Rehabilitation of balance in two patients with cerebellar dysfunction.
Identifieur interne : 001460 ( Main/Exploration ); précédent : 001459; suivant : 001461Rehabilitation of balance in two patients with cerebellar dysfunction.
Auteurs : K M Gill-Body [États-Unis] ; R A Popat ; S W Parker ; D E KrebsSource :
- Physical therapy [ 0031-9023 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Astrocytome (chirurgie), Astrocytome (complications), Complications postopératoires (rééducation et réadaptation), Démarche (physiologie), Femelle (MeSH), Humains (MeSH), Maladies du cervelet (physiopathologie), Maladies du cervelet (rééducation et réadaptation), Maladies du cervelet (étiologie), Mâle (MeSH), Posture (physiologie), Traitement par les exercices physiques (méthodes), Troubles sensitifs (physiopathologie), Troubles sensitifs (rééducation et réadaptation), Tumeurs du cervelet (chirurgie), Tumeurs du cervelet (complications), Xanthomatose cérébrotendineuse (complications), Épreuves vestibulaires (MeSH), Équilibre postural (physiologie).
- MESH :
- chirurgie : Astrocytome, Tumeurs du cervelet.
- méthodes : Traitement par les exercices physiques.
- physiologie : Démarche, Posture, Équilibre postural.
- physiopathologie : Maladies du cervelet, Troubles sensitifs.
- rééducation et réadaptation : Complications postopératoires, Maladies du cervelet, Troubles sensitifs.
- étiologie : Maladies du cervelet.
- complications : Adulte, Adulte d'âge moyen, Astrocytome, Femelle, Humains, Mâle, Tumeurs du cervelet, Xanthomatose cérébrotendineuse, Épreuves vestibulaires.
English descriptors
- KwdEn :
- Adult (MeSH), Astrocytoma (complications), Astrocytoma (surgery), Cerebellar Diseases (etiology), Cerebellar Diseases (physiopathology), Cerebellar Diseases (rehabilitation), Cerebellar Neoplasms (complications), Cerebellar Neoplasms (surgery), Exercise Therapy (methods), Female (MeSH), Gait (physiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postoperative Complications (rehabilitation), Postural Balance (physiology), Posture (physiology), Sensation Disorders (physiopathology), Sensation Disorders (rehabilitation), Vestibular Function Tests (MeSH), Xanthomatosis, Cerebrotendinous (complications).
- MESH :
- complications : Astrocytoma, Cerebellar Neoplasms, Xanthomatosis, Cerebrotendinous.
- etiology : Cerebellar Diseases.
- methods : Exercise Therapy.
- physiology : Gait, Postural Balance, Posture.
- physiopathology : Cerebellar Diseases, Sensation Disorders.
- rehabilitation : Cerebellar Diseases, Postoperative Complications, Sensation Disorders.
- surgery : Astrocytoma, Cerebellar Neoplasms.
- Adult, Female, Humans, Male, Middle Aged, Vestibular Function Tests.
Abstract
The treatment of two patients with cerebellar dysfunction is described. One patient was a 36-year-old woman with a 7-month history of dizziness and unsteadiness following surgical resection of a recurrent pilocystic astrocytoma located in the cerebellar vermis. The other patient was a 48-year-old man with cerebrotendinous xanthomatosis (CTX) and diffuse cerebellar atrophy, and a 10-year history of progressive gait and balance difficulties. Each patient was treated with a 6-week course of physical therapy that emphasized the practice of activities that challenged stability. The patient with the cerebellar tumor resection also performed eye-head coordination exercises. Each patient had weekly therapy and performed selected balance retraining exercises on a daily basis at home. Measurements taken before and after treatment for each patient included self-perception of symptoms, clinical balance tests, and stability during selected standing and gait activities; for the patient with the cerebellar tumor resection, vestibular function tests and posturography were also performed. Both patients reported improvements in symptoms and demonstrated similar improvements on several kinematic indicators of stability during gait. The patient with the cerebellar tumor resection improved on posturography following treatment, whereas the patient with CTX improved on clinical balance tests. This case report describes two individualized treatment programs and documents functional improvements in two patients with different etiologies, durations, and clinical presentations of cerebellar dysfunction. The outcomes suggest that patients with cerebellar lesions, acute or chronic, may be able to learn to improve their postural stability.
