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Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation

A male patient in his 40s was transferred to our hospital for rehabilitation of ataxia after right cerebellar and brainstem infarction. After 3 weeks of conventional physical therapy, his activities of daily life successfully improved with an increase in the functional impedance measure from 101 to...

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Autores principales: Takimoto, Kazuhiro, Omon, Kyohei, Murakawa, Yuichiro, Ishikawa, Hideo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112436/
https://www.ncbi.nlm.nih.gov/pubmed/33972306
http://dx.doi.org/10.1136/bcr-2021-242287
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author Takimoto, Kazuhiro
Omon, Kyohei
Murakawa, Yuichiro
Ishikawa, Hideo
author_facet Takimoto, Kazuhiro
Omon, Kyohei
Murakawa, Yuichiro
Ishikawa, Hideo
author_sort Takimoto, Kazuhiro
collection PubMed
description A male patient in his 40s was transferred to our hospital for rehabilitation of ataxia after right cerebellar and brainstem infarction. After 3 weeks of conventional physical therapy, his activities of daily life successfully improved with an increase in the functional impedance measure from 101 to 124. However, he still fell short of gaining a higher level of balance function, which was necessary for his job as a standup forklift driver. We introduced virtual reality-guided balance training. The training was performed for approximately 40 min on weekdays for 2 weeks. As a result, the Scale for the Assessment and Rating of Ataxia score decreased from 5 to 1, Functional Balance Scale score improved from 48 to 56, and Mini-Balance Evaluation Systems Test score increased from 20 to 28. The trunk sway disappeared clinically. He regained confidence and returned to work after an additional 2 weeks of physical therapy.
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spelling pubmed-81124362021-05-26 Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation Takimoto, Kazuhiro Omon, Kyohei Murakawa, Yuichiro Ishikawa, Hideo BMJ Case Rep Case Report A male patient in his 40s was transferred to our hospital for rehabilitation of ataxia after right cerebellar and brainstem infarction. After 3 weeks of conventional physical therapy, his activities of daily life successfully improved with an increase in the functional impedance measure from 101 to 124. However, he still fell short of gaining a higher level of balance function, which was necessary for his job as a standup forklift driver. We introduced virtual reality-guided balance training. The training was performed for approximately 40 min on weekdays for 2 weeks. As a result, the Scale for the Assessment and Rating of Ataxia score decreased from 5 to 1, Functional Balance Scale score improved from 48 to 56, and Mini-Balance Evaluation Systems Test score increased from 20 to 28. The trunk sway disappeared clinically. He regained confidence and returned to work after an additional 2 weeks of physical therapy. BMJ Publishing Group 2021-05-10 /pmc/articles/PMC8112436/ /pubmed/33972306 http://dx.doi.org/10.1136/bcr-2021-242287 Text en © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Report
Takimoto, Kazuhiro
Omon, Kyohei
Murakawa, Yuichiro
Ishikawa, Hideo
Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title_full Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title_fullStr Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title_full_unstemmed Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title_short Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
title_sort case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112436/
https://www.ncbi.nlm.nih.gov/pubmed/33972306
http://dx.doi.org/10.1136/bcr-2021-242287
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