INVESTIGATION OF THE EFFECT OF A PHYSIOTHERAPY AND REHABILITATION PROGRAM IN A CASE WITH CONGENITAL CENTRAL HYPOVENTILATION SYNDROME AND CEREBRAL PALSY: A CASE REPORT

Öz

Congenital Central Hypoventilation Syndrome is a rare genetic disorder that presents from birth and prevents automatic control of respiration. Our aim in this study was to examine the effectiveness of a 6-month physical therapy program applied to a patient with Congenital Central Hypoventilation Syndrome and cerebral palsy. A 6-month-old patient who was diagnosed with Congenital Central Hypoventilation Syndrome and subsequently developed Cerebral Palsy due to asphyxia was included in the study. The case was enrolled in a physical therapy program for 2 days a week for 6 months in the home environment where they lived. The case was evaluated before and after treatment. In our case, the Modified Ashworth Scale, the Alberta Infant Motor Scale, the Hammersmith Infant Neurological Examination, Test of Sensory Functions in Infants, and the Face, Legs, Activity, Cry, Consol ability scale were used. In our case, pre-treatment and post-treatment scores were as follows, respectively: Alberta Infant Motor Scale score 3-8, Hammersmith Infant Neurological Examination score 6-17, Test of Sensory Functions in Infants score 2-9, and Face, Legs, Activity, Cry, Consol ability scale score 8-3. In our case, there was a significant improvement in Modified Ashworth Scale scores before and after treatment. Additionally, at the conclusion of the study, it was noted that the heightened pain and sensitivity resulting from the patient's extended stay in the intensive care unit reduced with the treatment. We believe that the administered physiotherapy and rehabilitation program offered support to the patient in achieving neuro-motor and sensory integration, underscoring the essential role of physiotherapy in rare diseases.

Anahtar Kelimeler

• cerebral palsy
• congenital central hypoventilation syndrome
• early intervention

KONJENİTAL SANTRAL HİPOVENTİLASYON SENDROMU VE SEREBRAL PALSİLİ OLGUDA FİZYOTERAPİ VE REHABİLİTASYON PROGRAMININ ETKİSİNİN İNCELENMESİ: BİR OLGU SUNUMU

Öz

Konjenital Santral Hipoventilasyon Sendromu, doğumdan itibaren ortaya çıkan ve solunumun otomatik kontrolünü engelleyen nadir bir genetic hastalıktır. Bu çalışmadaki amacımız Konjenital Santral Hipoventilasyon Sendromu ve serebral palsili bir hastaya uygulanan 6 aylık fizik tedavi programının etkinliğini incelemekti. Çalışmaya Konjenital Santral Hipoventilasyon Sendromu tanısı alan ve sonrasında asfiksi nedeniyle serebral palsi gelişen 6 aylık hasta dahil edildi. Olgu yaşadığı ev ortamında 6 ay boyunca haftada 2 gün fizik tedavi programına alındı. Olgu tedavi öncesi ve tedavi sonrası değerlendirildi. Olgumuzda Modifiye Ashworth Skalası, Alberta İnfant Motor Skalası, Hammersmith İnfant Nörolojik Muayenesi, Bebeklerde Duyusal Fonksiyon Testi ve Yüz, Bacaklar, Aktivite, Ağlama, Konsolabilite ölçeği kullanıldı. Olgumuzda tedavi öncesi ve tedavi sonrası skorlar sırasıyla Alberta İnfant Motor Skalası skoru 3-8, Hammersmith İnfant Nörolojik Muayenesi skoru 6-17, Bebeklerde Duyusal Fonksiyon Testi skoru 2-9 ve Yüz, Bacaklar, Aktivite, Ağlama, Konsolabilite ölçeği skoru 8-3 idi. Olgumuzda tedavi öncesi ve sonrası Modifiye Ashworth Skalası skorlarında önemli gelişme oldu. Ayrıca çalışma sonucunda hastanın yoğun bakımda uzun sure kalması sonucu artan ağrı ve hassasiyetin tedaviyle azaldığı kaydedildi. Uygulanan fizyoterapi ve rehabilitasyon programının hastaya nöro-motor ve duyu entegrasyonunun sağlanmasında destek sağladığına ve nadir hastalıklarda fizyo terapinin önemli rolünün altını çizdiğine inanıyoruz.

Anahtar Kelimeler

• serebral palsi
• konjenital santral hipoventilasyon sendromu
• erken müdahale

Kaynakça

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