DOI: 10.1093/ptj/77.5.534
PubMed: 9149763
Affiliations:
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uniqKey="Krebs D" first="D E" last="Krebs">D E Krebs</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1997">1997</date><idno type="RBID">pubmed:9149763</idno><idno type="pmid">9149763</idno><idno type="doi">10.1093/ptj/77.5.534</idno><idno type="wicri:Area/Main/Corpus">001465</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001465</idno><idno type="wicri:Area/Main/Curation">001465</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001465</idno><idno type="wicri:Area/Main/Exploration">001465</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rehabilitation of balance in two patients with cerebellar dysfunction.</title><author><name sortKey="Gill Body, K M" sort="Gill Body, K M" uniqKey="Gill Body K" first="K M" last="Gill-Body">K M Gill-Body</name><affiliation wicri:level="2"><nlm:affiliation>Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, MA 02114, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, MA 02114</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Popat, R A" sort="Popat, R A" uniqKey="Popat R" first="R A" last="Popat">R A Popat</name></author><author><name sortKey="Parker, S W" sort="Parker, S W" uniqKey="Parker S" first="S W" last="Parker">S W Parker</name></author><author><name sortKey="Krebs, D E" sort="Krebs, D E" uniqKey="Krebs D" first="D E" last="Krebs">D E Krebs</name></author></analytic><series><title level="j">Physical therapy</title><idno type="ISSN">0031-9023</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Astrocytoma (complications)</term><term>Astrocytoma (surgery)</term><term>Cerebellar Diseases (etiology)</term><term>Cerebellar Diseases (physiopathology)</term><term>Cerebellar Diseases (rehabilitation)</term><term>Cerebellar Neoplasms (complications)</term><term>Cerebellar Neoplasms (surgery)</term><term>Exercise Therapy (methods)</term><term>Female (MeSH)</term><term>Gait (physiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postoperative Complications (rehabilitation)</term><term>Postural Balance (physiology)</term><term>Posture (physiology)</term><term>Sensation Disorders (physiopathology)</term><term>Sensation Disorders (rehabilitation)</term><term>Vestibular Function Tests (MeSH)</term><term>Xanthomatosis, Cerebrotendinous (complications)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Astrocytome (chirurgie)</term><term>Astrocytome (complications)</term><term>Complications postopératoires (rééducation et réadaptation)</term><term>Démarche (physiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies du cervelet (physiopathologie)</term><term>Maladies du cervelet (rééducation et réadaptation)</term><term>Maladies du cervelet (étiologie)</term><term>Mâle (MeSH)</term><term>Posture (physiologie)</term><term>Traitement par les exercices physiques (méthodes)</term><term>Troubles sensitifs (physiopathologie)</term><term>Troubles sensitifs (rééducation et réadaptation)</term><term>Tumeurs du cervelet (chirurgie)</term><term>Tumeurs du cervelet (complications)</term><term>Xanthomatose cérébrotendineuse (complications)</term><term>Épreuves vestibulaires (MeSH)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Astrocytome</term><term>Tumeurs du cervelet</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Astrocytoma</term><term>Cerebellar Neoplasms</term><term>Xanthomatosis, Cerebrotendinous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cerebellar Diseases</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Démarche</term><term>Posture</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Postural Balance</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies du cervelet</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cerebellar Diseases</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Cerebellar Diseases</term><term>Postoperative Complications</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Complications postopératoires</term><term>Maladies du cervelet</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Astrocytoma</term><term>Cerebellar Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies du cervelet</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Astrocytome</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Tumeurs du cervelet</term><term>Xanthomatose cérébrotendineuse</term><term>Épreuves vestibulaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The treatment of two patients with cerebellar dysfunction is described. One patient was a 36-year-old woman with a 7-month history of dizziness and unsteadiness following surgical resection of a recurrent pilocystic astrocytoma located in the cerebellar vermis. The other patient was a 48-year-old man with cerebrotendinous xanthomatosis (CTX) and diffuse cerebellar atrophy, and a 10-year history of progressive gait and balance difficulties. Each patient was treated with a 6-week course of physical therapy that emphasized the practice of activities that challenged stability. The patient with the cerebellar tumor resection also performed eye-head coordination exercises. Each patient had weekly therapy and performed selected balance retraining exercises on a daily basis at home. Measurements taken before and after treatment for each patient included self-perception of symptoms, clinical