Effect of Robotic training on walking and balance in patient with Hereditary Spastic Paraplegia

Ismail Boyraz,Mesut Ozdemir,Bunyamin Koc,Hakan Sarman

doi:10.29333/ejgm/81909

Abstract

Our patient was 22 years old and was being followed with pure Hereditary Spastic Paraplegia. He was provided with robot assisted-gait training combined with physiotherapy. Robot-assisted gait training lasted 40 minutes per a day and 20 sessions training. enforced about 7 weeks and three times in a week. Strenghten, stretching and balance exercise were applied as physiotherapy every day. He was evealuated in terms of functional ambulation category, Medical Research Council (MRC) Scale for muscle strength, Modified Ashworth Scale (MAS), 6-minute walking test, 10-meter walking test, timed up and go, Berg Balance Scale before and after treatment.After the treatments, the patient could walk more confidently and speedy. Robotic training can contribute to physiotherapy as plus to improve patient walking and balance.

Highlights

Hereditary spastic paraplegias (HSPs) are clinically and genetically heterogeneous group of neurodegenerative disorder characterised by insidiously progressive muscle weakness and spasticity of the lower extremities, which may be accompanied by additional neurological or non-neurological symptomes [1]
Our patient improved with physiotherapy and robotic training in terms of the functional assessments
Robotic training can contribute to physiotherapy as plus to improve patient walking and balance and to increase patient’strength to reduce spasticity

Summary

INTRODUCTION

Hereditary spastic paraplegias (HSPs) are clinically and genetically heterogeneous group of neurodegenerative disorder characterised by insidiously progressive muscle weakness and spasticity of the lower extremities, which may be accompanied by additional neurological or non-neurological symptomes [1]. The differential diagnosis of progressive spastic paraplegia strongly relies on the age at onset, as well as the accompanying clinical properties, possible abnormalities on MRI, and family history. HSP is classified as pure if neurologic symptomes are limited to the lower limbs. Treatment is depended on improving strenght and balance through physical therapy and rehabilitation.

CASE REPORT

DISCUSSION