Vestibular Rehabilitation Focusing on the Speed Dependence of Gait Variability for a Patient with Multiple System Atrophy: Case Report

[Purpose] This paper reports the result of vestibular rehabilitation based on the cause of gait disturbance inferred by gait analysis under different speed conditions. [Participant and Methods] The participant was a 54-year-old male with multiple system atrophy-cerebellar variant (MSA-C). Gait analy...

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Bibliographic Details
Published in:Rigaku ryoho kagaku 2021, Vol.36(5), pp.753-757
Main Authors: ISHIDA, Naoya, NIKAIDO, Yasutaka, URAKAMI, Hideyuki, KURODA, Kenji, TOMIOKA, Masao, SAURA, Ryuichi
Format: Article
Language:Japanese
Subjects:
Case reports
Gait
gait speed
gait variability
multiple system atrophy
Rehabilitation
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Summary:[Purpose] This paper reports the result of vestibular rehabilitation based on the cause of gait disturbance inferred by gait analysis under different speed conditions. [Participant and Methods] The participant was a 54-year-old male with multiple system atrophy-cerebellar variant (MSA-C). Gait analysis of different speed conditions (preferred, fast, slow) revealed greater gait variability under the slow speed condition. We surmised that the gait disturbance was caused by disequilibrium due to lesions in the flocculus or nodulus in the cerebellum, and prescribed vestibular rehabilitation for 9 days. [Results] After the rehabilitation treatment, performance on a force platform, the Functional Gait Assessment score, and gait variability under the slow speed condition had improved. [Conclusion] Focusing on the speed dependence of gait variability, vestibular rehabilitation led to an improvement in the gait stability of a patient with MSA-C.
ISSN:1341-1667
2434-2807
DOI:10.1589/rika.36.753