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综合治疗方法改善脊髓小脑共济失调2型的跌倒风险和姿势稳定性——一例报告

Integrative Approach Improves Fall Risk and Postural Stability in Spinocerebellar Ataxia-2 - A Case Report.

作者信息

Kulamarva Kavyashree, Chikkanna Umesh, Ramakrishna Kishore Kumar, Bhargav Hemant, Velayutham Selva Ganapathy, Varambally Shivarama

机构信息

Department of Integrative Medicine, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

Department of Physiotherapy and Neurorehabilitation, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

出版信息

Int J Yoga. 2022 May-Aug;15(2):168-172. doi: 10.4103/ijoy.ijoy_49_22. Epub 2022 Sep 5.

Abstract

Spinocerebellar ataxias (SCAs) comprise a large heterogeneous group of autosomal dominant cerebellar ataxias. Despite availability of various conventional treatments, reducing disability and improving the quality of life is a challenge in this condition. In the present case report, based on the clinical symptoms and site of pathology, an Ayurveda-based diagnosis of and was considered. Therapeutic measures such as (drying therapy), (measures to pacifying (strengthening), and (nourishing) regimens were adopted along with oral medications and specific yoga practices. The objective of the treatment was to improve stability, posture, and balance. After 10 weeks of integrative treatment, a demonstrable improvement was observed in scale for assessment and rating of ataxia Scale for the Assessment and Rating of Ataxia (SARA), fall risk, and limit of stability (using computerized dynamic posturography). Hence, an integrated Ayurveda and Yoga-based lifestyle regimen may serve as a useful adjuvant in improving fall risk and limit of stability in patients with SCAs.

摘要

脊髓小脑共济失调(SCAs)是一大类具有高度异质性的常染色体显性遗传性小脑共济失调。尽管有各种传统治疗方法,但在这种疾病中,减少残疾和提高生活质量仍是一项挑战。在本病例报告中,根据临床症状和病理部位,考虑基于阿育吠陀医学的诊断为[具体病症1]和[具体病症2]。采取了如[具体疗法1](干燥疗法)、[具体疗法2](平息[具体病症]的措施)、[具体疗法3](强化)和[具体疗法4](滋养)方案等治疗措施,同时配合口服药物和特定的瑜伽练习。治疗的目标是改善稳定性、姿势和平衡。经过10周的综合治疗,在共济失调评估和评分量表(SARA)、跌倒风险以及稳定性极限(使用计算机化动态姿势描记法)方面观察到了明显改善。因此,基于阿育吠陀医学和瑜伽的综合生活方式方案可能是改善脊髓小脑共济失调患者跌倒风险和稳定性极限的有效辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26de/9623888/4f7d5dcd8159/IJY-15-168-g001.jpg

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