Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2024; 12(2): 443-450
Published online Jan 16, 2024. doi: 10.12998/wjcc.v12.i2.443
Significant improvement after sensory tricks and trunk strength training for Parkinson’s disease with antecollis and camptocormia: A case report
Jia-Ren Wang, Yue Hu
Jia-Ren Wang, Yue Hu, Department of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201619, China
Author contributions: Wang JR and Hu Y collected the data from medical records, contributed to the design of the study, and wrote the first draft of the manuscript; Hu Y contributed to the conception and design of the study; Wang JR provided clinical evaluation and treatment for the patient; All the authors contributed to manuscript revision, and read and approved the submitted version.
Informed consent statement: All study participants provided informed written consent prior to study enrollment.
Conflict-of-interest statement: No potential conflicts of interest were reported by the author(s).
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue Hu, MD, Doctor, Department of Neurology and Neurological Rehabilitation, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), No. 209 Guangxing Road, Songjiang District, Shanghai 201619, China. hy130390@163.com
Received: November 8, 2023
Peer-review started: November 8, 2023
First decision: December 5, 2023
Revised: December 17, 2023
Accepted: December 27, 2023
Article in press: December 27, 2023
Published online: January 16, 2024
Processing time: 63 Days and 16.9 Hours
Abstract
BACKGROUND

Patients with Parkinson's disease (PD) exhibit symptoms such as antecollis (AC) and camptocormia (CC). The pathology of these two conditions is unclear. Additionally, standard treatment methods have not been established. The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.

CASE SUMMARY

We present the case of a 65-year-old female PD patient with AC and CC. The course of the disease was 5 years. She was treated with rehabilitation strategies such as sensory tricks and trunk strength training. During the inpatient period, we compared and analyzed the patient's gait, rehabilitation assessment scale score, and angles of her abnormal trunk posture in the first week, the third week, and the fifth week. The patient's stride length increased, indicating that the patient's walking ability was improved. The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased. Furthermore, the score of the other scale increased. In addition, the patient showed significant improvements in AC, upper CC, and lower CC angles.

CONCLUSION

This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.

Keywords: Antecollis; Camptocormia; Parkinson's disease; Sensory tricks; Trunk strength training; Case report

Core Tip: Sensory tricks and trunk strength training have a strong effect on treating Parkinson's disease patients with antecollis (AC) and camptocormia (CC). However, the diagnosis and the rehabilitation of AC and CC are usually neglected. Therefore, it is especially important to detect these conditions in a timely manner and administer appropriate treatment.