Use of Optokinetic Chart Stimulation to Restore Muscle Strength and Function in a Severely Disabled Bed Bound Multi-Morbidity Patient with a Combination of Systemic Lupus Erythematosus, Critical Care Myopathy and Diabetic Neuropathy: A Case Study
<p><strong>Background and objective:</strong> Multiple morbidities in critical care myopathy tend to lead to poor outcomes. The objective of this case report is to describe the remarkable recovery of a bed bound critical care myopathy patient with lupus, phalangeal amputations and...
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Journal of Novel Physiotherapy and Physical Rehabilitation - Peertechz Publications,
2015-02-20.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | peertech__10_17352_2455-5487_000016 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Benjamin Chitambira |e author |
245 | 0 | 0 | |a Use of Optokinetic Chart Stimulation to Restore Muscle Strength and Function in a Severely Disabled Bed Bound Multi-Morbidity Patient with a Combination of Systemic Lupus Erythematosus, Critical Care Myopathy and Diabetic Neuropathy: A Case Study |
260 | |b Journal of Novel Physiotherapy and Physical Rehabilitation - Peertechz Publications, |c 2015-02-20. | ||
520 | |a <p><strong>Background and objective:</strong> Multiple morbidities in critical care myopathy tend to lead to poor outcomes. The objective of this case report is to describe the remarkable recovery of a bed bound critical care myopathy patient with lupus, phalangeal amputations and diabetic neuropathy.</p><p><strong>Methodology</strong>: An optokinetic chart was moved in front of the patient for 3 minutes laterally, then 3 minutes vertically and finally 3 minutes forwards and backwards. Sensory interaction for balance was added once patient could stand with assistance of one person.</p><p><strong>Results</strong>: For 54 days before commencement of optokinetic chart stimulation the patient was bed bound and being fed by a nasogastric tube. She had no trunk control. The aggregate manual muscle strength was 0/5 with best strength of 1/5 only in bilateral shoulder and hip muscle groups. After treatment the patient fed herself independently and was mobile with a wheeled zimmer walking aid and assistance of one person. Her aggregate strength improved to 5/5. The Barthel Index improved from 0/100 to 75/100.</p><p><strong>Conclusion</strong>: The multiple morbidities in this case report mitigated against natural recovery. Optokinetic chart stimulation needs further investigation as a multi-morbidity treatment in instances where severe deterioration of trunk control occurs.</p> | ||
540 | |a Copyright © Benjamin Chitambira et al. | ||
546 | |a en | ||
655 | 7 | |a Case Report |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/2455-5487.000016 |z Connect to this object online. |