Physiotherapy Intervention in a Patient With a Glioma of the Cingulate Gyrus: A Report of a Rare Case.

The cortical part of the limbic system, the cingulate gyrus (CG), is a conspicuous structure present in the central aspect of the cerebral cortex. It is associated with various cognitive, emotional, and behavioral purposes and has a significant impact on the limbic system, which is responsible for emotions and memory processes. The aim of the study is to comprehensively document and evaluate the effectiveness of physiotherapy intervention in managing a rare case of glioma specifically located in the CG through a concise and impactful online presentation. A CG lesion refers to damage or injury to the CG, a part of the brain located in the cerebral cortex's medial (inner) aspect. A 45-year-old female was admitted to the neurosurgery ICU with a complaint of diminished vision and headaches for the past 1.5 months. She had a history of fever and vomiting. She was diagnosed with a CG lesion on the contrast-enhanced MRI of the brain. This report of a rare case highlights the potential benefits of physiotherapy intervention in a patient with a glioma of the CG. The unique challenges posed by this specific brain tumor location necessitate a tailored and multidisciplinary approach to patient care.

Matrix Rhythm Therapy (MRT) Along With Conventional Physiotherapy Proves to Be Beneficial in a Patient With Post-Operative Knee Stiffness in Case of Tibia-Fibula Fracture: A Case Report.

Open fractures of the lower extremities are much more serious as compared to those of the upper extremities. Open fractures occur when the damaged bone is exposed to the external environment through injured soft tissue, increasing the risk of infection. The distal tibia can be fractured by a low-energy mechanism, such as rotational strain or perhaps a high-energy mechanism, such as motor vehicle accidents or falls from high altitudes. This case report is of a male individual who underwent an accident that led to a midshaft tibia and fibula fracture with lateral malleolus fracture. For that, he was operated on with open reduction and internal fixation (ORIF) with interlock nailing for a fracture of the tibia on the right side. A thorough physiotherapy protocol was set, which included matrix rhythm therapy (MRT), and improvements were seen in the outcome measures taken. The course of therapy improved the patient's state of well-being. Functional re-education increased the strength and endurance of the muscles. The patient also developed lower limb strength.

The Originality of Neuro Rehabilitation Protocols in a Definitive Case of Syringomyelia Related to Chiari I Malformation.

Syringomyelia is a center-medullary syndrome characterized by the presence of fluid-filled spaces known as syrinx within the spinal canal. Arnold Chiari Malformation (CM-I), a rhombencephalon anomaly formerly identified as hindbrain hernia, is usually associated with it. This disorder causes the brain (cerebellum) to bulge through the opening in the skull known as the foramen magnum. Some asymptomatic patients may develop symptoms quickly if they jolt their heads and cough for a lengthy period of time. Syringomyelia can be caused by trauma, illness, inflammation, or previous surgery that affects the circulation of cerebral spinal fluid resulting in CSF flow obstruction. The discomfort is acute and progressive, radiating to the neck and shoulder, and is accompanied by sensory loss, motor atrophy, decreased hearing, oscillopsia, and cerebellar abnormalities. This case report is of a 39-year-old woman diagnosed with syringomyelia associated with Arnold Chiari malformation and showed similar symptoms managed by foramen decompression and tonsillar elevation surgery. It involves removing a small piece of bone from the skull and a small section of the 1st vertebra from the back of the neck and head. In this way, there is an increase in skull space. Decompression of the spinal canal increases the size of the subarachnoid cisterns and constricts the syrinx cavity. After surgery, physiotherapy was advised because all superficial sensations over C8 and T1 were diminished, the range of motion along with strength was reduced, doing daily activities was difficult, and quality of life was affected. So, by decreasing symptoms and improving the patient's quality of life, physiotherapy improved the patient's condition significantly in this case report. The rationale of this study is to show the importance of physiotherapy in recovering after a neurological condition followed by corrective neurosurgery.

Physiotherapeutic Intervention in a 19-Year-Old Female Patient With Syringohydromyelia: A Case Report.

Syringomyelia is a rare disorder in which a syrinx is formed in the spine that grows with time, causing damage to the entire spine. It is most commonly associated with type 1 Chiari malformations and has the potential to cause considerable impairment and a lower quality of life. It can be idiopathic or secondary to trauma. Arachnoiditis, spinal cord compression, and/or a narrow spinal canal, as well as kyphosis all play a role in the development of syringomyelia. The patient reported here was unable to walk and swallow food. She had partial sensory loss in the right hand, difficulty speaking, and weakness in both hands and legs. In this case, there was atlanto-occipital assimilation with C2-C3 fusion and tonsillar herniation, causing sryingohydromyelia of the entire cord. After medical and surgical interventions, a 12-week well-structured physical therapy rehabilitation protocol was initiated. This case study demonstrates how physical therapy plays a critical role in a patient's extensive rehabilitation, enhancing strength and range of motion, improving coordination, improving daily living tasks, and decreasing pain.

Implementation of Multimodal Stimulation and Physical Therapy in Improving the Level of Consciousness and Recovery in Acute Disseminated Encephalomyelitis.

This case report aims to explore the use of multimodal sensory stimulation and physical therapy in rehabilitating a 30-year-old female patient with severe acute disseminated encephalomyelitis (ADEM). ADEM, characterized by autoimmune demyelination in the central nervous system, presents challenges in clinical management, particularly in cases with severe motor deficits and coordination issues. The patient's progress was measured using the Glasgow Coma Scale (GCS), Extended Glasgow Outcome Scale (GOS-E), and Coma Recovery Scale-Revised (CRS-R). The patient showed significant improvement in consciousness levels, functional status, and cognitive and neurological function. The study concludes that a collaborative approach involving both therapeutic modalities and active family participation contributed positively to the patient's recovery.

A Novel Implementation of Physiotherapy in a Known Case of Malunited Supracondylar Fracture of the Femur With Osteomyelitis Managed With Ilizarov Fixator.

The purpose of this case study was to elucidate the significance of physiotherapy management in rehabilitating an individual with osteomyelitis. The patient was a 25-year-old male with complaints of purulent discharge from wounds above the knee. The physiotherapy intervention prescribed and noted here focuses on enhancing functional goals during the postoperative phase. These therapeutic interventions revolve around functional exercises, which will ultimately help and assist the patient gain independence and enhance the patient's cardiovascular capacity. This case report focuses on the mandatory novel implementation of physical therapy interventions in an operated case of malunited supracondylar fracture of the femur of 10-month duration with osteomyelitis and proximal tibia-fibula fracture with right-sided foot drop managed with an Ilizarov external ring fixator.