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韦尼克-科尔萨科夫综合征的康复策略:物理治疗干预与管理方法

Rehabilitation Strategies for Wernicke-Korsakoff Syndrome: Physiotherapy Interventions and Management Approaches.

作者信息

Burile Ghanishtha C, Arya Neha, Seth Nikita H, Fating Tejaswini

机构信息

Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 10;16(2):e53948. doi: 10.7759/cureus.53948. eCollection 2024 Feb.

Abstract

Korsakoff syndrome and Wernicke's encephalopathy (WE) show neurological and cognitive deficits. Wernicke-Korsakoff syndrome (WKS) is a compound neurological condition. The cause of this neurological condition could be the consumption of alcohol regularly for a chronic duration. A tailored rehabilitation protocol that focuses on cognitive and physical deficiencies was implemented along with thiamine supplementation for managing a case of a 49-year-old male patient who had a history of high alcohol consumption and was exhibiting typical signs of WKS. After planning a proper physiotherapy plan, it is necessary to look after the patient's progress along with re-evaluation, which reveals notable gains in cognitive function, memory, and functional independence. There is a dearth of research on the impact of physical therapy in managing WKS. The above case report reflects the benefits of combining physiotherapy, cognitive rehabilitation, and balance training to improve patient functionality and independence. Tailored rehabilitation interventions like the Benson relaxation method (BRM), brain gym exercises, Frenkel's exercise, electrical stimulation, sensorimotor training, basic body awareness therapy (BBAT), and gait training can be used to enhance a patient's quality of life. Addressing individual needs is essential in managing WKS, focusing on the importance of comprehensive care beyond cognitive rehabilitation alone.

摘要

科萨科夫综合征和韦尼克脑病(WE)表现出神经和认知缺陷。韦尼克-科萨科夫综合征(WKS)是一种复合性神经疾病。这种神经疾病的病因可能是长期定期饮酒。针对一名有高酒精摄入量病史且表现出WKS典型症状的49岁男性患者,实施了一项针对认知和身体缺陷的定制康复方案,并补充硫胺素进行治疗。在制定了适当的物理治疗计划后,有必要关注患者的进展并进行重新评估,结果显示患者在认知功能、记忆力和功能独立性方面有显著改善。关于物理治疗对WKS管理影响的研究较少。上述病例报告反映了结合物理治疗、认知康复和平衡训练以改善患者功能和独立性的益处。像本森放松法(BRM)、健脑操练习、弗伦克尔运动、电刺激、感觉运动训练、基本身体意识疗法(BBAT)和步态训练等定制康复干预措施可用于提高患者的生活质量。在管理WKS时,满足个体需求至关重要,这凸显了超越单纯认知康复的全面护理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c9b/10926318/148a9f00a7e7/cureus-0016-00000053948-i01.jpg

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