PDF(Pubmed)
Abstract：
Parieto-occipital encephalomalacia is a macroscopic appearance of the brain with loss of cerebral parenchyma associated with gliosis in the brain\'s anatomical structures. It occurs because of the liquefaction of brain parenchymal necrosis after cerebral ischemia, infection, and haemorrhages. It is often surrounded by glial cell proliferation in response to damage. Rehabilitation after the manifestation of neurological function must be tailored, and well-coordinated intervention must be formulated. We present a case study of a 77-year-old male with parieto-occipital encephalomalacia associated with genu varum deformity with a complaint of generalized weakness, vertigo, giddiness, and fall with one episode of a seizure attack. Further, bilateral genu varum deformity was noted on the knees. Encephalomalcia is associated with vitamin D deficiency. The physiotherapy rehabilitation consisted of resolving the symptoms of the patient, along with working on strengthening weak muscles of the genu varum deformity of the patient. The proprioceptive neuromuscular facilitation (PNF) method is a popular rehabilitation strategy for regaining motor function. Numerous outcome measures were used to monitor the patient\'s progress. Outcome measures such as the tone grading scale (TGS), motor assessment scale (MAS), dynamic gait index (DGI), Barthel index (BI), and world health-related quality-of-life (WHORQOL) scales were used. The rehabilitation lasted for six weeks. Tele-rehabilitation also plays a crucial impact in the recovery of patients. By the end of our rehabilitation, the patient significantly improved in performing activities of daily living and improved his quality of life. Tele-rehabilitation helped us stay connected with the patient.
摘要：
枕叶脑软化症是脑的宏观外观，与脑解剖结构中的神经胶质增生相关的脑实质丧失。它的发生是因为脑缺血后的脑实质坏死液化，感染,和出血。它常常被神经胶质细胞的增殖所包围以响应毁伤。康复后的神经功能表现必须量身定做，必须制定协调良好的干预措施。我们提供了一个案例研究，该案例研究是一名77岁的男性，患有与膝内翻畸形相关的顶枕脑质软化症，并伴有全身无力。眩晕,头晕,并因癫痫发作发作而摔倒。Further,双侧膝内翻畸形出现在膝盖上。脑软化与维生素D缺乏有关。理疗康复包括解决病人的症状，同时致力于加强患者膝内翻畸形的虚弱肌肉。本体感觉神经肌肉促进（PNF）方法是一种流行的恢复运动功能的康复策略。许多结果指标用于监测患者的进展。诸如音调等级量表(TGS)、运动评估量表(MAS)，动态步态指数(DGI)，Barthel指数（BI），并使用世界健康相关生活质量(WHORQOL)量表。康复持续了六个星期。远程康复对患者的康复也起着至关重要的影响。在我们康复结束时，患者在日常生活活动方面显着改善，并提高了生活质量。远程康复帮助我们与病人保持联系。
