Abstract
Background. Huntington’s disease (HD) is a neurodegenerative, progressive central nervous system disease. Physiotherapy can affect the course of the disease, so it is important to determine the effects of physical exercises on the movement and cognitive function. Aim of the study was to evaluate the effectiveness of video exercise program at home, applied simultaneously and separately to physiotherapy, to the cognitive and motor function of a patient with HD. Methods. A 39-year-old man with HD was studied. Firstly, the patient performed a video exercise program at home. Then he did the same and participated in individual physiotherapy. The risk of falls was assessed using the “Timed up and go test”, balance was assessed using the “Berg Balance Assessment Scale” and the “Biodex” system, the gait was assessed using the “Zebris” system, cognitive functions was assessed using the “Mini-mental state examination test” and motor function was assessed using “Unifed Huntington‘s disease rating scale”. Results. After applying the video home exercise program, the risk of falls was reduced, the patient’s balance improved, posture stability, the length and width of the step have increased. The use of video home exercise program with physiotherapy signifcantly improved cognitive function. Conclusions. A structured exercise program at home is effective for balancing, improving posture stability, improving step length, width, decreasing the risk of falls, and it combined with individual physiotherapy, effectively improves the cognitive function of HD patient.Keywords: Huntington’s disease, video exercise program at home, cognitive and movement functions.
Highlights
Huntington’s disease (HD) is a neurodegenerative, progressive central nervous system disease
Vertinant prieš tyrimą ir po jo, pagerėjo 2,38 s, todėl galima teigti, kad sumažėjo griuvimų rizika, ligonis jautėsi stabiliau eidamas ir greitesnis ėjimo tempas jam buvo saugus ir patogus
ConclusionsA structured exercise program at home is effective for balancing, improving posture stability, improving step length, width, decreasing the risk of falls, and it combined with individual physiotherapy, effectively improves the cognitive function of Huntington’s disease (HD) patient
Summary
Atlikus griuvimų rizikos vertinimą ,,Stotis ir eiti“ testu, užfiksuotas geriausias tiriamojo trijų bandymų laikas. Kad tiriamojo griuvimų rizika prieš taikant videopratimų programą namie yra nedidelė, nes testo atlikimo laikas buvo 9,14 s (< 12 s). Po videopratimų programos testo atlikimo laikas sumažėjo apie 2 sekundes, pastebimas rezultatų pagerėjimas Atlikus galutinį įvertinimą po taikytos individualios kineziterapijos kartu su videopratimų programa namie, nedaug pagerėjo testo atlikimo laikas (0,36 s). Vertinant prieš tyrimą ir po jo, pagerėjo 2,38 s, todėl galima teigti, kad sumažėjo griuvimų rizika, ligonis jautėsi stabiliau eidamas ir greitesnis ėjimo tempas jam buvo saugus ir patogus
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