Improvements in Average Stability Score, and a Decrease in Subjective Balance Issues Following Neurological Rehabilitation for a 62-year-old Male Patient with Parkinson’s Disease
Presentation: A 62-year-old male patient presented to Plasticity Brain Centers for evaluation and treatment of previously diagnosed Parkinson’s disease identified thirteen years prior. One of his chief complaints was balance issues.
Findings: Upon intake, a Comprehensive Assessment of Postural Systems (CAPS®) (Pagnacco 2014) was performed assessing balance and stability, on both a solid and foamed surface, with eyes opened, eyes closed, and with multiple head positions. The average stability score on intake was calculated as 52.961%. When rating his subjective balance issues, the patient reported a 1 out of 6 in severity (with 0 being none and 6 being severe).
Methods: A 5-day, multi-modal program of neurological exercises was administered in 10 one-hour treatment sessions (Carrick 2017)(Antonucci 2016). Each session consisted of repetitive peripheral somatosensory stimuli, cognitive exercises, neuromuscular reeducation exercises, vestibular rehabilitation exercises, orthoptic exercises, and off-vertical axis rotation (Gdowski 1999) utilizing a multi-axis rotational chair (MARC).
Outcome: Upon exit, the stability scores improved, with the average stability score calculated as 62.503% (+18.02%). When comparing the individual stability scores, upon intake the patient was unable to complete the eyes closed test on a foam surface, upon exit, the patient not only completed the test but scored a 63.32% (+∞). In addition, the patient’s subjective balance score decreased from 1 to 0, indicating subjectively that his balance issues have been resolved.
Conclusion: The authors suggest further investigation into multi-modal, intensive approaches to improve average stability scores and decrease subjective balance issue severity in patients with Parkinson’s Disease.
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