Physical Therapy for an Adult Male Presenting With Torsion Dystonia Postcardiac Arrest: Posture Is Key

Abstract

Introduction: Patients suffering from cardiac arrest followed by anoxic brain injury have improved survival rates and often have debilitating neurologic and functional consequences. There is currently limited guidance in the literature for physical therapists treating adult patients in the acute care setting with presentations that can include dystonia. Case Description: This case report describes acute hospital physical therapy for a young adult after cardiac arrest. Physical therapy examination was initially limited secondary to severe torsion dystonia. A supported seating intervention was key in managing the dystonia and allowing for functional gains. Outcomes: Physical therapy treatments were successful in advancing the patient's functional status following investigation of historical treatment approaches, with subsequent application of an evidence-based intervention. Discussion: This case report highlights fundamental physical therapy requisite to establish a static sitting position when faced with opisthotonic posture as well as general torsion, postural distortions and dystonia. In addition, the study emphasizes the role of physical therapists as team members in the acute hospital setting.