scholarly journals COVID and Post COVID Physical Therapy of a 63-year-old male with affection of Balance: A Case Report

2021 ◽  
Vol 9 (6) ◽  
pp. 4079-4086
Author(s):  
Krishna Sukhadev Rathod ◽  
◽  
Lakshmiprabha Deviprasad ◽  
Bhagyashree R Hajare ◽  
Shreya M Chury ◽  
...  

Background: The global outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease 2019 (COVID-19) has a harsh effect throughout the world. A wide range of neuromuscular symptoms including myalgia, anosmia, loss of taste and muscle weakness have been seen post COVID-19 infection. Some of these symptoms may impair balance and activities of daily living. Balance is defined as ability of an individual to maintain the line of gravity within the base of support. Objective: This case report study shows how physiotherapy management was helpful for a 63-year-old male during COVID and post-COVID rehabilitation to enhance his functional recovery. It also describes balance training strategies which were used in addition to regular pulmonary physiotherapy in a patient affected with COVID-19. Case Study: This study reports a four-month long physiotherapy protocol of a 63-year-old male patient admitted to a hospital due to COVID-19 in whom imbalance was also observed. Physiotherapy management was started for the same. The protocol included in-patient as well as out-patient exercises. Pulmonary physiotherapy along with neuro physiotherapy, in the form of balance training, were included. The patient showed good improvement in balance and regained his functional independence and hence discharged from physiotherapy treatment. Conclusion: Thus, Covid and post- COVID-19 physiotherapy rehabilitation is essential to elicit positive adaptive changes to improve the functional capacity, independence in the daily activities and QOL. KEY WORDS COVID-19, Static Balance, Dynamic Balance, Fatigue, Neuromuscular Disorders.

2019 ◽  
pp. 253-263
Author(s):  
Elaine C. Jones ◽  
John D. England

Neuromuscular disorders are a wide encompassing group of diseases that affect the nerves, muscles, and neuromuscular junctions but they can also affect cranial nerves, autonomic systems, and cause fatigue and even cognitive deficiencies. Patients with neuromuscular disorders can have a wide range of symptoms that create barriers to daily functioning. It is important that they not only to have access to good diagnostic and therapeutic care, but also management of the sequelae of the disease including disability access, educational support, nutritional support, and others. This is where advocacy becomes vital. Advocacy has a broad definition and includes access to care, but also requires working with governmental bodies to ensure laws and legislation prevent discrimination. This chapter will look at the advocacy needs of neuromuscular patients and will offer resources to help. Case study examples will demonstrate empirical observations of how advocacy efforts can be employed to help.


Author(s):  
Cau Kim Jiu ◽  
Tisa Gusmiah ◽  
Indri Erwhani ◽  
Indriani Febriyanti

Parents have an important role in supervising and directing their autistic teenagers while carrying out daily routines at home so they can become independent teens. The purpose of this case study is to provide an overview of how teenagers with autism carry out their daily activities and what their daily activities are at home. Data collection methods used in this study were in-depth interviews and observations. The results of this study indicate that teenagers with autism are involved by parent in carrying out daily activities at home such as folding clothes, cleaning the kitchen floor, and washing rice and vegetables while at the same time parent accompany, supervise and guide her daughter. Very important for mother to teaches and trains her autistic teenager in daily living activities at home to be independent.


2015 ◽  
Vol 23 (4) ◽  
pp. 569-579 ◽  
Author(s):  
Wolfram Haslinger ◽  
Lisa Müller ◽  
Nejc Sarabon ◽  
Christian Raschner ◽  
Helmut Kern ◽  
...  

Objective:To determine the effectiveness of exercise in improving sensorimotor function and functional performance, crucial parts of activities of daily living in healthy older adults.Design:RCT.Setting:Laboratory.Participants:39 subjects (M = 71.8 years, range: 61–89 years).Intervention:Task-oriented visual feedback balance training.Primary outcome measure:Timed Up & Go (TUG).Secondary outcome measures:Chair stand test (CST), self-paced walk test, maximum isometric torque, quiet stand posturography, and dynamic balance (DB).Results:Postintervention comparison of the treatment group (TG) and control group (CG) showed better TUG (p < .01), CST (p < .001), and DB (p < .025) for the TG. Pre–post intervention comparison of the TG showed better clinically-relevant outcomes in TUG (p < .001), CST (p < .001), and DB (p < .001).Conclusion:Active driven visual feedback balance training is effective in improving functional performance and dynamic balance in older adults.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


2005 ◽  
Vol 6 (4) ◽  
pp. 231-234 ◽  
Author(s):  
Laura D. Nations
Keyword(s):  

2014 ◽  
Vol 68 (2) ◽  
pp. 104-106
Author(s):  
Aleksandra Pivkova Veljanovska ◽  
Sonja Genadieva Stavrik ◽  
Zlate Stojanoski ◽  
Lazar Cadievski ◽  
Adela Stefanija ◽  
...  

Abstract The article presents a case with diagnosed Hodgkin disease (HD) during pregnancy. The aim of this case study was to present diagnostic possibilities in determining HD stage during pregnancy and therapeutic dilemmas. The incidence of HD during pregnancy is 3.2% of all cases with this malignant hematological disorder. The treatment of this disease during pregnancy depends on disease-related factors, pregnancy-related factors, as well as possible implications for fetal morbidity and mortality. The need of analysis of the nature of the disease during pregnancy indicates examination of a larger series of pregnant women with HD and the drawn conclusions affect the decision whether chemotherapy treatment should start immediately or it should be postponed for after delivery.


Author(s):  
Nuri Kim ◽  
Kangmi Kim ◽  
Jeongeun Lee ◽  
Hakyeong Lee ◽  
Yuri Cha

2013 ◽  
Vol 16 (1) ◽  
pp. 59-67

<p>The Soil Science Institute of Thessaloniki produces new digitized Soil Maps that provide a useful electronic database for the spatial representation of the soil variation within a region, based on in situ soil sampling, laboratory analyses, GIS techniques and plant nutrition mathematical models, coupled with the local land cadastre. The novelty of these studies is that local agronomists have immediate access to a wide range of soil information by clicking on a field parcel shown in this digital interface and, therefore, can suggest an appropriate treatment (e.g. liming, manure incorporation, desalination, application of proper type and quantity of fertilizer) depending on the field conditions and cultivated crops. A specific case study is presented in the current work with regards to the construction of the digitized Soil Map of the regional unit of Kastoria. The potential of this map can easily be realized by the fact that the mapping of the physicochemical properties of the soils in this region provided delineation zones for differential fertilization management. An experiment was also conducted using remote sensing techniques for the enhancement of the fertilization advisory software database, which is a component of the digitized map, and the optimization of nitrogen management in agricultural areas.</p>


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