https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.153

DOWNLOAD PDF
Table of Contents

Type of Article:  Case Study

Volume 5; Issue 3 (June 2017)

Page No.: 2108-2112

DOI: https://dx.doi.org/10.16965/ijpr.2017.153

PHYSIOTHERAPY MANAGEMENT IMPROVES FUNCTIONAL RECOVERY IN ACQUIRED DYKE-DAVIDOFF MASSON SYNDROME

Manoj Deshmukh *1, Yogita Verma 2, Kanimozhi Narkeesh 3, Narkeesh Arumugam 4.

*1 Assistant Professor, Department of Neurophysiotherapy, MMIPR, Maharishi Markandeshwar University, Mullana Ambala-Haryana, India.

2 Assistant Professor, MMIPR, Maharishi Markandeshwar University, Mullana Ambala-Haryana, India.

3 Professor and Principal, MMIPR, Maharishi Markandeshwar University, Mullana Ambala-Haryana, India.

4 Professor, Physiotherapy College, Punjabi University, Patiala, Punjab, India.

Address for the Correspondence: Manoj Deshmukh, Assistant Professor, Department of Neurophysiotherapy, MMIPR, Maharishi Markandeshwar University, Mullana Ambala-Haryana, India -133203 E-Mail: manoj.deshmukh@mmumullana.org

ABSTRACT

Background: The Acquired Dyke-Davidoff Masson Syndrome (ADDMS) or cerebral hemiatrophy is rarely encountered case in common rehabilitation practice. Also there is lack of study which explores the physical therapy intervention and rehabilitation protocol. The aim of present study is to propose and explore the physiotherapy intervention based on literature available aimed to enhance functional recovery and cortical reorganization.

Case Description: A 27 year old female presented with episodes of seizures and difficulty in performing ADLs with right upper extremity in physiotherapy OPD. At the age of 3 year, her parents reported that there was a developmental difference between right side upper and lower extremities with lack of movements. The MRI revealed evidence of Encephelomalacia with surrounding gliosis. There was also loss of volume of left cerebral hemisphere with mild ipsilateral calvarian thickening.

Outcome: After the physiotherapy session the patient showed recovery in functional activity. However there was no any significant improvement in strength of muscles. Gripping and other fine motor skills was also improved in Upper extremity.

Discussion: Plastic changes can occur at the cortical level in a number of ways. Evidences suggest that enriched environment and skill learning in adults are associated with growth of dendrites. Possible strategies to enhance the human brains response after injury can be a somatosensory stimulation, motor training, cortical stimulation and combination of sensory stimulation and motor training which is task specific.

Conclusion: Physical therapy intervention improves the functional recovery in ADDMS.

Key words: Acquired Dyke-Davidoff Masson Syndrome, Cerebral Hemiatrophy, Physical therapy, Rehabilitation.

REFERENCES

  1. Shrestha B. Acquired cerebral hemiatrophy: Dyke-davidoff-masson syndrome – A case report. Turk Neurosurg. 2013;23(1):117-121. doi:10.5137/1019-5149.JTN.4283-11.1.
  2. Aguiar PH, Liu CW, Leitao H, et al. MR and CT imaging in the Dyke-Davidoff-Masson syndrome report of three cases and contribution to pathogenesis and differential diagnosis. Arq Neuropsiquiatr. 1998;56(4):803-807. doi:10.1590/S0004-282X1998000500016.
  3. Aneja J, Jangli S, Singh M, Mittal A. Acquired Dyke-Davidoff-Masson syndrome ( DDMS ). 2015;2(1):55-58.
  4. Arora R, Rani JY. Dyke-Davidoff-Masson syndrome : imaging features with illustration of two cases. 2015;5(3):469-471. doi:10.3978/j.issn.2223-4292.2014.11.17.
  5. Sethi NK, Sethi PK, Torgovnick J, Arsura E. Acquired dyke-davidoff-masson syndrome : a clinicoradiographic correlation. 2011;16:269-271.
  6. Ward NS. Europe PMC Funders Group Mechanisms Underlying Recovery of Motor Function After Stroke. 2013;61(12):1844-1848. doi:10.1001/archneur.61.12.1844.Mechanisms.
  7. Nudo RJ, Milliken GW. Reorganization of movement representations in primary motor cortex following focal ischemic infarcts in adult squirrel monkeys. J Neurophysiol. 1996;75(5):2144-2149. http://www.ncbi.nlm.nih.gov/pubmed/8734610. Accessed April 23, 2016.
  8. Ng SSM, Hui-Chan CWY. Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke. Stroke. 2007;38(11):2953-2959. doi:10.1161/STROKEAHA.107.490318.
  9. Bayona NA, Bitensky J, Salter K, Teasell R. The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil. 2005;12(3):58-65. doi:10.1310/BQM5-6YGB-MVJ5-WVCR.
  10. Digra PK, Deshmukh MK, Midha D, Verma Y, Kumar SP. Dual Task Cognitive Performance Along With Conventional Physiotherapy Treatment on Gait Parameters in Patients With Ischemic Stroke: a Case Report. Int J Physiother Res. 2015;3(6):1284-1287. doi:10.16965/ijpr.2015.192.
  11. Alkadhi H, Crelier GR, Boendermaker SH, Golay X, Hepp-Reymond MC, Kollias SS. Reproducibility of primary motor cortex somatotopy under controlled conditions. Am J Neuroradiol. 2002;23(9):1524-1532.

Cite this article: Manoj Deshmukh, Yogita Verma, Kanimozhi Narkeesh, Narkeesh Arumugam. PHYSIOTHERAPY MANAGEMENT IMPROVES FUNCTIONAL RECOVERY IN ACQUIRED DYKE-DAVIDOFF MASSON SYNDROME. Int J Physiother Res 2017;5(3):2108-2112. DOI: 10.16965/ijpr.2017.153
Post Views: 0