Category: Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development); Neuroplasticity (includes neuroscience)
The purpose of this poster is to present the case of an individual with Central Pontine Myelinolysis (CPM) and detail the interdisciplinary rehabilitation approach and recovery process in the post-acute phase.
This single subject case report was assessed using retrospective review of medical records and face-to-face interviews to compile all data. It covers a 6 week course of inpatient rehabilitation and 5 month follow up from onset of diagnosis.
The setting took place in an acute rehabilitation hospital.
Participants (or Animals, Specimens, Cadavers) :
This poster describes a 30 year-old female with Central Pontine Myelinolysis presenting with incomplete locked-in syndrome and details her interdisciplinary care during a 6 week course of acute rehabilitation.
With an interdisciplinary approach, each therapy played an essential role in fostering her recovery, independence and improving her quality of life. Treatments across disciplines emphasized tone management, activity tolerance, access to environment, and functional training.
Main Outcome Measure(s) :
Functional changes were assessed utilizing the motor and cognitive subscales of the funcitonal independence measures (FIM). Specific impairments were assessed by each discipline including Nine Hole Peg Test, Box and Blocks, Function in Sitting Test, Galveston Orientation and Amnesia Test, and the Functional Oral Intake Scale.
At discharge, the patient was sustaining a modified oral diet, engaging in verbal conversation, requiring partial assist with ADLs, independent with trial powered mobility, and working towards independence with transfers and ambulation.
This case demonstrates the recovery potential and critical role of a patient-centered interdisciplinary team approach in the rehabilitation of an individual with CPM. Through clinical assessment by each discipline, interaction between team members, and involvement of the patient, an individualized and coordinated team approach was formulated.
Marie Yeseta– Physical Therapist, Casa Colina Hospital and Centers for Healthcare, Whittier, California
Katelyn Fuller– Occupational Therapist, Casa Colina Hospital and Centers for Healthcare, Upland, California
Maybel Kyin– Physical Therapist, Casa Colina Hospital and Centers for Healthcare, San Gabriel, California
Camila Guerrero– Speech-Language Pathologist, Casa Colina Hospital and Centers for Healthcare, Altadena, California
Cathelyn Timple– Clinical Director Inpatient Physical Therapy, Casa Colina Hospital and Center for Healthcare, Highland, California