结核性脑膜炎(TBM)是一种严重的肺外结核(TB),其特征是结核分枝杆菌侵入脑和脊髓周围的脑膜。它引发强烈的炎症反应,导致神经系统并发症,如果不及时和充分管理。TBM通常会导致肌肉无力,神经功能缺损,呼吸挑战,吞咽困难,关节挛缩,和痛苦。物理治疗干预对于通过个性化的治疗策略和治疗计划来增强肌肉力量来治疗这些问题至关重要,电机控制,协调,整体流动性。本病例报告旨在强调物理治疗在改善TBM患者的生活质量(QOL)和功能能力方面的重要作用。当前的病例报告回顾了一名73岁男性的病例,该男性抱怨全身无力和吞咽困难。该患者最近六个月有发烧史。磁共振成像(MRI)和高分辨率计算机断层扫描(HRCT)将该病例诊断为TBM伴siliaryTB。根据患者从重症监护病房(ICU)阶段开始的损伤,设计了为期六周的针对性强化康复计划。物理治疗的主要目标是开始早期卧床活动,保持接头完整性,提高姿势强度和吞咽,并使患者在转移和日常生活活动(ADLs)方面独立。经过六周的强化理疗(TIP-6)计划,患者在ADL的肌肉力量和独立性方面表现出显著改善.该病例强调了物理治疗在提高患有严重结核病相关疾病的患者的生活质量和功能能力方面的关键作用。
Tuberculous meningitis (TBM) is a severe form of extrapulmonary tuberculosis (TB) characterized by the invasion of Mycobacterium tuberculosis into the meninges surrounding the brain and spinal cord. It triggers an intense inflammatory response, leading to neurological complications if not promptly and adequately managed. TBM often precipitates muscle weakness, neurological deficits, respiratory challenges, swallowing difficulties, joint contractures, and pain. Physiotherapy intervention is essential in treating these problems by personalized treatment strategies and treatment plans to enhance muscle strength, motor control, coordination, and overall mobility. This
case report aims to highlight the significant role of physiotherapy in improving the quality of life (QOL) and functional abilities of patients with TBM. The current
case report reviews the
case of a 73-year-old male who presented with complaints of generalized weakness and difficulty in swallowing. The patient had a history of fever for the last six months. Magnetic resonance imaging (MRI) and high-resolution computed tomography (HRCT) diagnosed the
case as TBM with miliary TB. Six weeks of targeted intensive rehabilitation program was designed according to the patient\'s impairments initiated from the intensive care unit (ICU) phase. The main goals of physiotherapy were to start early bed mobility, maintain joint integrity, improve postural strength and swallowing, and make the patient independent in transfer and activities of daily living (ADLs). After a six-week intensive physiotherapy (TIP-6) program, the patient exhibited significant improvements in muscle strength and independence in ADLs. This
case highlights the critical role of physiotherapy in enhancing the QOL and functional abilities of patients with severe TB-related conditions.