Rehabilitative Therapeutic Experience in a Juvenile Patient with Secondary Parkinsonism Related to Hypoparathyroidism: A case report. |
Lee, Min Kyung , Kim, In Gyu , Han, Jae Young , Choi, In Sung , Lee, Sam Gyu |
Department of Physical & Rehabilitation Medicine, Research Institute of Medical Sciences, Chonnam National University Medical School, Korea. LEE9299@hitel.net |
부갑상샘 기능저하증의 이차성 청소년 파킨슨증 재활치료 −증례 보고− |
이민경, 김인규, 한재영, 최인성, 이삼규 |
전남대학교 의과대학 재활의학교실, 의과학 연구소 |
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Abstract |
Secondary Parkinsonism caused by hypoparathyroidism in young patients has been rarely reported and the effectiveness of comprehensive rehabilitation management is widely varied. We experienced a case of 16 year old patient with secondary Parkinsonism caused by hypoparathyroidism, who has a chief complaint of progressive resting tremor and gait disturbance. At admission, the tremor subscore was 4 on the unified Parkinson's disease rating scale (UPDRS), the initial score of Korean-modified Barthel index (K-MBI) was 33 points and functional independence measure (FIM) was 52 points. Comprehensive rehabilitation consisted of oral antiparkinsonism drugs, range of motion exercise, motor control and coordination training, gait training with biofeedback, and activity daily living training were performed twice a day, 5 days a week. At one month after admission, she had more improved functional state. The tremor subscore was 2 on UPDRS, K- MBI was 72 points, and FIM was 89 points. (J Korean Acad Rehab Med 2010; 34: 376-379) |
Key Words:
Secondary Parkinsonism, Hypoparathyroidism, Rehabilitation |
Abstract |
전남대학교 의과대학 재활의학교실, 의과학 연구소 |
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