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KMID : 0361420100340030376
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Journal of Korean Academy of Rehabilitation Medicine
2010 Volume.34 No. 3 p.376 ~ p.379
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Rehabilitative Therapeutic Experience in a Juvenile Patient with Secondary Parkinsonism Relaed to Hypoparathyroidism - A case report -
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Lee Min-Kyung
Han Jae-Young
Choi In-Sung
Lee Sam-Gyu
Kim In-Gyu
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Abstract
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Secondary Parkinsonism caused by hypoparathyroidism in young patients has been rarely reported and the effectiveness of comprehensive rehabilitation management is widely varied. We experienced a case of 16 year old patient with secondary Parkinsonism caused by hypoparathyroidism, who has a chief complaint of progressive resting tremor and gait disturbance. At admission, the tremor subscore was 4 on the unified Parkinson’s disease rating scale (UPDRS), the initial score of Korean-modified Barthel index (K-MBI) was 33 points and functional independence measure (FIM) was 52 points. Comprehensive rehabilitation consisted of oral antiparkinsonism drugs, range of motion exercise, motor control and coordination training, gait training with biofeedback, and activity daily living training were performed twice a day, 5 days a week. At one month after admission, she had more improved functional state. The tremor subscore was 2 on UPDRS, K- MBI was 72 points, and FIM was 89 points.
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KEYWORD
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Secondary Parkinsonism, Hypoparathyroidism, Rehabilitation
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