Wang Jia-Ren, Hu Yue
Department of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201619, China.
World J Clin Cases. 2024 Jan 16;12(2):443-450. doi: 10.12998/wjcc.v12.i2.443.
Patients with Parkinson's disease (PD) exhibit symptoms such as antecollis (AC) and camptocormia (CC). The pathology of these two conditions is unclear. Additionally, standard treatment methods have not been established. The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.
We present the case of a 65-year-old female PD patient with AC and CC. The course of the disease was 5 years. She was treated with rehabilitation strategies such as sensory tricks and trunk strength training. During the inpatient period, we compared and analyzed the patient's gait, rehabilitation assessment scale score, and angles of her abnormal trunk posture in the first week, the third week, and the fifth week. The patient's stride length increased, indicating that the patient's walking ability was improved. The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased. Furthermore, the score of the other scale increased. In addition, the patient showed significant improvements in AC, upper CC, and lower CC angles.
This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.
帕金森病(PD)患者会出现诸如前倾畸形(AC)和脊柱前凸(CC)等症状。这两种情况的病理尚不清楚。此外,尚未确立标准的治疗方法。本文报道了一名65岁患有AC和CC的女性患者,通过中枢和外周干预治疗以缓解症状的病例。
我们呈现了一名65岁患有AC和CC的女性PD患者的病例。病程为5年。她接受了诸如感觉技巧和躯干力量训练等康复策略治疗。住院期间,我们比较并分析了患者在第一周、第三周和第五周的步态、康复评估量表评分以及异常躯干姿势的角度。患者的步幅增加,表明其行走能力得到改善。帕金森病统一评定量表第三部分评分和CC严重程度评分降低。此外,另一量表的评分增加。另外,患者在AC、上CC和下CC角度方面有显著改善。
本病例研究表明,感觉技巧和躯干力量训练对患有AC和CC的患者有益且安全。