PATIENT WITH PARKINSON’S DISEASE : CASE PRESENTATION PACIENTE COM DOENÇA DE PARKINSON: APRESENTAÇÃO DE CASO

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Eduardo Alberto ED

Resumo

This case studyis about a patient 82year old female with diagnostic of Parkinson disease for 12 years. She also was diagnosis with osteo-arthritis, depression and panic attack disorder and she also shows significant muscle atrophy in both lower extremities.    Patient shows signs of sustained depression and mild consistent forgetfulness with partial recollection of events, occasionally requires help to do ativities of daily living (ADL). She has tendency to for the last two month. Her goals are to be able to get up from a chair and from her bed without assistance.  She wish also to ambulate better and decrease falls and fatigue. This study wish to know what is the best intervention to achieve patient goals and improve functional capacity decreasing risk of fall. In the evaluation of this case (strengtht muscle, function and posture) was used Berg scale and Timed up & go (TUG Test and MSL (Mesurament of Length step) before and after 15 sessions. At the end of session 15 muscle strength in both quadricepses was 4+/ 5, hip extensors 4+/5, hip abductors 4+/5, foot dorsiflexors 4/5 , plantar flexors 4+/5. Transfer sit to stand from regular chair to minimal assistance to stand by assistance and TUG test improve to 17 seconds toward the 15 visit still needed assistance to initiate the test. The test of MSL increase to 20% of body height. Patient swing arms when ambulate even without cues. She reported no fall for 5 weeks at the time of the visit 15.Patient able to ambulate two block in the community without significant fatigue. Task oriented techiniques, motor imagery cognitive strategies and verbal cues, plus strengthening strategies are effective intervention tools to treat patient with PD.

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Seção
Estudo de Caso
Biografia do Autor

Eduardo Alberto ED

Lic Klogo Ftra UBA. Dr Physical Therapy Chataham UniversityClinical director of Milan Physical Therapy and rehabilitation