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Rehabilitation Practice and Science

Translated Title

遺傳性痙攣性下身麻痺－臨床分析及復健經驗：病例報告

Abstract

Hereditary spastic paraplegia (HSP) is a rare degenerative disorder of the central nervous system. The mode of inheritance may be autosomal dominant, autosomal recessive, or X-linked. Clinical features include a normal perinatal and birth history, slow progressive spasticity of the bilateral lower limbs, hyperreflexia, increased extensor plantar responses, and positive knee and ankle clonus resulting in walking difficulty and an abnormal gait. Rehabilitation training for hereditary spastic paraplegia has seldom been discussed. We present a case of HSP who received physical and occupational therapies.A 12-year-old male patient was admitted to our hospital on July 23, 1995 due to insidious onset of an abnormal gait. The patient had a 5-year history of running instability. Physical examination revealed that bilateral lower limbs had increased muscle tone, exaggerated muscle stretch reflexes, and a spastic gait with normal muscle power and sensation. The whole spine myelography, magnetic resonance imaging of the spine, and brain computed tomography were all normal. Vicon gait analysis after eight weeks of rehabilitation training revealed improved knee flexion and extension, ankle dorsiflexion and plantar flexion, and a single support interval on the left side. These findings show that rehabilitation training can improve gait performance and that long-term prognosis needs further investigation.

Language

English

First Page

135

Last Page

142

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