Nathani Harsh R, Deodhe Nishigandha P, Zade Ruchika J, Ratnani Grisha R
Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Dec 28;15(12):e51217. doi: 10.7759/cureus.51217. eCollection 2023 Dec.
This case report aims to explore the use of multimodal sensory stimulation and physical therapy in rehabilitating a 30-year-old female patient with severe acute disseminated encephalomyelitis (ADEM). ADEM, characterized by autoimmune demyelination in the central nervous system, presents challenges in clinical management, particularly in cases with severe motor deficits and coordination issues. The patient's progress was measured using the Glasgow Coma Scale (GCS), Extended Glasgow Outcome Scale (GOS-E), and Coma Recovery Scale-Revised (CRS-R). The patient showed significant improvement in consciousness levels, functional status, and cognitive and neurological function. The study concludes that a collaborative approach involving both therapeutic modalities and active family participation contributed positively to the patient's recovery.
本病例报告旨在探讨多模式感觉刺激和物理治疗在一名30岁严重急性播散性脑脊髓炎（ADEM）女性患者康复中的应用。ADEM以中枢神经系统的自身免疫性脱髓鞘为特征，在临床管理中面临挑战，尤其是在存在严重运动功能障碍和协调问题的病例中。使用格拉斯哥昏迷量表（GCS）、扩展格拉斯哥预后量表（GOS-E）和昏迷恢复量表修订版（CRS-R）来衡量患者的进展。患者在意识水平、功能状态以及认知和神经功能方面均有显著改善。该研究得出结论，包括两种治疗方式以及家庭积极参与的协作方法对患者的康复起到了积极作用。
