Bhagwatkar Sawari S, Yadav Vaishnavi, Ankar Prajyot, Arya Neha
Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Feb 20;16(2):e54591. doi: 10.7759/cureus.54591. eCollection 2024 Feb.
Marfan syndrome (MFS) presents complex cardiovascular manifestations and challenges in management due to its impact on multiple body systems. This case study examines the clinical profile, diagnostic findings, and physiotherapy intervention for a 57-year-old male with MFS who experienced severe aortic and mitral valvular complications. The patient's admission was marked by fatigue, reduced mobility, breathlessness, and a confirmed diagnosis of MFS. Cardiac evaluation revealed severe regurgitation and aortic root dilation. The patient's symptoms were exhaustion, giddiness, dyspnea, and decreased mobility. The objective of this case study was to describe the impact of graded mobilization and pacing techniques in maximizing functional mobility and alleviating symptoms associated with aortic regurgitation and aortic root dilatation through an extensive physiotherapy program. Exercises addressing dyspnea, lung capacity, posture, functional mobility, and fatigue reduction were included in the physiotherapy intervention. The rehabilitation outcome showed a notable shift of score from 3 to 0.5 on the Borg scale of dyspnea, indicating enhanced functional capacity and improved quality of life. Post-rehabilitation, the patient exhibited significant progress in the two-minute walk test. This case highlights the importance of tailored interventions in managing MFS-related cardiac complications.
马凡综合征（MFS）由于对多个身体系统产生影响，呈现出复杂的心血管表现且在管理方面具有挑战性。本案例研究考察了一名57岁患有MFS的男性患者的临床特征、诊断结果以及物理治疗干预情况，该患者经历了严重的主动脉和二尖瓣并发症。患者入院时表现为疲劳、活动能力下降、呼吸急促，且确诊为MFS。心脏评估显示严重反流和主动脉根部扩张。患者的症状为疲惫、头晕、呼吸困难和活动能力下降。本案例研究的目的是描述通过一项广泛的物理治疗计划，分级活动和 pacing 技术在最大化功能活动能力以及缓解与主动脉反流和主动脉根部扩张相关症状方面的影响。物理治疗干预包括针对呼吸困难、肺容量、姿势、功能活动能力和减轻疲劳的锻炼。康复结果显示，在呼吸困难的Borg量表上，评分从3显著降至0.5，表明功能能力增强且生活质量提高。康复后，患者在两分钟步行测试中取得了显著进展。本案例强调了针对MFS相关心脏并发症进行个性化干预的重要性。
