Integrated Physical Therapy Intervention for a Person With Pectus Excavatum and Bilateral Shoulder Pain: A Single-Case Study

2008 ◽  
Vol 89 (11) ◽  
pp. 2195-2204 ◽  
Author(s):  
Paul K. Canavan ◽  
Larry Cahalin
2021 ◽  
pp. 74-77
Author(s):  
Kinjal Bagthariya(M.P.T)

EAST syndrome is autosomal recessive disorder due to mutations in gene KCNJ10, a gene encoding a potassium channel expressed in the brain, eye, ear and kidney. It is characterized by four cardinal features; Epilepsy, Ataxia, Sensorineural deafness, and renal salt-wasting Tubulopathy, thus the acronym EAST syndrome. It was rst described as a distinct clinical entity in 2009 by Bockenhauer and scholl, who named this condition EAST syndrome and SeSAME syndrome for Seizures, Sensorineural deafness, Ataxia, Mental retardation and Electrolyte imbalance respectively. Neurodevelopmental delay is evident in most patients with EAST syndrome that were old enough to be assessed; Thus, physiotherapy intervention also plays a vital role in EAST syndrome along with medical management. From physiotherapy perspective; symptomatic management to Improve overall health, wellbeing and motor control becomes ultimate goal in the patient with EAST syndrome. As there is no specic physical therapy treatment approach and no specic tool to evaluate function for children with EAST syndrome; for clinically presented delay development and ataxia, Neurodevelopment therapy (NDT) was utilized as treatment approach and Gross motor function measure (GMFM) & Gross motor performance measure (GMPM) were utilized for assessment in this case study to track progress on follow ups. Result showed marked improvement in GMFM and GMPM scores at follow ups and concluded that Physical therapy intervention improves the gross motor function as well as gross motor performance in patient with EAST syndrome.


2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Anandh Vaiyapuri ◽  
Prashant Kashyap ◽  
Nivedita Kashyap ◽  
Hariraja Muthusamy ◽  
Radhakrishnan Unnikrishnan ◽  
...  

It is interesting to be aware that there is no Randomized Clinical Trials (RCT) research article except a few case-study reports which have been reported about the physical therapy (PT) intervention for stiff person syndrome (SPS). This study was designed to determine the benefits of PT in cases with SPS through analysis of case reports, thereby to raise awareness among physical therapist about the most beneficial PT interventions for SPS. We executed acomputer-based search with a diagnosis of SPS who underwent PT and articles published only in English. We selected case-study reports because of nonavailability of RCT articles to review the complaints, deformities, contractures, precipitating factors, interventions, outcomes, results, disability, and benefits of PT management among SPS. We concluded that PT training is substantiated to be a necessary and beneficial intervention in rehabilitation of patients with SPS.


2016 ◽  
Vol 28 (10) ◽  
pp. 1695-1715 ◽  
Author(s):  
A. Guzmán ◽  
M. Freeston ◽  
L. Rochester ◽  
J. C. Hughes ◽  
I. A. James

ABSTRACTBackground:A Psychomotor DANCe Therapy INtervention (DANCIN) using Latin Ballroom (Danzón) in care homes has previously been shown to enhance well-being for both residents with dementia and staff. The aim of this study was to understand the effect of this approach on the mood and behavior of individual people living with mild to moderate dementia.Method:A multiple-baseline single-case study across two care homes and one nursing home with 3–6 weeks baseline, 12-weeks DANCIN (30 minutes/twice-weekly sessions), and 12-weeks follow-up was conducted. Seventeen items from the Dementia Mood Assessment Scale (DMAS) outcome measure were adapted with input from senior staff to match participants’ behavior and mood symptoms. Daily monitoring diaries were collected from trained staff on reporting individualized items for ten residents. Data were analyzed, using a non-parametric statistical method known as Percentage of All Non-Overlapping Data (PAND) which provides Phi effect size (ES). Medication use, falls, and life events were registered.Results:Seven residents participated throughout DANCIN whilst three became observers owing to health deterioration. One participant showed adverse effects in three DMAS items. Nine participants, dancers and observers, showed a small to medium magnitude of change (PAND) in 21 DMAS items, indicating a decrease in the frequency of behavior and mood indices which were regarded as problematic; eight items showed no change.Conclusion:Despite methodological challenges, the DANCIN model has the potential to facilitate and sustain behavior change and improve mood (e.g. decrease irritability, increase self-esteem) of the residents living with dementia. The study was conducted in two care homes and one nursing home, strengthening the interventions’ validity. Findings suggest DANCIN is appropriate for a larger controlled feasibility study.


2010 ◽  
Vol 10 (2) ◽  
Author(s):  
Susanne Bauer

In this article, I reflect on a music therapy intervention realized many years ago, with a young woman who had the diagnosis of Bulimia Nervosa. The concepts to which I will refer are the concept of resource orientated psychotherapy and the Bernese concept of need adapted -and motivational attunement (Grawe, 1998; Grawe and Grawe-Gerber, 1999; Stucki and Grawe, 2007). I re-viewed one of my cases, Ms. H., following some of the ideas developed by the authors.  I discovered various moments of interest, which made me think in terms of a Need Adapted Music Therapy process. Therefore, in the presentation of the case, besides talking about the patient’s eating disorder I want to point out her basic needs and how she demanded for them to be met symbolically during shared improvisational moments with the music therapist. And even if the therapist did not have the mentioned concepts in her mind at the time, it seems as if patient and therapist met quite often in this kind of “silent space of needs”.


2021 ◽  
Author(s):  
Bhuvanesh Awasthi

This study demonstrates the use and effectiveness of an online digital cognitive therapy platform to target core symptoms of Autism. A single case study of a nine-year-old subject is presented who underwent a 15-week cognitive and reading therapy intervention using software-based gameplays. Pre- and Post-intervention assessments show marked improvement in word reading, handwriting, sentence reading fluency and comprehension skills. In addition, the Parent observed positive behavioural changes in social engagement, self-control, improved motor skills, improved tolerance of sensory load, reduction in irritability, hyperactivity and aggressiveness. The study indicates that a short, digital, game-based cognitive therapy and reading training of letter-sound correspondences and word-level reading can boost the reading development of struggling readers in Autism. Such an option is beneficial for effective and meaningful engagement-based remote learning for neurodiverse populations. This case study is the first step in developing a community-based program for engaging parents in providing intervention to their children using simple to using online digital cognitive therapy.


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