Case of Progressive Supranuclear Palsy Showing Improved Balance Ability after Use of the Balance Evaluation Systems Test for Clinical Decision Making

  • IGARASHI Tatsuya
    Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery & Heart Disease Hospital
  • MIYATA Kazuhiro
    Department of Physical Therapy, Ibaraki Prefectural University of Health Science

Bibliographic Information

Other Title
  • 臨床意思決定にBalance Evaluation Systems Testを用いることでバランス能力の改善が認められた進行性核上性麻痺の一症例
  • リンショウ イシ ケッテイ ニ Balance Evaluation Systems Test オ モチイル コト デ バランス ノウリョク ノ カイゼン ガ ミトメラレタ シンコウセイカク ジョウセイ マヒ ノ イチ ショウレイ

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Abstract

<p>[Purpose] The Balance Evaluation Systems Test (BESTest) is a rating scale that allows for the specific evaluation of six balance control systems. We report on our experience with a case of progressive supranuclear palsy who showed improved balance ability after goal setting and intervention using the BESTest. [Participants and Methods] The case was a 78-year-old female who had frequent falls due to progressive supranuclear palsy. The main complaint was stumbling. Decreased lower limb muscle strength and impaired balance control systems of predictive and reactive postural control were thought to be the causes of decreased activity and walking ability. Interventions with task difficulty adjusted according to the degree of independence of movement were implemented. [Results] After about three weeks of intervention, the case was able to return to her home with improved walking ability. At the two-month follow-up, a decrease in the number of falls was noted. [Conclusion] The use of the BESTest in clinical decision-making suggests that it may make interventions for balance disorders more effective.</p>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 35 (6), 923-930, 2020

    The Society of Physical Therapy Science

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