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Rehabilitation Practice and Science

Translated Title

中暑合併小腦運動失調之復健：案例報告

Abstract

Heat stroke is a medical condition, which in its severest form, may lead to multiple organ failure and death. A previous study showed that most survivors recover completely without sequelae, but some survivors have long-term neurological dysfunction, especially cerebellar motor dysfunction. The rehabilitative outcome of such patients with neurological dysfunction has rarely been reported.We present herein a case of a 31 year old male who suffered from heat stroke, followed by acute rhabdomyolysis, renal failure, respiratory failure, cardiac arrhythmia, and cerebellar motor dysfunction. He was transferred to our rehabilitation ward 36 days after the heat stroke injury due to ataxia, dysarthria, poor emotional control, and a personality change. Physical and neurologic examinations clearly revealed that the patient had cerebellar motor dysfunction. He was unable to walk without assistance and needed his family to help him with activities of daily living. The rehabilitation program included balance training, strengthening exercises, ambulation training, self-care training, speech training, and psychotherapy. After rehabilitation for two months, he exhibited significant improvement in ataxia and activities of daily living. Specifically, he could walk without assistance and functioned virtually independent of others in everyday activities. As illustrated by this case, an individualized rehabilitation program may play an important role in heat stroke patients with cerebellar motor dysfunction.

Language

Traditional Chinese

First Page

189

Last Page

194

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