Physiotherapy and Rehabilitation in Fahr’s Disease: A Case Report

Abstract

Fahr's disease is a rare neurodegenerative disorder characterized by symmetrical and bilateral calcification of the basal ganglia. The purpose of this case report is to evaluate the effects of physiotherapy and rehabilitation program on a patient with Fahr's disease. Biodex Balance System®, Functional Reach Test, Six Minute Walk Test, Short Form 36, Beck Depression Inventory, Barthel Index, and bilateral ankle goniometric measurements were assessed prior to and after completion of the 12-week physiotherapy program. The improvement was observed in static and dynamic balance scores, functional capacity, health-related quality of life, performance in activities of daily living, and depressive symptoms. Physiotherapy may be recommended in patients with Fahr's disease to increase the quality of life by maximizing functional capability and preventing or minimising secondary complications. The long-term effects of physiotherapy should be investigated in more depth in the future.

Keywords

• Fahr’s disease
• neurodegenerative disorders
• physiotherapy
• rare diseases

Fahr’s Hastalığında Fizyoterapi ve Rehabilitasyon: Olgu Sunumu

Abstract

Fahr’s hastalığı, bazal ganglionların simetrik ve bilateral kalsifikasyonu ile karakterize, nadir görülen nörodejeneratif bir hastalıktır. Bu olgu sunumunun amacı, Fahr’s hastalığı olan bir hastada fizyoterapi programının etkilerini değerlendirmektir. Biodex Balance System®, Fonksiyonel Uzanma Testi, Altı Dakika Yürüme Testi, Kısa Form 36, Beck Depresyon Envanteri, Barthel İndeksi ve bilateral ayak bileği gonyometrik ölçümleri 12 haftalık fizyoterapi programı başlamadan önce ve tamamlandıktan sonra değerlendirildi. Statik ve dinamik denge skorlarında, fonksiyonel kapasitede, sağlıkla ilgili yaşam kalitesinde, günlük yaşam aktiviteleri performansında ve depresif belirtilerde iyileşme gözlendi. Fahr’s hastalığı tanılı bireylerde fonksiyonel kapasiteyi en üst düzeye çıkararak yaşam kalitesini artırmak ve ikincil komplikasyonları önlemek veya en aza indirmek için fizyoterapi önerilebilir. İleride yapılacak çalışmalar ile bu hastalarda fizyoterapinin uzun vadeli etkileri daha derinlemesine araştırılmalıdır.

Keywords

• Fahr
• nörodejeneratif bozukluklar
• fizyoterapi
• nadir hastalıklar

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