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Case Report
Evidence-based physiotherapy management of fall prevention for the patient with Alzheimer disease: A case-based study
1 Senior Clinical Physiotherapist, Department of Physiotherapy, CRP, Savar, Dhaka 1343, Bangladesh
2 Assistant Professor, Department of Physiotherapy, BHPI, CRP, Savar, Dhaka 1343, Bangladesh
3 Lecturer, Department of Physiotherapy, BHPI, CRP, Dhaka 1343, Bangladesh
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Md Waliul Islam
Senior Clinical Physiotherapist, Department of Physiotherapy, CRP, Savar, Dhaka 1343,
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Article ID: 100053D05MI2022
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How to cite this article
Islam MW, Alam F, Islam A, Urme NA. Evidence-based physiotherapy management of fall prevention for the patient with Alzheimer disease: A case-based study. Edorium J Disabil Rehabil 2022;8(2):1–5.ABSTRACT
Introduction: Alzheimer’s disease (AD) is a degenerative disease and dementia is a neurological condition which is significantly caused by AD. Sometimes it is found at early to middle age which is associated with cognitive and functional impairment. There is no significant curative treatment till now but only symptomatic treatment in available. Aim of this study is to describe evidence-based physiotherapy management for fall prevention associated with Alzheimer’s disease.
Case Report: This is a case-based study which features an elderly man who has just fallen for the few times and has early Alzheimer’s disease (AD). In literature, exercise therapy is proven to be effective for fall management. Exercise was demonstrated by the physiotherapist and follow-up was done on a regular basis. The fall prevention exercise included core muscle strength training, cue gait training, fall prevention strategy, and task-based functional activity practice focused on Alzheimer’s symptoms. The patient was assessed with the Tinetti Patient Oriented Mobility Assessment (POMA) and Berg Balance Scale score (BBS). The initial score was 8/28 for POMA and 19/56 for BBS, and after 8 weeks it was recorded as 19/28 and 21/56. Oxford muscle grading system was used for measuring strength.
Conclusion: Final outcomes suggested minor improvements in balance, strength of lower limbs, functional activities. This case study focuses on the importance of physical exercise to improve balance and prevent consequences of fall.
Keywords: Alzheimer’s disease, Berg Balance Scale score, Cued gait training, Fall prevention, Physiotherapy
SUPPORTING INFORMATION
Author Contributions
Md Waliul Islam - Substantial contributions to conception and design, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Fabiha Alam - Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Asma Islam - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Nadia Afrin Urme - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Md Waliul Islam et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
