ROLE OF PHYSIOTHERAPY AND REHABILITATION WITH COOPERATION OF FAMILY IN LOCKED-IN SYNDROME: FOUR-YEAR FOLLOW-UP OF A CASE

Purpose: Locked-in syndrome is characterized by quadriplegia, lower cranial nerve palsy and mutism. In classic type of it, patients are only being able to move their eyes vertically and blink upper eyelid. This syndrome usually occurs due to basilar artery occlusion. Locked in syndrome secondary to basilar artery aneurysm is uncommon. Methods: In this study, we present a four years physical therapy practice along with home program of a case with locked- in syndrome due to basilar artery aneurysm treated medically and had coin and stent application. Results: At 4 years follow up, it was found that there was no muscle shortness or joint limitations. The patient was able to manage passive standing up position for 15 minutes and communicate with blinks. It was also found that no scar or wound had been developed on skin. Conclusion: Herein, it is shown that preventive and supportive physical therapy and rehabilitation practice combining with home program, family education and patient attendance is indispensable for patients with such conditions like locked in syndrome in which care is needed