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物理治疗对一名接受大脑前动脉远端动脉瘤夹闭术老年患者的影响

Effect of Physiotherapy on an Elderly Patient With Distal Anterior Cerebral Artery Aneurysm Clipping.

作者信息

Thamke Maitri V, Samal Snehal, Vaidya Bhumala P

机构信息

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

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

出版信息

Cureus. 2024 Mar 29;16(3):e57225. doi: 10.7759/cureus.57225. eCollection 2024 Mar.

DOI:10.7759/cureus.57225
PMID:38686235
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11056804/
Abstract

This case study analyzes the effectiveness of physiotherapy in the treatment of a female patient, aged 65 years, with hypertension who had a history of subdural hematoma (SDH) secondary to a distal anterior cerebral artery (DACA) aneurysm rupture. For that, she underwent DACA aneurysm clipping surgery and developed a disability on the right side of her body. The patient had diminished functional independence, weak muscles, and restricted mobility when she first arrived. A thorough physiotherapy program was developed with the goals of increasing mobility, building independence in daily living tasks, and improving motor function. Adapted to the patient's particular requirements and limits, the intervention included therapeutic exercises, gait training, balancing exercises, and functional training. Assessments were carried out on a regular basis to track improvement and modify the treatment plan as necessary. The patient's motor function, mobility, and functional independence were significantly improved during the intervention. Physiotherapy played a crucial role in significantly improving the patient's recovery, quality of life, and right-side disability following the DACA aneurysm clipping surgery. The presented case study clearly highlights the value of early and focused physiotherapy intervention in the effective management of neurological impairments and in achieving better rehabilitation outcomes in patients with similar medical presentations.

摘要

本案例研究分析了物理治疗对一名65岁患有高血压且有远端大脑前动脉(DACA)动脉瘤破裂继发硬膜下血肿(SDH)病史的女性患者的治疗效果。为此,她接受了DACA动脉瘤夹闭手术,并出现了身体右侧残疾。患者初诊时功能独立性下降、肌肉无力且活动受限。制定了全面的物理治疗方案,目标是提高活动能力、增强日常生活任务的独立性以及改善运动功能。该干预措施根据患者的特殊需求和限制进行调整,包括治疗性锻炼、步态训练、平衡训练和功能训练。定期进行评估以跟踪进展,并根据需要调整治疗方案。在干预期间,患者的运动功能、活动能力和功能独立性得到了显著改善。物理治疗在显著改善患者DACA动脉瘤夹闭手术后的恢复情况、生活质量和右侧残疾方面发挥了关键作用。本案例研究清楚地凸显了早期且有针对性的物理治疗干预在有效管理神经功能障碍以及使具有类似病症的患者获得更好康复效果方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/784e45e531d8/cureus-0016-00000057225-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/2ea68ef3a041/cureus-0016-00000057225-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/3c585ec41ca2/cureus-0016-00000057225-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/22261a29e590/cureus-0016-00000057225-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/ff6d78145da9/cureus-0016-00000057225-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/784e45e531d8/cureus-0016-00000057225-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/2ea68ef3a041/cureus-0016-00000057225-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/3c585ec41ca2/cureus-0016-00000057225-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/22261a29e590/cureus-0016-00000057225-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/ff6d78145da9/cureus-0016-00000057225-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a78/11056804/784e45e531d8/cureus-0016-00000057225-i05.jpg

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本文引用的文献

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Asian J Neurosurg. 2023 Sep 22;18(3):557-566. doi: 10.1055/s-0043-1771371. eCollection 2023 Sep.
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Cureus. 2022 Dec 28;14(12):e33035. doi: 10.7759/cureus.33035. eCollection 2022 Dec.
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