Interest of balance training and physical conditioning in outpatient management of ataxic neuropathy: Case report and review of the literature

  • Jellad A
  • Migaou H
  • Bouaziz M
  • et al.
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Abstract

Introduction.- Ataxic neuropathies are peripheral neuropathies characterized by impairment of deep sensation and moderate motor impairment. They lead to instability with impaired balance and gait. The specific functional rehabilitation is a major asset in the care of these patients Observation.- A 28-year-old patient presents an ataxic progressive neuropathy (since the age of 6 years). It is complicated by a Charcot foot which was treated surgically with amputation of the 1st, 2nd and 3rd left toe. This patient presented difficulties in his social and occupation life (impaired balance and gait, difficulty in climbing stairs. . .).Areview:walking heels, bilateral flat valgus feet and disturbed of proprioceptive and thermoalgesic sensorial perception. Assessment was based on the evaluation of balance (single leg stance, Berg Balance scale and get up and go test) and gait speed. A specific rehabilitation treatment was undertaken in an outpatient clinic for improving the stability and balance, postural correction, improving the pattern and speed of walking and physical conditioning. A molded orthotics was prescribed. Outcome was marked by an improvement in all parameters evaluated after two months of rehabilitation. The patient felt very satisfied. Discussion.- Rehabilitation in ataxic neuropathy is based on sensorial rehabilitation, range of motion gain, muscle strengthening, static and dynamic rehabilitation and improving aerobic capacity. Devices are necessary particularly in cases of neurological arthropathy of the feet. These patients should be referred routinely to rehabilitation units for early care, which allowimprovement of their social and occupational quality of life.

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APA

Jellad, A., Migaou, H., Bouaziz, M. A., Salah, S., & Ben Salah, Z. (2011). Interest of balance training and physical conditioning in outpatient management of ataxic neuropathy: Case report and review of the literature. Annals of Physical and Rehabilitation Medicine, 54, e146. https://doi.org/10.1016/j.rehab.2011.07.607

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