Shinmoto Keito, Torikai Yuki, Hara Masahiko
Department of Neurology and Clinical Rehabilitation, mediVR Rehabilitation Center Tokyo, Chuo-ku, Tokyo, Japan
Office of Research and Academia-Government-Community Collaboration, Headquarters for Open Innovation, Department of Academia-Government-Industry Collaboration, Biodesign Division, Hiroshima University, Hiroshima, Japan.
BMJ Case Rep. 2024 Dec 4;17(12):e262695. doi: 10.1136/bcr-2024-262695.
Huntington's disease (HD) causes progressive neurodegeneration, impairing activities of daily living (ADL). Treatment focuses primarily on symptomatic relief through multidisciplinary approaches. This case report examines the impact of somato-cognitive coordination therapy (SCCT) on ADL in a patient with HD. A woman in her 40s with early-stage HD underwent 22 SCCT sessions using the mediVR KAGURA (mediVR), a virtual reality technology-based medical device over 20 months. Her total functional capacity rating scale improved from 10 to 11 and her Barthel Index improved from 90 to 100 within 3 months, allowing her to continue working. These improvements were sustained for 17 months. Objective measures like the single-leg stance test showed consistent progress. Improved cognitive function and psychiatric well-being were also suggested by the Trail Making Test and a return to hobbies like hiking. SCCT may have the potential to improve ADL and could complement multidisciplinary care strategy for HD patients.
亨廷顿舞蹈症（HD）会导致进行性神经退行性变，损害日常生活活动能力（ADL）。治疗主要侧重于通过多学科方法缓解症状。本病例报告探讨了躯体认知协调疗法（SCCT）对一名HD患者ADL的影响。一名40多岁的早期HD女性患者，在20个月内使用基于虚拟现实技术的医疗设备mediVR KAGURA（mediVR）接受了22次SCCT治疗。她的总功能能力评定量表在3个月内从10分提高到11分，巴氏指数从90分提高到100分，使她能够继续工作。这些改善持续了17个月。单腿站立测试等客观指标显示出持续的进步。连线测验也表明认知功能和精神健康得到改善，患者还重新开始了徒步等爱好。SCCT可能具有改善ADL的潜力，并可补充HD患者的多学科护理策略。
