Role of physical therapy intervention in acute disseminated encephalomyelitis.
Sanjay Tejraj ParmarCharulata DeshpandeDipti Sambhajirao KadamPublished in: BMJ case reports (2024)
We reported a case of a school-going child, diagnosed with acute disseminated encephalomyelitis (ADEM) who presented with symptoms such as high fever, acute hemiplegia and ataxia and was referred for physiotherapeutic intervention. This case report aims to document the assessment and management of ADEM from the intensive care unit to the home setting by physical therapy. Also, the child developed ventilator-associated pneumonia and a right lower motor neuron facial injury for which the child was referred to paediatric physical therapy. Since then, continuing for 8 months has helped the child to be independent in all aspects of mobility with no complaints. The child showed improvement in WeeFIM scores and Sunnybrook facial grading after 99 sessions of intensive physical therapy for approximately 83 hours along with the home programme. It has been proven an efficient treatment method along with other medical lines of treatment for neurological impairment associated with ADEM.
Keyphrases
- mental health
- liver failure
- respiratory failure
- randomized controlled trial
- healthcare
- case report
- physical activity
- drug induced
- aortic dissection
- emergency department
- intensive care unit
- study protocol
- early onset
- extracorporeal membrane oxygenation
- clinical trial
- brain injury
- sleep quality
- high school
- cerebral ischemia