Effects of Functional Proprioceptive Neuromuscular Facilitation with Mental Practice to Improve Activities of Daily Living in Syringomyelia Patient - A Case Report
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Published
Jul 1, 2019
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1-6
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Siddharth S. Mishra
MGM College of Physiotherapy, Navi Mumbai Affiliated to Maharashtra University of Healthy Sciences (MUHS), Nasik, India.
Chaudhari Kimaya
MGM College of Physiotherapy, Navi Mumbai Affiliated to Maharashtra University of Healthy Sciences (MUHS), Nasik, India.
Vyas Kanchi
MGM College of Physiotherapy, Navi Mumbai Affiliated to Maharashtra University of Healthy Sciences (MUHS), Nasik, India.
Abstract
Background: Syringomyelia is a rare disorder in which a syrinx is formed in the spinal cord and it expands over the time, damaging the entire spinal cord. It shows low prevalence and is difficult to diagnose. Syringomyelia is a physically disabling condition and its symptoms are profoundly similar to that of spinal cord injury (SCI). Since it is a rare disorder, there is lack of literature about the effects of various physiotherapy techniques in syringomyelia patients.
Objective: The aim is to determine the effects of functional Proprioceptive Neuromuscular Facilitation (PNF) with Mental Practice to improve activities of daily living in syringomyelia patient. Case report: We report the case of a 25 year old female presenting with history of fever and chills for a month followed by convulsions and loss of sensations and muscle power 1/5 in both lower limbs below the trunk. The condition was managed by functional PNF techniques along with mental practice. Conclusion: PNF with Mental Practice is effective to improve activities of daily living in syringomyelia patient.
Keywords:
Gait, physiotherapy, postural balance, Proprioceptive Neuromuscular Facilitation (PNF) stretching, syringomyelia
Article Details
How to Cite
Mishra, S., Kimaya, C., & Kanchi, V. (2019). Effects of Functional Proprioceptive Neuromuscular Facilitation with Mental Practice to Improve Activities of Daily Living in Syringomyelia Patient - A Case Report. Asian Journal of Case Reports in Medicine and Health, 2(2), 1-6. Retrieved from https://journalajcrmh.com/index.php/AJCRMH/article/view/30100
Section
Case Report
References
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Available:https://www.ninds.nih.gov/Disorders/All-Disorders/Syringomyelia-Information-Page
Memarpour R, Tashtoush B, Issac L, Gonzalez-Ibarra F. Syringomyelia with Chiari I malformation presenting as hip charcot arthropathy: A case report and literature review. Case Reports in Neurological Medicine. 2015;2015:1-6.
Syringomyelia [Internet]. Healthline; 2019.
[Cited 4 June 2019]
Available:https://www.healthline.com/health/syringomyelia
Pathophysiology of syringomyelia associated with Chiari I malformation of the cerebellar tonsils. Implications for diagnosis and treatment. [Internet]. Reference.medscape.com; 2019.
[Cited 4 June 2019]
Available:https://reference.medscape.com/medline/abstract/8271018
Syringomyelia: Background, pathophysiology, etiology [Internet]. Emedicine.medscape.com; 2019.
[Cited 4 June 2019]
Available:https://emedicine.medscape.com/article/1151685-overview#a7
[Internet]; 2019 [Cited 4 June 2019]. Available:http://www.neurosurgery.washington.edu/chiari/s_prognosis.htm
Lacourse M, Turner J, Randolph-Orr E, Schandler S, Cohen M. Cerebral and cerebellar sensorimotor plasticity following motor imagery-based mental practice of a sequential movement. The Journal of Rehabilitation Research and Development. 2004;41(4):505.
Singh K. Effect of Proprioceptive Neuromuscular Facilitation (PNF) in Improving sensorimotor function in patients with diabetic neuropathy affecting lower limbs. International Journal of Physiotherapy. 2016;3(3).
Pascual-Leone A, Nguyet D, Cohen L, Brasil-Neto J, Cammarota A, Hallett M. Modulation of muscle responses evoked by transcranial magnetic stimulation during the acquisition of new fine motor skills. Journal of Neurophysiology. 1995;74(3): 1037-1045.
Jackson P, Lafleur M, Malouin F, Richards C, Doyon J. Potential role of mental practice using motor imagery in neurologic rehabilitation. Archives of Physical Medicine and Rehabilitation. 2001;82(8): 1133-1141.
Mulroy S, Thompson L, Kemp B, Hatchett P, Newsam C, Lupold D. Strengthening and Optimal Movements for Painful Shoulders (STOMPS) in chronic spinal cord injury: A randomised control trial. american physical therapy association. 2011;3(91):305-24.
Ditunno J, Cohen M, Hauck W, Jackson A, Sipski M. Recovery of upper-extremity strength in complete and incomplete tetraplegia: A multicenter study. Archives of Physical Medicine and Rehabilitation. 2000;81(4):389-393.
Kumar C, Pathan N. Effectiveness of manual perturbation exercises in Improving balance, function and mobility in stroke patients: A randomized controlled trial. Journal of Novel Physiotherapies. 2016; 06(02).
Mansfield A, Peters A, Liu B, Maki B. Effect of a perturbation-based balance training program on compensatory stepping and grasping reactions in older adults: A randomized controlled Trial. Physical Therapy. 2010;90(4):476-491.
Blikman L, Huisstede B, Kooijmans H, Stam H, Bussmann J, van Meeteren J. Effectiveness of energy conservation treatment in reducing fatigue in multiple sclerosis: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation. 2013;94(7):1360-1376.
Pyszora A, Budzyński J, Wójcik A, Prokop A, Krajnik M. Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial. Supportive Care in Cancer. 2017;25(9):2899-2908.
Bakshi R. Fatigue associated with multiple sclerosis: Diagnosis, impact and management. Multiple Sclerosis Journal. 2003;9(3):219-227.