TY  - JOUR
T1  - ROLE OF PHYSIOTHERAPY AND REHABILITATION WITH COOPERATION OF FAMILY IN LOCKED-IN SYNDROME: FOUR-YEAR FOLLOW-UP OF A CASE
TT  - ROLE OF PHYSIOTHERAPY AND REHABILITATION WITH COOPERATION OF FAMILY IN LOCKED-IN SYNDROME: FOUR-YEAR FOLLOW-UP OF A CASE
AU  - Akınoğlu, Bihter
AU  - Çakçı, Fatma Aytül
PY  - 2018
DA  - December
DO  - 10.21653/tfrd.421951
JF  - Fizyoterapi Rehabilitasyon
PB  - Türkiye Fizyoterapistler Derneği
WT  - DergiPark
SN  - 1300-8757
SP  - 95
EP  - 99
VL  - 29
IS  - 3
LA  - en
AB  - Purpose: Locked-in syndrome is characterized byquadriplegia, lower cranial nerve palsy and mutism. In classic type of it,patients are only being able to move their eyes vertically and blink uppereyelid. This syndrome usually occurs due to basilar artery occlusion. Locked in syndrome secondary to basilarartery aneurysm is uncommon. Methods: In this study, we present a four years physicaltherapy practice along with home program of a case with locked- in syndrome dueto basilar artery aneurysm treated medically and had coin and stentapplication. Results: At 4 years follow up, it was found that there was no muscle shortness orjoint limitations. The patient was able to manage passive standing up positionfor 15 minutes and communicate with blinks. It was also found that no scar orwound had been developed on skin.Conclusion: Herein, it is shown that preventive andsupportive physical therapy and rehabilitation practice combining with homeprogram, family education and patient attendance is indispensable for patientswith such conditions like locked in syndrome in which care is needed.
KW  - Locked-in syndrome
KW  - Physiotherapy
KW  - Rehabilitation
N2  - Purpose: Locked-in syndrome (LIS) is characterizedby quadriplegia, lower cranial nerve palsy, and mutism. In its classic type,patients are only able to move their eyes vertically and blink their uppereyelids. In the classic type of LIS, the patients are depended on a bed, andall their systems are affected due to immobilization. We presented a four-yearfollow-up of a case of LIS undergoing physiotherapy and rehabilitation Methods: A 51 years old male patient with a classictype of LIS was applied preventive and supportive physiotherapy andrehabilitation, and the results of the four-year follow-up were presented. Thephysiotherapy and rehabilitation program consisted of the passive range ofmotion, positioning, passive cycling, and supported standing up with a deviceby the family for seven days a week, and electrotherapy application,mobilization techniques and bronchial drainage by a physiotherapist at leastthree days per week throughout four years. Results: The patient was free from muscle shortnessor joint limitations over four years. There was not any development of scar orwound on the skin due to immobilization. The patient was able to manage passivesitting and standing up position for 15 minutes, and communicate with blinks. Conclusion: Preventive and supportive physiotherapyand rehabilitation practice in combination with the family and caregiverinvolvement are indispensable for patients in cases requiring care such as LIS.
CR  - 1. Patterson JR, Grabois M. Locked-In syndome: A review of 139 cases. Stroke 1986;17(4):758-764.2. Ockey RR, Mowry D, Varghese G. Use of sinemet in locked-in syndrome: A report of two cases. Archives of physical medicine and rehabilitation 1995; 76(9):868-870.3. Hocker S, Wijdicks EF. Recovery from Locked-in Syndrome. JAMA neurology, 2015; 72(7):832-833.4. Tvsp M, Gupta P. Locked in Syndrome-A Case Report. Indian Journal of Anaesthesia, 2005;144.5. Smith E, Delargy M. Locked-in syndrome. British Medical Journal 2005;330(7488):406-409.6. Cardwell MS. Locked-in syndrome. Texas medicine 2013; 109(2), e1-e1.7. Casanova E, Lazzari  RE, Lotta  S, Mazzucchi  A.  Locked-in syndrome: improvement in the prognosis after an early intensive multidisciplinary rehabilitation. Arch Phys Med Rehabil. 2003;84(6):862-867.
UR  - https://doi.org/10.21653/tfrd.421951
L1  - https://dergipark.org.tr/tr/download/article-file/632738
ER  -