Dynamic and static postural alterations in HIV-related progressive multifocal leukoencephalopathy in a Latino-Hispanic male: a case study

IF 0.3 Q4 INFECTIOUS DISEASES
Martin G. Rosario, L. Jamison
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引用次数: 0

Abstract

Introduction: Human immunodeficiency virus (HIV) affects millions of people worldwide. Because of an impaired immune system, HIV-positive people are at a higher risk of contracting HIV-related complications, including progressive multifocal leukoencephalopathy (PML). PML is a progressive disease involving degeneration of the white matter in the central nervous system, causing profound adverse effects on gait and posture. This case report presents gait and posture deficiencies in a physically active 52-year-old Latino-Hispanic male with HIV-related PML. Case description: System examinations were conducted to evaluate confidence in balance, balance deficits, and fall risk, given the clinical presentation of HIV-related PML. The patient presented a profound balance and gait motor control impairments, with alterations in posture stability, particularly in mediolateral sway, and velocity were increased when adding vestibular input challenge and dual-tasks (counting backward) components. During gait assessment, the patient compensated by reducing speed during the turn and walk back to the sitting position. Conclusions: This case study strives to provide specific evidence for static and dynamic motor control in PML HIV-related case. Strengthening exercises focusing on posture musculature are highly recommended. Additionally, we encourage to focus on dynamic balance interventions to improve PML-related alterations such the ones presented in this case report. HIV AIDS Rev 2020; 19, 2: 139-145 DOI: https://doi.org/10.5114/hivar.2020.96326
动态和静态姿势改变在艾滋病毒相关进展性多灶性脑白质病变的拉丁裔西班牙裔男性:一个案例研究
导言:人类免疫缺陷病毒(HIV)影响着全世界数百万人。由于免疫系统受损,hiv阳性患者感染hiv相关并发症的风险更高,包括进行性多灶性脑白质病(PML)。PML是一种涉及中枢神经系统白质变性的进行性疾病,对步态和姿势造成严重的不良影响。本病例报告介绍了一名52岁身体活跃的拉丁裔西班牙裔男性hiv相关PML的步态和姿势缺陷。病例描述:考虑到hiv相关PML的临床表现,进行系统检查以评估平衡信心,平衡缺陷和跌倒风险。患者表现出严重的平衡和步态运动控制障碍,姿势稳定性改变,特别是中外侧摇摆,当增加前庭输入挑战和双任务(向后计数)组件时,速度增加。在步态评估时,患者通过降低转弯时的速度并走回坐姿来补偿。结论:本病例研究旨在为PML hiv相关病例的静态和动态运动控制提供具体证据。强烈建议加强以姿势肌肉组织为重点的锻炼。此外,我们鼓励关注动态平衡干预,以改善pml相关的改变,如在本病例报告中提出的。艾滋病Rev 2020;[j] .中国科学:地球科学
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来源期刊
HIV & AIDS Review
HIV & AIDS Review INFECTIOUS DISEASES-
CiteScore
0.50
自引率
0.00%
发文量
30
审稿时长
12 weeks
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