Department of Medical and Surgical Sciences, Magna Græcia University of Catanzaro, Catanzaro, Calabria, Italy.
NeuroRehabilitation. 2020;47(4):381-386. doi: 10.3233/NRE-201527.
Primary lateral sclerosis (PLS) is an upper motor neurons disease that on rare occasions may determine bradykinesia and motor fatigue. To date, no rehabilitative treatment has been described as useful for these patients.
A 68-year-old male developed dysarthria, spastic laugh, impairments of handwriting and fine motor, gait and dysphagia disorders for both solids and liquids over the period from 2015 to December 2018, with normal DaT scans and no clinical benefits from therapy with levodopa, pramipexole and baclofen. The patient underwent exercises for gait training and balance control with sensory treadmill and stabilometric platform and kinesiotherapy to improve fine motor skills of both hands and postural changes, five days a week for two weeks. Based on our data, the patient showed an improvement in balance and gait parameters in T2 compared to T1.
Thanks to the synergistic action of a combined treatment of physical and instrumental therapy, despite the rare pathology and complex disability, the patient had important benefits in terms of performance and independence in daily activity.
原发性侧索硬化症（PLS）是一种上运动神经元疾病，在极少数情况下可能导致运动迟缓及运动性疲劳。迄今为止，尚无康复治疗被描述为对这些患者有效。
一名 68 岁男性于 2015 年至 2018 年 12 月期间出现构音障碍、痉挛性笑、书写和精细运动受损、步态障碍和吞咽固体及液体困难，DaT 扫描正常，且左旋多巴、普拉克索和巴氯芬治疗无临床获益。患者接受了步态训练和平衡控制的运动训练，使用感觉跑步机和平衡台以及运动疗法来改善双手的精细运动技能和姿势变化，每周五天，持续两周。根据我们的数据，与 T1 相比，患者在 T2 时的平衡和步态参数有所改善。
尽管该疾病罕见且残疾复杂，但由于物理和仪器治疗的协同作用，患者在日常活动的表现和独立性方面获得了重要的益处。