balance tests, and stability during selected standing and gait activities; for the patient with the cerebellar tumor resection, vestibular function tests and posturography were also performed. Both patients reported improvements in symptoms and demonstrated similar improvements on several kinematic indicators of stability during gait. The patient with the cerebellar tumor resection improved on posturography following treatment, whereas the patient with CTX improved on clinical balance tests. This case report describes two individualized treatment programs and documents functional improvements in two patients with different etiologies, durations, and clinical presentations of cerebellar dysfunction. The outcomes suggest that patients with cerebellar lesions, acute or chronic, may be able to learn to improve their postural stability.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9149763</PMID><DateCompleted><Year>1997</Year><Month>06</Month><Day>03</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0031-9023</ISSN><JournalIssue CitedMedium="Print"><Volume>77</Volume><Issue>5</Issue><PubDate><Year>1997</Year><Month>May</Month></PubDate></JournalIssue><Title>Physical therapy</Title><ISOAbbreviation>Phys Ther</ISOAbbreviation></Journal><ArticleTitle>Rehabilitation of balance in two patients with cerebellar dysfunction.</ArticleTitle><Pagination><MedlinePgn>534-52</MedlinePgn></Pagination><Abstract><AbstractText>The treatment of two patients with cerebellar dysfunction is described. One patient was a 36-year-old woman with a 7-month history of dizziness and unsteadiness following surgical resection of a recurrent pilocystic astrocytoma located in the cerebellar vermis. The other patient was a 48-year-old man with cerebrotendinous xanthomatosis (CTX) and diffuse cerebellar atrophy, and a 10-year history of progressive gait and balance difficulties. Each patient was treated with a 6-week course of physical therapy that emphasized the practice of activities that challenged stability. The patient with the cerebellar tumor resection also performed eye-head coordination exercises. Each patient had weekly therapy and performed selected balance retraining exercises on a daily basis at home. Measurements taken before and after treatment for each patient included self-perception of symptoms, clinical balance tests, and stability during selected standing and gait activities; for the patient with the cerebellar tumor resection, vestibular function tests and posturography were also performed. Both patients reported improvements in symptoms and demonstrated similar improvements on several kinematic indicators of stability during gait. The patient with the cerebellar tumor resection improved on posturography following treatment, whereas the patient with CTX improved on clinical balance tests. This case report describes two individualized treatment programs and documents functional improvements in two patients with different etiologies, durations, and clinical presentations of cerebellar dysfunction. The outcomes suggest that patients with cerebellar lesions, acute or chronic, may be able to learn to improve their postural stability.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gill-Body</LastName><ForeName>K M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Graduate Programs in Physical Therapy, MGH Institute of Health Professions, Boston, MA 02114, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Popat</LastName><ForeName>R A</ForeName><Initials>RA</Initials></Author><Author ValidYN="Y"><LastName>Parker</LastName><ForeName>S W</ForeName><Initials>SW</Initials></Author><Author ValidYN="Y"><LastName>Krebs</LastName><ForeName>D E</ForeName><Initials>DE</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>H133G60045</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01AG11255</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Phys Ther</MedlineTA><NlmUniqueID>0022623</NlmUniqueID><ISSNLinking>0031-9023</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001254" MajorTopicYN="N">Astrocytoma</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002526" MajorTopicYN="N">Cerebellar Diseases</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002528" MajorTopicYN="N">Cerebellar Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019294" MajorTopicYN="N">Xanthomatosis, Cerebrotendinous</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1997</Year><Month>5</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1997</Year><Month>5</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1997</Year><Month>5</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9149763</ArticleId><ArticleId IdType="doi">10.1093/ptj/77.5.534</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><name sortKey="Krebs, D E" sort="Krebs, D E" uniqKey="Krebs D" first="D E" last="Krebs">D E Krebs</name><name sortKey="Parker, S W" sort="Parker, S W" uniqKey="Parker S" first="S W" last="Parker">S W Parker</name><name sortKey="Popat, R A" sort="Popat, R A" uniqKey="Popat R" first="R A" last="Popat">R A Popat</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Gill Body, K M" sort="Gill Body, K M" uniqKey="Gill Body K" first="K M" last="Gill-Body">K M Gill-Body</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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