Rosarion Christina L
Private practice, Bronx, New York.
J Chiropr Med. 2018 Mar;17(1):72-74. doi: 10.1016/j.jcm.2017.10.008. Epub 2018 Mar 1.
The purpose of this report is to describe an exercise intervention for an elderly patient with Parkinson disease with a chief complaint of lower back pain.
The patient was an 85-year-old man who had been diagnosed with Parkinson disease and kyphosis. Back pain was preventing him from carrying out activities of daily living. He was referred for physical therapy for treatment to reduce lower back pain and increase function. An initial examination consisted of testing flexibility and range of motion and administering a pain severity scale and a Lower Extremity Functional Index (LEFI); the patient's initial LEFI score was 14/80.
Clinical observation was made during each of the patient's physical therapy sessions. After 5 weeks, the patient's LEFI score improved to 30/80. The patient reported that he had no more reoccurring back pain, was able to move much easier, and was able walk more efficiently and with better posture.
The patient in this case responded positively to a 5-week course of physical therapy that included exercise therapy. His back pain diminished and his function increased after the course of care.
本报告旨在描述对一名以腰背痛为主诉的帕金森病老年患者实施的运动干预。
该患者为一名85岁男性，已被诊断患有帕金森病和脊柱后凸。背痛使他无法进行日常生活活动。他因接受物理治疗以减轻腰背痛并提高功能而前来就诊。初步检查包括测试柔韧性和活动范围，并使用疼痛严重程度量表和下肢功能指数（LEFI）；患者最初的LEFI评分为14/80。
在患者每次物理治疗期间进行临床观察。5周后，患者的LEFI评分提高到30/80。患者报告称他不再反复出现背痛，能够更轻松地活动，并且能够更高效地行走，姿势也更好。
该病例中的患者对包括运动疗法在内的为期5周的物理治疗疗程反应良好。经过治疗疗程后，他的背痛减轻，功能增强。
