Charcot-Marie-Tooth Disease: A Case Study

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

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.

ROM, pain level and strength were all improved on re-evaluation. Short-term and long-term goals were achieved. Treatment plan was to educate HEP, E-stim-unattended, Joint/Soft tissue mobilization, manual therapy, MHP/CP, neuromuscular re-education, Therapeutic exercise and strengthening-increase ROM, and Ultrasound.

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.

The patient will continue physical therapy 1 day per week for 8 weeks where he will receive moist heat, cold packs, electrical stimulation, massage therapy, ultrasound to the right shoulder by followed by gentle range of motion and strengthening exercises with the goals of reducing pain, improving strength, improving range of motion, improving overall function, and teaching home exercise program.

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.

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

The first symptoms of this ailment include variable degrees of weakness or tingling feelings in the legs. In many cases, the weakness and uncharacteristic sensations spread to the arms and upper body.

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.

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.

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

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

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

devised treatment plans and implement goals. I have applied hand and arm splints, slings and