Kim San-Ha, Han Jae-Young, Song Min-Keun, Choi In Sung, Park Hyeng-Kyu
Department of Physical & Rehabilitation Medicine, Chonnam National University Hospital, Gwangju City, Republic of Korea.
Department of Physical & Rehabilitation Medicine, Regional Cardiocerebrovascular Center, Center for Aging and Geriatrics, Chonnam National University Medical School & Hospital, Gwangju, Republic of Korea.
Turk J Phys Med Rehabil. 2022 Sep 14;69(1):111-115. doi: 10.5606/tftrd.2023.8718. eCollection 2023 Mar.
Orthostatic tremor (OT) is an uncommon progressive movement disorder that involves a leg tremor when standing or weight bearing. Additionally, OT can accompany other medical or neurodegenerative disorders. In this article, we report an unusual case of OT after trauma in an 18-year-old male patient whose symptoms of OT have been resolved after a multimodal therapeutic approach, including botulinum toxin injection. Surface electromyography, including a tremor recording, was used for the diagnosis of OT. The patient completely recovered after the rehabilitation. A comprehensive rehabilitative treatment is required in the management of OT as the patient's quality of life is greatly affected.
直立性震颤(OT)是一种罕见的进行性运动障碍,表现为站立或负重时腿部震颤。此外,OT可伴有其他医学或神经退行性疾病。在本文中,我们报告了一例18岁男性患者外伤后发生OT的不寻常病例,该患者经包括肉毒杆菌毒素注射在内的多模式治疗方法后,OT症状得到缓解。使用包括震颤记录在内的表面肌电图来诊断OT。患者经康复后完全康复。由于OT会严重影响患者的生活质量,因此在其治疗中需要进行全面的康复治疗。