RECOVERY OF BALANCE AND FINE MOTOR TASKS IN A PATIENT WITH PARKINSON’S DISEASE USING BRAIN BASED THERAPIES
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1
Life University, United States
Background: A seventy-eight year-old female presented to a chiropractic functional neurology clinic with a diagnosis of Parkinson’s disease. Her symptoms were consistent with the disease including resting tremor, rigidity, bradykinesia, hypokinesia and hypomemia. She also felt depressed and irritable. Her chief complaint was a decrease in fine motor skills rendering her incapable of performing tasks such as tying her shoes and opening her flip cell phone.
Methods: Compromised frontal lobe and basil ganglionic function were confirmed by aberrant saccades and optokinetic responses. The patient was unable to stand without falling during computerized dynamic posturography (CDP) on a perturbation cushion with eyes closed giving a score of zero. She underwent a 3 day treatment program of cortical rehabilitation involving gaze holding strategies, frontal eye movement exercises and multi-axis vestibular stimulation.
Results: After three days of treatment, the patient was able to complete a CDP evaluation and was measured to have a stability rating of 79.1% with eyes closed on a perturbation cushion. She also showed improved facial tone, fuller range of motion and stamina. She achieved her goal of tying shoe laces and opening her phone.
Conclusion: Vestibular rehabilitation strategies utilizing eye movement exercises and multi-axis labyrinthine and otolithic stimulation demonstrated significant improvement in activities of fine motor control as well as improved balance, station, gait. Positive outcomes in this case promote further study with these strategies in cases of motor disorders.
Keywords:
Parkinson Disease,
Functional Neurology,
Chiropractic,
fine motor control,
Balance control
Conference:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015.
Presentation Type:
Poster Presentation
Topic:
Case Reports for Poster Presentation
Citation:
Esposito
SE and
Mullin Elkins
L
(2015). RECOVERY OF BALANCE AND FINE MOTOR TASKS IN A PATIENT WITH PARKINSON’S DISEASE USING BRAIN BASED THERAPIES.
Front. Neurol.
Conference Abstract:
International Symposium on Clinical Neuroscience: TBI and Neurodegeneration.
doi: 10.3389/conf.fneur.2015.58.00029
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Received:
31 Oct 2015;
Published Online:
02 Nov 2015.
*
Correspondence:
Dr. Susan E Esposito, Life University, Marietta, United States, susanesposito@gmail.com