的病例,该病例是在状囊区域发生了急性非出血性心脏病发作.
- 评估针对性早期物理治疗干预 (TERI) 与修改约束诱导运动疗法 (mCIMT) 结合的疗效.
- 记录康复对运动功能和生活质量的影响.
主要方法:
- 一名52岁的男性被诊断出患有急性非出血性心脏病发作,涉及右状囊和状状状部区域.
- 在重症监护室 (ICU) 启动有针对性的早期物理治疗干预 (TERI).
- 应用修改的约束诱导运动疗法 (mCIMT) 与常规疗法一起进行六周的治疗,重点是"强迫使用"以抵消"学会的不使用".
主要成果:
- 患者出现了典型的症状,包括反射功能受损,力量下降,运动范围减少和音调异常.
- 在多个临床结果中观察到显著的改善:伯格平衡量级 (BBS),10米步行测试 (10MWT),功能伸展测试 (FRT),动态步行指数 (DGI),干部损伤量级 (TIS) 和跌倒有效性测试 (FET).
- 这些改善表明平衡,力量,协调和肌肉度有所提高.
结论:
- 有针对性的早期物理治疗干预,特别是mCIMT,在治疗患有状囊区域心脏病发作的患者中是有效的.
- 这种康复方法可以大幅改善运动功能和整体生活质量.
- 早期和密集的康复策略对于影响关键大脑区域的中风后的恢复至关重要.
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