PDF(Pubmed)
Abstract：
The rare neuromuscular disease known as hypokalemic periodic paralysis (hypoKPP), which results in severe muscle weakness in the extremities, is brought on by abnormalities in potassium transport within cells. Laboratory testing is confirmatory, which reveals notably low potassium levels, causing paralysis, which improves once the low potassium is restored. The patient generally complains of muscle weakness with difficulty in performing activities of daily living and impaired participation in functional tasks, with few suffering from coexisting sensory impairments. Physiotherapy generally plays a symptomatic role with motion exercises for the affected muscle groups. There is no standardized physiotherapy protocol for disease-specific impairments. A 46-year-old man complained of bilateral upper and lower limb muscular weakness and was admitted to the neurology ward. The patient also complained of having tingling numbness throughout their entire limbs and had experienced similar episodes of symptoms six months prior. During laboratory evaluation, a significantly low potassium level was found, leading to a diagnosis of hypoKPP. Following medical management, neurophysiotherapy was initiated. Physiotherapy strategy shows significant improvement in muscular strength and functional activities. Thus, this case report concludes that physiotherapy plays a vital role in managing hypoKPP by enhancing muscular strength, functional activities, and quality of life.
摘要：
罕见的神经肌肉疾病被称为低钾性周期性麻痹（hypoKPP），导致四肢严重的肌肉无力，是由细胞内钾转运异常引起的。实验室测试是确证的，这显示出明显的低钾水平，导致瘫痪,一旦低钾恢复，这种情况就会改善。患者通常抱怨肌肉无力，难以进行日常生活活动和功能任务的参与受损，很少有人患有共存的感觉障碍。物理治疗通常在受影响的肌肉群的运动练习中起症状作用。没有针对疾病特异性损伤的标准化物理治疗方案。一名46岁的男子抱怨双侧上下肢肌肉无力，并被送往神经科病房。患者还抱怨整个四肢都有刺痛麻木，并且六个月前经历过类似的症状发作。在实验室评估期间，发现钾水平明显较低，导致hypoKPP的诊断。在医疗管理之后，神经理疗开始.物理治疗策略显示肌肉力量和功能活动的显着改善。因此，本病例报告得出结论，物理治疗在通过增强肌肉力量来管理hypoKPP中起着至关重要的作用，功能活动，和生活质量。
