Charcot-Marie-Tooth Disease: A Case Study

C: Pt will increase ROM and strength in her hips, knees, and ankles to aid in functional mobility. The pt currently has deficits in these areas due to hypertonicity, this impedes on her ability to walk effectively and safely with her crutches. Increasing ROM and breaking up the tone will aid in better functional mobility. If improved over time, this could translate into a long term goal of the pt not needing crutches for mobility.

As the technology around physical therapy has changed, physical therapy as a whole has changed with it.

• Doing strength and range-of-motion exercises (physical therapy) as told by your health care provider.

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

Attend the appointment with Dr. Vanderjadt when the appointment is made. Obtain treatment recommendations based on the outcome of the physical therapy program. Address the attendant care and replacement services.

Modified constraint-induced therapy (mCIT). This therapy restricts one side of your body, so you have to use the weaker side.

“Doak realizes there are many people with muscle diseases who are far worse off than she. ‘But,’ she says, ‘In my mind, I used to be able to do things that now I can’t. It’s still bothersome,’” –Sandy Doak, victim of Central Core Disease. Central Core Disease, or CCD, affects one the body’s most major systems –muscular, in a way that everyday people cannot imagine from infancy to adults. Patients with Central Core Disease go through more than muscle weakness but also more complications that come along with this disease.

01/11/16 PT Evaluation Report documented that the patient is showing good progress towards goals, with a decrease in pain in the right lower leg, ankle and foot when ambulating. But the remaining impairments, including reduced strength, limited ROM and gait deviations cause poor ability to ambulate. Continue skilled PT is necessary in order to address the remaining deficits. Sort-term and long-term goals were discussed.

Per the PT note dated 12/27/16, patient states doing home exercise program (HEP) 3 times daily, though she still has difficulty with range of motion (ROM) of the left upper extremity. Patient has attended 4/12 sessions.

Although, Guillain Barre Syndrome is rare, it is severe too. This syndrome is considered as the severe kind of paralysis and it straight affects the lower body region and steadily moves towards upper limbs and face. In the initial phases, it affects the peripheral nervous system. The individual, who is affected from this syndrome, gradually loses all of his reflexes and ultimately goes through a complete paralysis. If this ailment is not treated early, it will become severe and ultimately causes death to the individual.

B. The physical therapy treatments used in TMD patients include: exercising methods, biofeedback or relaxation training, and osteopathic

During my medical education, I had the opportunity to do two separate electives in PM&R. My first elective was at Kaiser Permanente Hospital working under the supervision of Dr. Michael Jaffe; a well-known PM&R physician. While working closely with Dr. Jaffe on many different and interesting cases, I was further drawn to the field of PM&R, especially due to the complex and varied nature of human musculoskeletal diseases, and PM&R’s wide spectrum of musculoskeletal disease pathologies, which involve many patient populations spanning from the younger to the older generations. This experience was both intellectually challenging and personally fulfilling, especially being able to establish extended relationships with patients, work collaboratively with other medical providers such as physical therapists and occupational therapists, to deliver skillful and thoughtful care to a diverse patient population, to develop new diagnostic and therapeutic modalities, and to pursue the understanding of the underlying pathophysiological events of musculoskeletal diseases so as to help patients transition back to accomplishing their activities of daily living. With this comprehensive perspective in mind, the PM&R specialty has become a very fascinating, challenging and fulfilling career path. For these reasons, I decided to further my goal of pursuing a specialization in PM&R, and continued

Orphan diseases are rare diseases that affect less than 200,00 people nationwide. Due to the fact that they are not commonly found, they are are often overshadowed by more prevalent diseases, such as malaria or hepatitis. Therefore, this is often not enough government funding needed to research these diseases. Charcot Marie Tooth Disease (CMT) is one of the most common, yet unknown, rare neurological disorders. This disease mainly affects the nervous systems, often impairing motor skills and causing the decaying of muscles in the arms and legs. Charcot Marie Tooth Disease was first discovered in the early 1900s by Professor Jean Martin Charcot and Pierre Marie of France, and Henry Howard Tooth of England (Muscular Dystrophy Association). There

Charcot-Marie-Tooth also known as CMT is a disorders that damage the nerves in the arms and legs.

Symptoms can be treated with medications, but there is also a tremendous need for physical and emotional rehabilitation. Physical training, such as strength training, aerobics, and balancing, implemented by occupational therapy practitioners may improve the patient’s overall strength and mood and their capability to perform activities of daily living. Mild to moderate exercise may also control accidents, such as falling, as the patient becomes more stable and somewhat agile. Not only will physical methods of treatment improve activities of daily living, but studies have also shown mood improvement after therapy (Rao et al.,