Department of Rehabilitation Medicine, Bundang Jesaeng General Hospital, Seongnam-si, Gyeonggi-do, Korea.
Department of Rehabilitation Medicine, Seoul Chuk Hospital, 8, Dongsomun-ro 47 gil, Seongbuk-gu, Seoul, 02729, Korea.
PM R. 2018 May;10(5):555-559. doi: 10.1016/j.pmrj.2017.09.007. Epub 2017 Sep 21.
Multiple system atrophy is a rare neurodegenerative disease with a poor prognosis. Furthermore, there are no pharmacological or notable rehabilitation strategies available to prevent the worsening of the disease. This case presentation assessed the outcome of feedback facility-assisted balance training in combination with physical therapy in a 61-year-old man. The patient participated in 30 training sessions over 6 weeks for 30 minutes each that involved balance training. His static and dynamic balance abilities were improved on the Berg Balance Scale, Trunk Impairment Scale, Functional Independence Measure, and Functional Reach. Although this patient's gait speed and muscle strength did not show improvement after training, feedback facility-assisted balance training might be a potential strategy to help reduce the rate of symptom deterioration in patients with multiple system atrophy.
V.
多系统萎缩是一种罕见的神经退行性疾病，预后不良。此外，目前尚无可用的药物或显著的康复策略来防止疾病恶化。本病例报告评估了反馈设施辅助平衡训练与物理治疗相结合在一名 61 岁男性中的治疗效果。该患者在 6 周内共参加了 30 次、每次 30 分钟的平衡训练。他的静态和动态平衡能力在 Berg 平衡量表、躯干障碍量表、功能独立性量表和功能伸展度上均有所提高。尽管该患者的步态速度和肌肉力量在训练后没有改善，但反馈设施辅助平衡训练可能是一种潜在的策略，可以帮助减缓多系统萎缩患者的症状恶化速度。
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