Evidence–Based Structured Rehabilitation in A Case of Lead (Pb)–Induced Quadriparesis: A Case Report

Dr. Raktim Swarnakar; Dr. Raunak Kumar; Dr. Hafis Rahman

Volume : VIII, Issue : V, May - 2019

Evidence–Based Structured Rehabilitation in A Case of Lead (Pb)–Induced Quadriparesis: A Case Report

Dr. Raktim Swarnakar, Dr. Raunak Kumar, Dr. Hafis Rahman

Abstract :

Lead–induced quadriparesis is very rare. Lead (Pb) exposure can majorly occur through drinking water, smoking, smelting, through battery recycling, and paints. There is a paucity of literature on rehabilitation interventions in lead–induced quadriparesis. A 26–years–old housewife with quadriparesis presented to rehabilitation setting. History suggested that drinking water from hand pump was the possible culprit for lead toxicity. Evidence based structured rehabilitation interventions were followed. Preventive interventions, pharmacological and non–pharmacological interventions were given. Exercises, activities of daily living (ADL) and transfer training along with preventive measures to avoid possible sources of further Lead exposure were advised. Psychological rehabilitation was also followed. Post–intervention there was an improvement in muscle power, transfers, and ADL. There was a better home–environment post intervention specially after psychological rehabilitation. Structured rehabilitation is helpful in improving lead–induced quadriparesis. Further studies on rehabilitation in Lead–induced quadriperesis are essential.