Physiotherapia Croatica, Vol. 18 No. 1, 2020.
Stručni rad
Influence of physiotherapy treatment on fall risk in cerebellar ataxia patients- case report
Martina Rilović Đurašin
orcid.org/0000-0002-4678-4715
; Klinički bolnički centar Zagreb
Mirjana Telebuh
orcid.org/0000-0002-4228-3542
; Zdravstveno veleučilište Zagreb
Sažetak
Abstract
Introduction: Cerebellar ataxia develops as a result of
a lesion in the cerebellum and/or afferent and efferent
cerebellar pathways. Ataxic gait and balance disorder
increase risk of falling, reduce mobility, cause fear
of recurrent falls, limit patient’s activities and social
participation, and consequently reduce the quality of
life and independence.
Aim: To determine whether there is an influence of
physiotherapy treatment on fall risk in cerebellar ataxia
patient.
Materials and methods: The paper presents the case of
the patient with diagnosed cerebellar ataxia. The patient underwent cycles of 20 therapies taking place 3 times
a week over the period of one year. Each treatment
lasted 60 - 90 minutes. The effect of the physiotherapy
treatment on fall risk was assess by the Berg Balance
Scale, Dynamic Gait Scale and International Cooperative
Ataxia Rating Scale. A physiotherapy assessment was
carried out at the beginning and the end of each therapy
cycle, a total of 10 times.
Results: The Berg Balance Scale showed a statistically
significant difference in measurements (p = 0,001)
thus positioning the patient in the low fall risk
category. The patient achieved a 48 % better result
in the last measurement in comparison with the
first measurement. The Dynamic Gait Test showed a
statistically significant result (p = 0,016) which was 17
% better in the last measurement in comparison with
the first measurement, although the patient belonged
to the fall risk category in the period between 1st and
10th measurement. The International Cooperative
Ataxia Rating Scale showed lower, but still statistically
significant results (p = 0,001). The result of the final
measurement was 4 % lower when compared to the first
measurement, and lower results are better.
Conclusion: Intensive problem-oriented treatment
with appropriate functional goals affects the fall risk
in cerebellar ataxia patients and will slow down the
process leading to disability, functionality and better
quality of life.
Ključne riječi
cerebellar ataxia, physiotherapy treatment, fall risk
Hrčak ID:
238380
URI
Datum izdavanja:
25.5.2020.
Posjeta: 1.720 *