Chitambira Benjamin, McConaghy Ciara
Department of Physiotherapy, East Kent Hospitals University NHS Foundation Trust, Ashford, UK.
Clinical Neurosciences, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
BMJ Case Rep. 2018 Aug 23;2018:bcr-2018-225346. doi: 10.1136/bcr-2018-225346.
A 61-year-old patient was admitted to hospital after a fall. She presented with bilateral muscle weakness and severe ataxia. She was unable to maintain sitting balance or place feet on the floor and was unable to tolerate hoist transfers due to the severity of her ataxia. Nursing and physiotherapy staff found it difficult to sit her out of bed. Her physiotherapy intervention changed to optokinetic chart stimulation (OKCS) and sensory interaction for balance. After treatment for 5 days, her intention tremor fully resolved. At discharge, she was mobile with a wheeled zimmer walking frame and supervision of one person. At follow-up after 8 months, she was independently mobile without any walking aid in and around her house. She was going out shopping with her son. For recovery from ataxia, it is recommended that further research on restorative intervention at the nervous system level be carried out.
一名61岁的患者在跌倒后入院。她表现出双侧肌肉无力和严重共济失调。她无法保持坐姿平衡或将脚放在地上，由于共济失调严重，无法耐受升降机转移。护理和物理治疗人员发现很难将她扶起床。她的物理治疗干预改为视动图表刺激（OKCS）和感觉交互平衡训练。治疗5天后，她的意向性震颤完全消失。出院时，她借助带轮的 Zimmer 步行架活动，并需要一人监护。8个月后的随访中，她在自家及周边能够独立活动，无需任何助行器。她还和儿子一起外出购物。对于共济失调的恢复，建议在神经系统层面开展关于恢复性干预的进一步研究。
