%0 Journal Article
%T PHYSIOTHERAPY MANAGEMENT FOR PROGRESSIVE SUPRA NUCLEAR PALSY
%A Chennupati. Ashok Chakravarthi
%A A. Anitha kumari
%A P. Keerthi Chandra Shekhar.
%J International Journal of Physiotherapy and Research
%D 2013
%I International Journal of Physiotherapy and Research
%X Background:An elderly patient with disturbances in gait, impaired balance, difficulty moving the eyes andhistory of frequent falls are not commonly seen in physiotherapy referral cases. Progressive supranuclear palsy(PSP) is relatively uncommon and is the most frequently occurring form of Atypical Parkinsonism withcardinalfeatures of vertical gaze palsy, gait instability with frequent falls. However, because the initialclinical featuresoften resemble Parkinson¡¯s disease (PD) many patients are referred for rehabilitation services withthe wrongdiagnosis as PD. The progression of the symptoms in PSP is much faster than in PD and there is no cure oreffective medication to manage PSP. We describe a case of 59 years old male, patient who was referred tophysiotherapy department for asymmetric limb apraxia, markedly impaired balance and frequent falls duringtransitional movements. Two years before the patient was diagnosis as PD and later the patient was re-diag-nosed as PSP based on the progression of the disease. The patient was rehabilitated using coordination exer-cises and reciprocal rhythmic movements to reduce rigidity, transfer training exercises for balance,gait trainingusing weights strapped to ankles in parallel bar and visual tracking exercises. The exercises wereprogrammedfor 1   hours a day, 5 days a week, for 8 weeks. After 15 weeks there was improvement in gait and balance ofthe patient with decrease in fall incidence on a Progressive Supranuclear Palsy Rating Scale (PSPRS).
%K Gait
%K Balance
%K Falls
%K Progressive supranuclear palsy
%K Atypical Parkinsonism
%K Coordination exer- cises
%K Transfers training
%K Parallel bars
%K Visual tracking exercises.
%U http://www.ijmhr.org/ijpr_articles_vol1_02/ashok_42.pdf