The effect of clinical pilates-based physiotherapy program for a Stiff Person Syndrome patient: a case report
- PDF / 774,199 Bytes
- 7 Pages / 595.276 x 790.866 pts Page_size
- 24 Downloads / 154 Views
ORIGINAL ARTICLE
The effect of clinical pilates‑based physiotherapy program for a Stiff Person Syndrome patient: a case report Beliz Belgen Kaygisiz1 · Fahriye Çoban1 · Ferda Selcuk2 Received: 17 June 2020 / Accepted: 15 September 2020 © Belgian Neurological Society 2020
Abstract The aim of the present report is to show the effects of a clinical pilates-based physiotherapy training program on physical functioning, including balance ability, flexibility, muscle strength, and pain severity in a case with Stiff Person Syndrome (SPS). A 43-year-old female with a 3-year history of SPS participated in the study. Clinical pilates training exercises were performed two times per week during 8 weeks. Static balance was evaluated with One Leg Stance Test and Tandem Stance Test, dynamic balance with Functional Reach Test and lower extremity strength and endurance measured by 30-s Chair Stand Test. Berg Balance Scale was used to assess balance and fall risk, and Timed Up and Go Test was used to assess functional mobility. Pain evaluation was done by Pain Quality Assessment Scale. Flexibility was measured with tape measure, range of motion with goniometer and muscle strength with manual muscle test. Among the balance and functional mobility tests, progress has been observed in all tests, except for 30-s Chair Stand test. Improvements have been observed in patient’s range of motion, flexibility, strength, pain and balance parameters. Clinical pilates-based physiotherapy program had positive effects on many physical and functional parameters of the patient and can be used as a safe exercise method in physiotherapy rehabilitation of SPS. Keywords Stiff Person Syndrome · Physiotherapy · Pilates training
Introduction “Stiff Person Syndrome (SPS)”, first reported by Moerch and Woltman in 1956 [1], is a rare neurological disease characterized by stiffness and painful muscle spasms primarily in the abdominal, axial and extremity muscles [1]. The exact prevalence of SPS is uncertain, but the incidence is estimated to be approximately 1 in one million people between both sexes, but predominantly female [2].
* Beliz Belgen Kaygisiz [email protected] Fahriye Çoban [email protected] Ferda Selcuk [email protected] 1
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, European University of Lefke, Lefke, Northern Cyprus, TR‑10 Mersin, Turkey
Neurology Department, Dr. Burhan Nalbantoğlu State Hospital, Nicosia, Northern Cyprus, TR‑10 Mersin, Turkey
2
Stiffness is the most common symptom and is often one of the first symptoms to notice and it causes pain frequently [2]. Later in disease, it is reported that 65% of patients cannot perform normal activities in daily life due to stiffness, rigidity, unpredictable spasms and/or frequent falls [3]. When spasms affect the paraspinal muscles, the resulting hyperextension can sometimes be severe enough to lift a person from the chair [4]. Also, pain as another symptom, is common in SPS. It is typically chronic but worsens acutely with muscle spasms. T
Data Loading...
