Dropped Head Syndrome Treated with Physical Therapy Based on the Concept of Athletic Rehabilitation

Mōri, Toshio; Mataki, Kentaro; Shimizu, Yoshiki; Matsuba, Kai; Miura, Kousei; Takahashi, Hiroshi; Koda, Masao; Kamada, Hiroshi; Yamazaki, Masashi

doi:10.1155/2020/8811148

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…In addition to idiopathic DHS patients, rehabilitation treatment outcomes for PD, multiple system atrophy, cervical spondylosis, cervical spinal cord myositis, and post-radiotherapy patients have been reported [ 5 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. There is no consensus on the effect of various treatment programs in rehabilitation that includes physical therapy, combined physical therapy and orthoses, hybrid assistive limb (HAL), chiropractic or athletic rehabilitation-based physical therapy, and the SHAiR program [ 5 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. The SHAiR program was the only treatment in which the efficacy of treatment was evaluated by comparison, and good short-term results have also been reported [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

et al. 2022

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Background and Objectives: Dropped head syndrome (DHS) is a syndrome that presents with correctable cervical kyphotic deformity as a result of weakening cervical paraspinal muscles. DHS with amyotrophic lateral sclerosis (ALS) is a relatively rare condition, and there is no established treatment. This is the first case report describing the improvement of both dropped head (DH) and cervical pain after the short and intensive rehabilitation (SHAiR) program in an ALS patient with DHS. Case Report: After being diagnosed with ALS in June 2020, a 75-year-old man visited our hospital in October 2020 to receive treatment for DHS. At the initial visit, the patient’s DH was prominent during standing and walking. The pain intensity of the neck was 9 out of 10 on the numerical rating scale (NRS), which was indicative of severe pain. The patient was hospitalized for 2 weeks and admitted into the SHAiR program. DH began to decrease one week after undergoing the SHAiR program and improved two weeks later. Neck pain decreased from 9 to 6 on the NRS. Results: The SHAiR program is a rehabilitation program aimed at improving DH in patients with idiopathic DHS. The program was designed to improve neck extensor and flexor function and global spinal alignment, and the program may have contributed to the improvement of DH and neck pain. Currently, reports of conservative therapies for this disease are limited to the use of cervical orthosis. Although further research is needed on the safety and indications of treatment, the SHAiR program may be a viable treatment option.

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Section: Discussionmentioning

confidence: 99%

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

et al. 2022

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“…Furthermore, while there have been reports on surgical treatment [ 6 ] and rehabilitation [ 7 ] for the treatment of IDHS, no effective treatment modality has been established. However, some case series and interventional studies reported that IDHS symptoms improved due to programs that include lower extremity or whole-body exercises [ 7 , 8 , 9 ]. This evidence suggests that musculoskeletal attributes of patients might be related to the etiology and symptoms of IDHS.…”

Section: Introductionmentioning

confidence: 99%

Association between the Phase Angle and the Severity of Horizontal Gaze Disorder in Patients with Idiopathic Dropped Head Syndrome: A Cross-Sectional Study

et al. 2023

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Background and Objectives: The phase angle, calculated by bioelectrical impedance analysis, can help elucidate the pathology of patients with idiopathic dropped head syndrome (IDHS) and explain the motor dysfunction associated with the horizontal gaze disorder. The aim of this study was to clarify the characteristics of phase angle in IDHS patients and the relationship between the phase angle and the severity of horizontal gaze disorder. Materials and Methods: This cross-sectional study included 43 female patients with IDHS and 69 healthy female volunteers. A multi-frequency segmental body composition analyzer was used to calculate body composition parameters, including whole-body and lower extremity phase angles. Propensity score (PS) matching analysis was performed to compare the body composition parameters between the IDHS and healthy groups. Variables that determine the PS were identified by correlation analysis, using the whole-body phase angle as the dependent variable. In addition, correlation analysis was performed between the severity of horizontal gaze disorder as assessed by McGregor’s slope (McGS), phase angle, and other body composition parameters. Results: Unadjusted group comparisons showed no significant difference in whole-body and lower extremity phase angles between the IDHS and healthy groups. PS matching created a total of 38 matched pairs for age, height, and fat-free mass index. Although the comparison between groups of matched samples showed no significant difference in the whole-body phase angle, the lower extremity phase angle in the IDHS group was significantly lower than that in the healthy group (p = 0.033). Correlation analysis showed significant negative correlations only between McGS and whole-body (r = −0.31, p = 0.043) and lower extremity phase angle (r = −0.39, p = 0.009) in the IDHS group. Conclusions: Abnormal body composition of the lower extremities were observed in IDHS patients. Furthermore, it was suggested that horizontal gaze disorder in IDHS patients is associated with whole-body and lower extremity phase angles.

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“…The perception of an athlete that he or she can affect the result of rehabilitation is likely reflected in the use of psychological treatments to recover more quickly and fully from injury. Both adherence to sport-injury rehabilitation plans and the perceived speed of recovery after knee surgery has been favorably connected with beliefs about control over rehabilitation outcomes (Mori et al 2020). As a result, athletes are more likely to take action to exercise this control and adhere to their injury-rehabilitation plans more closely when they feel like they have some influence over the recovery process.…”

Section: Introductionmentioning

confidence: 99%

Psychological skills in athletic rehabilitation (AR): trainers and therapists perceptions

Gupta,

Balla,

Verma

2023

Multidiscip. Sci. J.

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Sport-injury recovery is said to benefit from psychological abilities, yet there is little use of mental imaging in treatment protocols. To determine if the opinions of Physical Therapists (PTs) and Athletic Trainers (ATs) on the healing process for harmed sportsmen may be sped up by the use of positive language, setting targets, and mental imagery in treatment. To participate in an experiment that was only administered once and asked participants about the efficiency of psychological techniques, the ATs and PTs were approached for increasing adherence and speeding up the healing of wounded sportsmen enduring treatment. A total number of 309 ATs and 356 PTs responded out of the one thousand ATs and PTs that were randomly selected. The Attitudes about Imagery (AAI) study gauges opinions on psychological techniques for improving injured athletes' commitment and recovery speed. The AAI asks questions on demographics and measures attitudes regarding the influence of pain management on injured athletes' compliance with therapy and utilizes fifteen inquiries and a Likert scale with seven points to measure recovery speed. To ascertain if variations in views occurred due to the professionals' educational background, training experience, and interest, we performed 1-way analyses of variances. The usefulness of psychological skills to support the recovery process was generally viewed favourably by ATs and PTs. The utilization of mental abilities is considered in terms of clinical ramifications.

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Dropped Head Syndrome Treated with Physical Therapy Based on the Concept of Athletic Rehabilitation

Cited by 5 publications

References 17 publications

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

Association between the Phase Angle and the Severity of Horizontal Gaze Disorder in Patients with Idiopathic Dropped Head Syndrome: A Cross-Sectional Study

Psychological skills in athletic rehabilitation (AR): trainers and therapists perceptions

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