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Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report

RATIONALE: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a mul...

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Autor principal: Gallagher, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112895/
https://www.ncbi.nlm.nih.gov/pubmed/30142812
http://dx.doi.org/10.1097/MD.0000000000011934
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author Gallagher, Julie
author_facet Gallagher, Julie
author_sort Gallagher, Julie
collection PubMed
description RATIONALE: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding. PATIENT CONCERNS: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness. DIAGNOSES: Head computed tomography revealed moderate acute inferior cerebellar infarct in the territory of the posterior inferior cerebellar artery. He required a percutaneous endoscopic gastrostomy tube for feeding and developed severe intractable hiccups which he rated 7/10 on the hiccup assessment instrument (HAI) on IRF admission. Functional independence measure (FIM) score for transfers was 2 (maximum assist), walking was 1 (total assist), stairs were not attempted on IRF admit due to safety concerns, and feeding (eating) was 1 (total assist). INTERVENTIONS: Anterior and posterior diaphragm kinesio taping was applied on day 6 of IRF physical therapy in an attempt to inhibit diaphragm spasm and intractable hiccups given that pharmacologic interventions had not been effective up to that point (Table 3). OUTCOMES: The HAI decreased from 7/10 on day 6 of IRF physical therapy to 0/10 on day 8. The taping was reapplied every 3 to 5 days. On IRF day 9, his diet was advanced to a regular consistency with extra moisture and thin liquids. On day 21, hiccup severity remained 0/10 on the HAI, while FIM score for transfers was 4 (minimal assist), walking was 4 (minimal assist), stairs was 4 (minimal assist), and feeding (eating) was 7 (independent). LESSONS: Diaphragm kinesio taping is a very effective treatment at reducing hiccup severity in a patient after ischemic stroke, while at the same time reducing burden of care for caregivers per FIM score improvement and improving diet to that of regular consistency with extra moisture and thin liquids.
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spelling pubmed-61128952018-09-07 Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report Gallagher, Julie Medicine (Baltimore) Research Article RATIONALE: Pathophysiologic mechanisms of the central nervous system, such as stroke, can be associated with intractable hiccups. Intractable hiccups can be associated with potentially fatal consequences, thus requiring safe management in an inpatient rehabilitation facility (IRF) setting with a multidisciplinary team approach to optimize mobility and feeding. PATIENT CONCERNS: A 49-year-old male presented to the emergency department with complaints of vomiting and dizziness. DIAGNOSES: Head computed tomography revealed moderate acute inferior cerebellar infarct in the territory of the posterior inferior cerebellar artery. He required a percutaneous endoscopic gastrostomy tube for feeding and developed severe intractable hiccups which he rated 7/10 on the hiccup assessment instrument (HAI) on IRF admission. Functional independence measure (FIM) score for transfers was 2 (maximum assist), walking was 1 (total assist), stairs were not attempted on IRF admit due to safety concerns, and feeding (eating) was 1 (total assist). INTERVENTIONS: Anterior and posterior diaphragm kinesio taping was applied on day 6 of IRF physical therapy in an attempt to inhibit diaphragm spasm and intractable hiccups given that pharmacologic interventions had not been effective up to that point (Table 3). OUTCOMES: The HAI decreased from 7/10 on day 6 of IRF physical therapy to 0/10 on day 8. The taping was reapplied every 3 to 5 days. On IRF day 9, his diet was advanced to a regular consistency with extra moisture and thin liquids. On day 21, hiccup severity remained 0/10 on the HAI, while FIM score for transfers was 4 (minimal assist), walking was 4 (minimal assist), stairs was 4 (minimal assist), and feeding (eating) was 7 (independent). LESSONS: Diaphragm kinesio taping is a very effective treatment at reducing hiccup severity in a patient after ischemic stroke, while at the same time reducing burden of care for caregivers per FIM score improvement and improving diet to that of regular consistency with extra moisture and thin liquids. Wolters Kluwer Health 2018-08-24 /pmc/articles/PMC6112895/ /pubmed/30142812 http://dx.doi.org/10.1097/MD.0000000000011934 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0.
spellingShingle Research Article
Gallagher, Julie
Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title_full Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title_fullStr Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title_full_unstemmed Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title_short Anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: A case report
title_sort anterior and posterior diaphragm kinesio taping for intractable hiccups after ischemic stroke: a case report
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112895/
https://www.ncbi.nlm.nih.gov/pubmed/30142812
http://dx.doi.org/10.1097/MD.0000000000011934
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