scholarly journals Case Study of a Chronic Stroke Patient with Lower Limb Spasticity Who Showed Improvement in Walking Endurance after a Physical Therapy Intervention with Botulinum Therapy and Functional Electrical Stimulation

2021 ◽  
Vol 36 (4) ◽  
pp. 647-652
Author(s):  
Tatsuya IGARASHI ◽  
Shota HAYASHI
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.


1992 ◽  
Vol 8 (7) ◽  
pp. 376-382 ◽  
Author(s):  
Paul Steinbok ◽  
Lisa Langill ◽  
D. Douglas Cochrane ◽  
Robert Keyes

2018 ◽  
Vol 2 (85) ◽  
Author(s):  
Saulė Sipavičenė ◽  
Antanas Damašauskas ◽  
Irina Klizienė ◽  
Gražina Krutulytė ◽  
Aiva Karpavičienė ◽  
...  

Research background and hypothesis. Cryotherapy could reduce spasticity for children with cerebral palsy.Research aim. The aim of this study was to determine the effect of cryotherapy on the lower limb spasticity for children with cerebral palsy.Research methods. Fourteen children with cerebral palsy spastic Diplegia aged 6–12 years were examined. The procedures of cryotherapy and physical therapy were applied to children in the test group (n = 7), and only physical therapy – for the members in the control group (n = 7). For all the subjects, the following procedures were performed before and after the research: foot extension measurements, the determination of the spasticity of flexors and selective foot motion, the estimation of balance and gross motor functions. Research  results.  After  physical  exercises  foot  extension  showed  improvement,  spasticity  of  foot  flexors reduced, foot selective movements, balance and gross motor functions improved. There was no statistical difference between the results in both groups.Discussion and conclusions. The influence of cryotherapy on the lower limb spasticity for children with cerebral palsy was not statistically significant.Keywords: spasticity, cryotherapy, physical exercises.


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