Functional recovery in a rare case of an adult patient with leucodystrophy

Suvarna S. Ganvir; Simran M. Jethani; Stuti N. Gaikwad; Maheshwari Harishchandre

doi:10.18203/2320-6012.ijrms20234021

Authors

Suvarna S. Ganvir Department of Neurophysiotherapy, DVVPF’s College of Physiotherapy, Ahmednagar, Maharashtra, India https://orcid.org/0000-0002-1383-6179
Simran M. Jethani Department of Neurophysiotherapy, DVVPF’s College of Physiotherapy, Ahmednagar, Maharashtra, India https://orcid.org/0000-0002-4662-0788
Stuti N. Gaikwad Department of Neurophysiotherapy, DVVPF’s College of Physiotherapy, Ahmednagar, Maharashtra, India
Maheshwari Harishchandre Department of Neurophysiotherapy, DVVPF’s College of Physiotherapy, Ahmednagar, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20234021

Keywords:

Leucodystrophy, Rehabilitation, Physiotherapy, Functional recovery

Abstract

The adulthood leukodystrophy is an uncommon clinical condition. Physiotherapy treatment provided to this referred patient resulted in a significant functional recovery within a short span of time inspite of gross lesion. A 34-year-old male patient diagnosed as a case of leucodystrophy was referred for Physiotherapy after 2 years of initial diagnosis physiotherapy progress consisted of increasing muscle strength, reducing tightness and improving postural stability; also to improve mobility for 5 months. After taking the pre and post assessment values of MAS, FIST, mFRT and FIM, improvement through the post assessment values showed significant functional recovery within 5 months. Significant functional recovery after 2 years of diagnosis of leucodystrophy provides promising scope of physiotherapy in future cases of leucodystrophy.

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References

Resende LL, de Paiva ARB, Kok F, da Costa Leite C, Lucato LT. Adult Leukodystrophies: A Step-by-Step Diagnostic Approach. Radiogr Rev Publ Radiol Soc N Am Inc. 2019;39(1):153-68.

Köhler W, Curiel J, Vanderver A. Adulthood leukodystrophies. Nat Rev Neurol. 2018;14(2):94-105.

Gorman SL, Radtka S, Melnick ME, Abrams GM, Byl NN. Development and validation of the Function In Sitting Test in adults with acute stroke. J Neurol Phys Ther JNPT. 2010;34(3):150-60.

Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a modified functional reach test in subjects with spinal cord injury. Phys Ther. 1998;78(2):128-33.

Keith RA, Granger CV, Hamilton BB, Sherwin FS. The functional independence measure: a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6-18.

Jl P, Sl W. Motor assessment scale for stroke patients: concurrent validity and interrater reliability. Arch Phys Med Rehabil. 1988;69(3 Pt 1).

Iwata M, Yamamoto A, Matsuo S, Hatano G, Miyazaki M, Fukaya T, et al. Dynamic Stretching Has Sustained Effects on Range of Motion and Passive Stiffness of the Hamstring Muscles. J Sports Sci Med. 2019;18(1):13-20.

Hammer AM, Hammer RL, Lomond KV, O’Connor P. Acute changes of hip joint range of motion using selected clinical stretching procedures: A randomized crossover study. Musculoskelet Sci Pract. 2017;32:70-7.

Hyun SJ, Lee J, Lee BH. The Effects of Sit-to-Stand Training Combined with Real-Time Visual Feedback on Strength, Balance, Gait Ability, and Quality of Life in Patients with Stroke: A Randomized Controlled Trial. Int J Environ Res Public Health. 2021;18(22):12229.

Bettany-Saltikov J, Parent E, Romano M, Villagrasa M, Negrini S. Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis. Eur J Phys Rehabil Med. 2014;50(1):111-21.

Manca A, Martinez G, Aiello E, Ventura L, Deriu F. Effect of Eccentric Strength Training on Elbow Flexor Spasticity and Muscle Weakness in People With Multiple Sclerosis: Proof-of-Concept Single-System Case Series. Phys Ther. 2020;100(7):1142-52.

Lakshmanan R, Rajalaxmi V. A Comprehensive Physical Therapy Approach in Late Infantile Form of Metachromatic Leukodystrophy – A Case Study. Res J Pharm Technol. 2020;13(5):2214-6.

Harishchandre M, Mahajan S, Ganvir S, Tungikar. Influence of Myofacial Release and Stretching to Relieve Spasticity in Patients with Stroke – A Systematic Review. Int J Innov Sci Res Technol. 2022;7(11):1664-8.