Published online Jan 16, 2024. doi: 10.12998/wjcc.v12.i2.443
Peer-review started: November 8, 2023
First decision: December 5, 2023
Revised: December 17, 2023
Accepted: December 27, 2023
Article in press: December 27, 2023
Published online: January 16, 2024
Processing time: 63 Days and 16.9 Hours
Patients with Parkinson's disease (PD) exhibit symptoms such as antecollis (AC) and camptocormia (CC). The pathology of these two conditions is unclear. Additionally, standard treatment methods have not been established. The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.
We present the case of a 65-year-old female PD patient with AC and CC. The course of the disease was 5 years. She was treated with rehabilitation strategies such as sensory tricks and trunk strength training. During the inpatient period, we compared and analyzed the patient's gait, rehabilitation assessment scale score, and angles of her abnormal trunk posture in the first week, the third week, and the fifth week. The patient's stride length increased, indicating that the patient's walking ability was improved. The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased. Furthermore, the score of the other scale increased. In addition, the patient showed significant improvements in AC, upper CC, and lower CC angles.
This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.
Core Tip: Sensory tricks and trunk strength training have a strong effect on treating Parkinson's disease patients with antecollis (AC) and camptocormia (CC). However, the diagnosis and the rehabilitation of AC and CC are usually neglected. Therefore, it is especially important to detect these conditions in a timely manner and administer appropriate treatment.