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前庭与平衡康复治疗联合传统物理治疗对一例伴桥小脑角肿瘤的前庭神经鞘瘤的影响:病例报告

Impact of Vestibular and Balance Rehabilitation Therapy Along With Conventional Physiotherapy in a Case of Vestibular Schwannoma With CP Angle Tumor: A Case Report.

作者信息

Warutkar Vaishnavi B, Samal Snehal, Koul Prishita

机构信息

Neuro Physiotherapy, Ravi Nair Physiotherapy College, Wardha, IND.

出版信息

Cureus. 2023 Sep 14;15(9):e45224. doi: 10.7759/cureus.45224. eCollection 2023 Sep.

Abstract

Vestibular Schwannoma forms in Schwann cells which cover the vestibular nerve, often in the internal auditory canal. Symptoms were likely present before the excision of the tumor. After the excision of the tumor, symptoms may include, hearing defects, tinnitus, facial muscle abnormalities, headache, and balance impairments. This case report is of a female patient with vestibular schwannoma, who had a few above-mentioned symptoms after the surgery. Her physiotherapy protocol included Vestibular and Balance Rehabilitation Therapy along with Conventional Physiotherapy. Also, facial proprioceptive neuromuscular facilitation (PNF) was a part of her treatment. The outcome measures used to rule out the results were the motion sensitivity quotient (MSQ) and the Berg balance scale (BBS). Improvement of symptoms is likely related to the excision of the tumor and the therapy program. The person's balance and coordination improved as a result of the rehabilitation protocol, and she was able to do her regular tasks with minimal assistance. Her standard of living was also enhanced.

摘要

前庭神经鞘瘤形成于覆盖前庭神经的施万细胞中,通常位于内耳道。在肿瘤切除之前症状可能就已出现。肿瘤切除后,症状可能包括听力缺陷、耳鸣、面部肌肉异常、头痛和平衡障碍。本病例报告的是一名患有前庭神经鞘瘤的女性患者,术后出现了上述一些症状。她的物理治疗方案包括前庭与平衡康复治疗以及传统物理治疗。此外,面部本体感觉神经肌肉促进法(PNF)也是她治疗的一部分。用于评估结果的指标是运动敏感商数(MSQ)和伯格平衡量表(BBS)。症状的改善可能与肿瘤切除及治疗方案有关。康复方案使患者的平衡和协调能力得到改善,她能够在极少帮助的情况下完成日常任务。她的生活水平也得到了提高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe7/10576441/8dee47bd2f6e/cureus-0015-00000045224-i01.jpg

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