Targeted Exercises in Phenytoin Toxicity Induced Cerebellar Motor Dysfunction: A Case Report
Tenzing Norbu Lama,
Smita K. C.
Issue:
Volume 3, Issue 4, August 2017
Pages:
25-27
Received:
4 October 2016
Accepted:
21 April 2017
Published:
26 September 2017
Abstract: Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all cerebellar test were positive including balance and coordination test. Four weeks physiotherapy management was conducted using coordination exercises, PNF and balance exercises. Result: Four weeks of physiotherapy management along with medical management patients improved balance, coordination and ADL function. Conclusion: Acute reversible Phenytoin toxicity induced cerebellar dysfunction can be managed by providing specific balance, coordination and PNF for upper limb and lower limb.
Abstract: Purpose: To evaluate the effect of targeted exercises in phenytoin toxicity induced cereballar motor dysfunction. Method: A 45 years old female with simple partial epilepsy under medication phenytoin sodium 200mg/day since seven years. Subject presented with the increased serum phenytoin level around 40.00 more than the normal range 10.00-20.00 all...
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Effect of Mirror Visual Feedback on Upper Extremity Function and Wrist Proprioception in Cerebral Palsy Children with Hemiparesis
Hatem Abd Al-Mohsen Emara,
Tamer Emam El Negamy
Issue:
Volume 3, Issue 4, August 2017
Pages:
28-34
Received:
2 June 2017
Accepted:
20 June 2017
Published:
10 October 2017
Abstract: The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movement performance of the affected limb. This study was done to investigate the effects of mirror visual feedback exercises on upper extremity function and on the alternation of wrist proprioception in children with hemiparesis. Thirty-two children with spastic hemiparesis from both sexes ranging in age from five to seven years represented the sample of the study. They were assigned randomly into two groups of equal number (control and study). Every child in both groups was evaluated at baseline and after 3 months of intervention using The Quality of Upper Extremity Skills Test to evaluate movement patterns and hand function. Also, electro-goniometer was used to assess repositioning error through Active Reproduction of Active Positioning test (ARAP). The control group received a selected exercise program, while the study group received mirror visual feedback (MVF) exercises program training in addition to the same exercise program given to control group. Comparison of the pre-treatment results of the two groups revealed no significant differences in all variables, while significant improvements were observed in all the measuring variables of the two groups when comparing their pre and post-treatment mean values. Significant differences were also observed when comparing the post-treatment results of the two groups in favor of the study group. MVF exercises could be used together with a therapeutic exercise program for the enhancement of hand function and wrist proprioception in children with hemiparesis.
Abstract: The function of the affected side in the hemiplegic cerebral palsy is influenced by muscle tone abnormality, change of proprioception, diminished power, and decreased the speed of movement, weak grasp, and release functions. Mirror therapy (MT) is a therapeutic technique that uses the interaction of visuomotor-proprioception inputs to improve movem...
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Diagnosis and Treatment of Low Intracranial Pressure Hydrocephalus
Xuejian Wang,
Zhifeng Wang,
Yang Chen
Issue:
Volume 3, Issue 4, August 2017
Pages:
35-37
Received:
20 March 2017
Accepted:
10 April 2017
Published:
23 October 2017
Abstract: Objective: To explore the clinical symptoms, diagnosis and treatment of low intracranial pressure hydrocephalus (LPH). Methods: The ventriculo-peritoneal shunt (VPS) with pressure-adjustable valves was performed in 5 patients with LPH. The diagnosis of LPH in 2 patient was definitely made by lumbar puncture drainage before VPS. LPH developed in other 3 patients with normal pressure hydrocephalus during the following-up which the patients’ symptoms were not improved. Results: The following-up from 3 to 31 months after VPS showed that the clinical symptoms were improved and the enlarged ventricles significantly retracted in all patients. Conclusions: LPH is uncommon and occultly comes on. LPH is similar to normal pressure hydrocephalus in the clinical manifestation. CT and MRI show that there is ventriculomegaly in all the patients with LPH and periventricular edema in some patients with LPH. VPS with pressure-adjustable valve is an effective method to treat LPH. The perfect threshold value of pressure adjustable valves, which is suitable for the individual, may be got by more than once adjustment and long-term observation of the curative effect.
Abstract: Objective: To explore the clinical symptoms, diagnosis and treatment of low intracranial pressure hydrocephalus (LPH). Methods: The ventriculo-peritoneal shunt (VPS) with pressure-adjustable valves was performed in 5 patients with LPH. The diagnosis of LPH in 2 patient was definitely made by lumbar puncture drainage before VPS. LPH developed in oth...
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