Efects of physical therapy intervention in the management of neuromyelitis optica: a case report

Abstract

Background: Neuromyelitis optica is a rare immune-mediated demyelinating central nervous system disorder afecting the spinal cord and optic nerves. There is no permanent cure for this disease, and its management requires a multidisciplinary approach. Objective: The objective of this case report is to see the efectiveness of physical therapy in the management of neuromyelitis Optica. Methods: A case of a 13-year-old female with symptoms of left side weakness, balance, and gait impairments administered a 2-week exercise protocol including progressive resistance training for strength improvements, virtual reality gaming for balance and stability improvements, and modifed constraint-induced movement therapy for upper extremity functioning and activities of daily living (ADLs). Pre- and post-outcome measures include manual muscle testing (MMT) scores for strength, ProKin TecnoBody assessment for balance and stability, Functional Independence Measure (FIM), and Capabilities of Upper extremity Questionnaire (CUE-Q) for ADLs. Results: Results showed a marked improvement in the scores of MMT, FIM, CUE, and ProKin TecnoBody post-intervention. Conclusion: Physical therapy is efective in the management of neuromyelitis optica