研究动态
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重新定义 II 级室管膜瘤患者康复的物理治疗策略:病例报告。

Physiotherapy Strategies for Redefining Recovery in a Patient With Grade II Ependymoma: A Case Report.

发表日期:2024 Apr
作者: Krutika Dhawde, Lajwanti Lalwani, Anam R Sasun
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

被称为室管膜瘤的神经上皮肿瘤可以由皮质休息区、脊髓中央管或脑室室管膜细胞发展而来。室管膜瘤可能出现在神经轴的任何地方。在这里,我们介绍了一名 40 岁男性,已知患有 II 级室管膜瘤,主诉双侧下肢无力,双侧下肢感觉丧失 20 天。他开始在进行行走、如厕、蹲下等活动时遇到困难。为患者量身定制物理治疗 (PT) 康复治疗,以实现患者的功能独立。治疗持续了六周。我们采用了几个结果指标来评估患者功能恢复的进展。使用音调分级量表 (TGS)、美国脊柱损伤协会 (ASIA) 损伤量表、世界卫生组织生活质量 (WHOQOL)、手动肌肉测试和巴塞尔指数来衡量结果。在治疗第一天和 PT 治疗最后一天评估结果指标。患者对 PT 的初步参与帮助他预防了关节挛缩和褥疮等严重并发症。物理治疗是脊髓损伤 (SCI) 患者康复实践中最重要的部分之一。版权所有 © 2024,Dhawde 等人。
Neuroepithelial tumors known as ependymomas can develop from cortical rests, the central canal of the spinal cord, or the ependymal cells of the cerebral ventricles. Ependymomas may arise anywhere along the neuraxis. Here, we present a 40-year-old male, a known case of grade II ependymomas, with a chief complaint of bilateral lower limb weakness and loss of sensation in the bilateral lower limb for 20 days. He started facing difficulties in performing activities such as walking, toileting activities, and squatting activities. The physiotherapy (PT) rehabilitation of the patient was tailored to achieve functional independence of the patient. The treatment session lasted for six weeks. Several outcome indicators were employed to evaluate our patient's progress toward functional recovery. Outcomes are measured using the Tone Grading Scale (TGS), the American Spinal Injury Association (ASIA) Impairment Scale, the World Health Organization Quality of Life (WHOQOL), manual muscle test, and the Barthel Index. Outcome measures were assessed on day one of treatment and the last day of the PT treatment. The patient's preliminary involvement in PT supported him to prevent serious complications like joint contractures and bed sores. Physical therapy is one of the most important parts of the rehabilitation practice for spinal cord injury (SCI) patients.Copyright © 2024, Dhawde et al.