The Role of Rehabilitation in the Management of Patients with Charcot-Marie-Tooth Disease: Report of Two Cases
DOI:
https://doi.org/10.3889/oamjms.2016.079Keywords:
Charcot-Marie-Tooth disease, rehabilitation, exercise, orthosesAbstract
BACKGROUND: Charcot-Marie-Tooth (CMT) disease is a hereditary disease with signs of chronic non-progressive motor-sensory neuropathy which is characterised by symmetric muscle atrophy and weakness of the distal portion of lower extremities.
AIM: The aim is to present two cases with peroneal muscular atrophy, applied rehabilitation procedures and rehabilitation outcome.
MATERIAL AND METHODS: Patient DR, aged 51, and patient KH, aged 78. Both patients had weakness and pronounced atrophy of the distal portion of lower extremities, numbness down the legs, contractures in the ankles and walking difficulties. Evaluation of patients included a clinical examination, Barthel Index, Time Up and Go test, measurement of the ankle range of motion, and a manual muscle test. On admission, the Barthel Index score was 60 in the first case, and 80 in the second. The rehabilitation program included exercise therapy with for lower extremity, occupational therapy, stationary bicycle riding, galvanic current, water exercises, and ankle-foot orthoses for both legs.
RESULTS: The therapy applied had no significant changes in the clinical neurological status of the patients, but yet it provided some improvement in ankle contractures, better mobility, and a more stable gait.
CONCLUSION: The application of rehabilitation procedures in patients with Charcot-Marie-Tooth disease can improve their functional status and walking stability.Downloads
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Pareyson D, Scaioli V, Laura M. Clinical and electrophysiological aspects of Charcot-Marie-Tooth disease. Neuromolecular Med. 2006; 8:3-22. http://dx.doi.org/10.1385/NMM:8:1-2:3
Rose KJ, Hiller CE, Mandarakas M, Raymond J, Refshauge K, Burns J. Correlates of functional ankle instability in children and adolescents with Charcot-Marie-Tooth disease. Journal of Foot and Ankle research. 2015; 8: 61-68. http://dx.doi.org/10.1186/s13047-015-0118-1 PMid:26543504 PMCid:PMC4634800
Young P, de Jonghe P, Stogbauer F, Butterfass-Bahloul T. Treatment for Charcot-Marie-Tooth disease. Cochrane Database Syst Rev. 2008; (1):CD006052. http://dx.doi.org/10.1002/14651858.cd006052.pub2
Njegovan ME et al. Rehabilitation medicine approach to Charcot-Marie-Tooth disease. Clin Podiat Med Surg. 1997; 14:99-116. PMid:9030448
Gess B, Baets J, de Jonghe P, Reilly MM, Pareyson D, Young P. Ascorbic acid for the treatment of Charcot-Marie-Tooth disease. Cochrane Database Syst Rev. 2015;12:CD011952. PMid:26662471
Carter GT, Weiss MD, Han JJ, Chance PF, England JD. Charcot-Marie-Tooth disease. Curr Treat Options Neurol. 2008; 10 (2): 94-102. http://dx.doi.org/10.1007/s11940-008-0011-3 PMid:18334132
Podsialdo D, Richardson S, The Tume "Up&Go": A test of basic functional mobility for frail elderly persons. Journal of American Geriatrics Society. 1991; 39(2):142-148. http://dx.doi.org/10.1111/j.1532-5415.1991.tb01616.x
Padua L, Pazzaglia C, Schenone A, Ferraro F, Biroli A, Esposito C, Pareyson D. Rehabilitation for Charcot-Marie-Tooth: A survey study of patients and familiar/caregiver perspective and perception of efficacy and needs. Eur J Rehabil Med. 2014; 50:25-30.
Rankin P. The Bournemouth quaestionnaire as an outcome measure in the rehabilitation of a person suffering with mechanical neck and arm pain and concurrent Charcot-Marie-Tooth disease: a case report. J Can Chiropr Assoc. 2006;50(3):190-194. PMid:17549156 PMCid:PMC1839966
Guillebastre B, Calmels P, Rougier P. Effects of muscular deficiency on postural and gait capacities in patients with Charcot-Marie-Tooth disease. J Rehabil Med. 2013; 45:314-317. http://dx.doi.org/10.2340/16501977-1113 PMid:23412436
Sman AD, Hackett D, Fiatarone Singh M, Fornusek C, Menezes MP, Burns J. Systematic review of exercise for Charcot-Marie-Tooth disease. J Peripher Nerv Syst. 2015; 20 (4):347-362. http://dx.doi.org/10.1111/jns.12116 PMid:26010435
Guillebastre B, Calmels P, Rougier PR. Assessment of appropriate ankle-foot orthoses models for patients with Charcot-Marie-Tooth disease. Am J Phys Med Rehabil. 2011; 90(8):619-27. http://dx.doi.org/10.1097/PHM.0b013e31821f7172 PMid:21681059
Kolev Z. Nevralna muskulna atrofija na Charcot-Marie-Tooth. Vo Rakovodstvo po fizikalna terapia, Ur. Gatev S. Medicina i fiskultura: Sofia, 1992: 143.
Nikolikj-Dimitrova E. Rehabilitation of patient with peroneal muscular atrophy – case report. Acta Morphologica. 2012; 9(2): 43-47.
Menotti F, Laundani l, Damiani A, Mignogna T, Macaluso A. An anterior ankle-foot orthosis improves walking economy in Charcot-Marie-Tooth type 1A patients. Prosthet Orthot Int. 2014; 38 (5): 387-92. http://dx.doi.org/10.1177/0309364613506250 PMid:24100074
Kedlaya D, Meier R.H. Physical Medicine and rehabilitation for Charcot-Marie-Tooth disease. E-medicine. Accessed at 10.05.2012.
Maggi G, MontiBragadin M, Padua L, Fiorina E, Bellone E, Grandis M, Reni L, Bennicelli A, Grosso M, Saporiti R, Scorsone D, Zuccarino R, Crimi E, Schenone A. Outcome measures and rehabilitation treatment in patients affected by Charcot-Marie-Tooth neuropathy: a pilot study. Am J Phys Med Rehabil. 2011; 90 (8): 628-37. http://dx.doi.org/10.1097/PHM.0b013e31821f6e32 PMid:21681064
Anens E, Emtner M, Hellstrom K. Exploratory study of physical activity in persons with Charcot-Marie-Tooth disease. Arch Phys Med Rehabil. 2015; 96(2):260-8. http://dx.doi.org/10.1016/j.apmr.2014.09.013 PMid:25286435
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