RESPONSE OF A HEREDITARY SPASTIC PARAPARESIS PATIENT TO CONSECUTIVE EIGHT WEEK REHABILITATION PROGRAM (CEREP) - A SINGLE CASE STUDY

Dr. Ankit Sinha; Dr. Suramya Shrama; Priya kanjani; Ravi Kumar Joshi

Volume : IX, Issue : VI, June - 2020

RESPONSE OF A HEREDITARY SPASTIC PARAPARESIS PATIENT TO CONSECUTIVE EIGHT WEEK REHABILITATION PROGRAM (CEREP) - A SINGLE CASE STUDY

Dr. Ankit Sinha, Dr. Suramya Shrama, Priya Kanjani, Ravi Kumar Joshi

Abstract :

BACKGROUND: Hereditary spastic paraparesis(HSP) is a genetic disorder characterized by progressive weakness and spasticity of lower limbs. There has not been any single case study on intensive rehabilitation on hereditary spastic paraparesis patient. The objective of the study was to assess the response of a HSP patient to consecutive Eight Week Rehabilitation Program. CASE DESCRIPTION: This case involved a 16 year old girl with spastic paraparesis that was 5–6 years in duration and slowly worsening. Her complaints mainly included difficulty in walking and keeping feet straight on ground since last 6 years. Both subjective and objective examination was conducted and neurological assessment was done. No bowel,bladder or any loss of sensory system was found. METHOD: Balance was measured using Berg Balance Scale, 10 Meter Walk Test(10MWT) and Timed Up and Go(TUG) Test. Pre measurements were taken before the treatment began and in the end at 8th week. Data were computed using SPSS 17 software package. INTERVENTIONS: This included stretching, strengthening, MAT Exercises and gait training for the period of 8 weeks. Each treatment lasted for 60–90 minutes per day, 5–6 days a week. RESULTS: The result of the study is not quite a lot statistically significant, but clinically there is significant change in patient condition. CONCLUSION: The findings of the study show that an 8 week rehabilitation program improves overall balance and gait patterns in patient.