نوع مقاله : گزارش مورد
نویسندگان
گروه کاردرمانی، دانشکده توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Background and Aims Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a rare inflammatory disease that affects the central nervous system, wherein the immune system attacks myelin sheaths in the optic nerves, brain, and spinal cord. This condition can lead to a range of symptoms, including vision loss, muscle weakness, stiffness or paralysis, confusion, seizures, and headache. Despite the availability of medical and pharmaceutical treatments, occupational therapy with a comprehensive and holistic approach is considered the most effective option for rehabilitation because both the physical and mental areas are involved in this syndrome.
Methods In this study, a 7-year-old boy diagnosed with MOGAD syndrome who received occupational therapy services was presented. He was referred to the occupational therapy clinic after being hospitalized and diagnosed with MOGAD. After receiving occupational therapy interventions including neurodevelopmental therapies (Levitt and Bobath techniques), splinting and assistive devices for one year, improvement was achieved in various areas including muscle tone, fine and gross motor development, balance and ADL. In order to assess the child's condition and follow up during this period, specialized tools and tests (PEDI, Ashworth, developmental milestones, muscle shortening test, etc.) were used to measure different areas and dimensions.
Results The child demonstrated remarkable improvements in gross motor skills. However, progress in gait and balance was slow and required extensive training. Fine motor skills remained challenging despite intensive interventions. By the end of the year, there was a significant improvement in muscle tone, functional mobility, and daily living skills.
Conclusion Occupational therapy played a pivotal role in the functional recovery of this child with MOGAD. Future research should explore long-term outcomes and develop standardized protocols for rehabilitation in children with this rare condition.
کلیدواژهها [English]
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