Dimitrova Erieta Nikolikj, Božinovikj Ivana, Ristovska Simona, Pejcikj Aleksandra Hadzieva, Kolevska Aleksandra, Hasani Mirjeta
Institute of Physical Medicine and Rehabilitation, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Open Access Maced J Med Sci. 2016 Sep 15;4(3):443-448. doi: 10.3889/oamjms.2016.079. Epub 2016 Jul 12.
Charcot-Marie-Tooth (CMT) disease is a hereditary disease with signs of chronic non-progressive motor-sensory neuropathy which is characterised by symmetric muscle atrophy and weakness of the distal portion of lower extremities.
The aim is to present two cases with peroneal muscular atrophy, applied rehabilitation procedures and rehabilitation outcome.
Patient DR, aged 51, and patient KH, aged 78. Both patients had weakness and pronounced atrophy of the distal portion of lower extremities, numbness down the legs, contractures in the ankles and walking difficulties. Evaluation of patients included a clinical examination, Barthel Index, Time Up and Go test, measurement of the ankle range of motion, and a manual muscle test. On admission, the Barthel Index score was 60 in the first case, and 80 in the second. The rehabilitation program included exercise therapy with for lower extremity, occupational therapy, stationary bicycle riding, galvanic current, water exercises, and ankle-foot orthoses for both legs.
The therapy applied had no significant changes in the clinical neurological status of the patients, but yet it provided some improvement in ankle contractures, better mobility, and a more stable gait.
The application of rehabilitation procedures in patients with Charcot-Marie-Tooth disease can improve their functional status and walking stability.
夏科-马里-图思（CMT）病是一种遗传性疾病，具有慢性非进行性运动感觉神经病变的体征，其特征为下肢远端对称性肌肉萎缩和无力。
旨在介绍两例腓骨肌萎缩症患者、所应用的康复程序及康复结果。
患者DR，51岁；患者KH，78岁。两名患者均有下肢远端无力和明显萎缩、腿部麻木、踝关节挛缩及行走困难。对患者的评估包括临床检查、巴氏指数、起立行走测试、踝关节活动范围测量及徒手肌力测试。入院时，第一例患者的巴氏指数评分为60分，第二例为80分。康复计划包括下肢运动疗法、作业疗法、固定自行车骑行、直流电疗法、水上运动以及为双腿佩戴踝足矫形器。
所应用的治疗方法在患者临床神经状态方面无显著变化，但在踝关节挛缩方面有一定改善， mobility有所提高，步态更稳定。
对夏科-马里-图思病患者应用康复程序可改善其功能状态和行走稳定性。
