Delotvornost tronedeljne višekomponentne rehabilitacije na poboljšanje stanja kod bolesnika sa Fridrajhovom ataksijom
Sažetak
Uvod. Fridrajhova ataksija (FA) je autozomno recesivna, neurodegenerativna bolest. Ataksija kao glavni simptom zahvata trup, uz njihanje, nestabilnost i padove, kao i ekstremitete, uz sve teže obavljanje aktivnosti sva-kodnevnog života. Fizikalna terapija se prepoznaje kao sredstvo za tretman fizičkih simptoma i postizanje maksimalne funkcije obolelih osoba. Prema našim saznan-jima, ne postoje studije koje su ocenjivale korisnost tehnika stabilizacije proprioceptivne neuromišićne facilitacije (PNF) u rehabilitaciji bolesnika sa tom dijagnozom. Prikaz bolesnika. Prikazujemo ženu staru 26 godina sa FA koja je imala težak oblik ataksije trupa i ekstremiteta, teškoće u go-voru i slabu sposobnost hodanja. U toku tronedeljne reha-bilitacije primenjen je individualno prilagođen program fizikalne terapije, baziran na tehnikama stabilizacije PNF. Primenjeni rehabilitacioni program rezultirao je opštim funkcionalnim poboljšanjem. Smanjenje ataksije je registro-vano Skalom za procenu i ocenu ataksije (Scale for the Assess-ment and Rating of Ataxia – SARA). Instrumentom za meren-je funkcionalne nezavisnosti (Functional Independence Measure – FIM) – komponenta kretanja, pokazana je veća nezavisnost u hodu. Zaključak. Rehabilitacioni program zasnovan na tehnikama stabilizacije PNF može smanjiti ataksiju i poboljšati sposobnost hodanja kod obolelih od FA.
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