Use of optokinetics based OKCSIB protocol in restoring mobility in primary progressive MS

The case is of a mid-40s patient who developed progressive muscle weakness and loss of mobility over 6 weeks due to primary progressive multiple sclerosis. 2.5 days before admission, she became bed bound with weakness of 1/5 on the Oxford scale. She normally rested for a couple of days after similar...

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Bibliographic Details
Published in:BMJ case reports 2017-10, Vol.2017, p.bcr-2017-220384
Main Authors: Chitambira, Benjamin, McConaghy, Ciara
Format: Article
Language:English
Subjects:
Activities of daily living
Case reports
Clinical Protocols
Exercise
Female
Humans
Intervention
Middle Aged
Multiple Sclerosis
Muscle Weakness - diagnosis
Muscle Weakness - rehabilitation
Novel Treatment (New Drug/Intervention
Established Drug/Procedure in New Situation)
Nystagmus, Optokinetic
Patients
Physical therapy
Physical Therapy Modalities
Rehabilitation
Stroke
Stroke Rehabilitation
Traumatic brain injury
United Kingdom
White
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Summary:The case is of a mid-40s patient who developed progressive muscle weakness and loss of mobility over 6 weeks due to primary progressive multiple sclerosis. 2.5 days before admission, she became bed bound with weakness of 1/5 on the Oxford scale. She normally rested for a couple of days after similar periods of worsening symptoms and then got back on her feet although with worse balance. She was treated with optokinetic chart stimulation and sensory interaction for balance (OKCSIB) protocol. Within 2 days of intervention, she was mobile with a delta frame and supervision of one. By the end of a week, she was independently mobile with her delta frame. It is recommended that instead of just practising function, the OKCSIB protocol be used to regain antigravity extensor control loss of which leads to deteriorating function in neurological conditions.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-220384