Correction of camptocormia using a cruciform anterior spinal hyperextension brace and back extensor strengthening exercise in a patient with Parkinson disease

Annals of Rehabilitation Medicine
Byung Kook YeYong Wook Kim

Abstract

Parkinson disease, one of the most common neurodegenerative diseases, is characterized by cardinal motor features including bradykinesia, rigidity, resting tremor, postural instability, freezing gait, and fatigue. Of these, postural instability in the form of hyperflexion of the thoracolumbar spine upon standing and walking that disappears on recumbent positioning is called camptocormia. Many different trials have been conducted on the treatment of camptocormia, including physiotherapy, corsets, medications, and deep brain stimulation. However, there is insufficient evidence as to which treatment modality is the most valid in terms of effectiveness, cost, safety, and patient satisfaction. In this study, we present a patient whose symptom of camptocormia was effectively resolved using a cruciform anterior spinal hyperextension (CASH) brace and back extensor strengthening exercise which was modified through follow-ups based on a short-term outpatient setting for proper application with minimal discomfort. The patient was satisfied with the amount of correction provided by the brace and exercise.

References

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Citations

Jun 17, 2015·Toxicon : Official Journal of the International Society on Toxinology·Kelly L BertramCarlo Colosimo
Jul 12, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Joseph F BakerR Shay Bess
Aug 15, 2018·Neurology. Clinical Practice·Farwa AliAnhar Hassan
Aug 30, 2018·Journal of Physical Therapy Science·Geunyeol JoSang-Hyun Park
Feb 23, 2020·Journal of Physical Therapy Science·Elena V Donoso BrownEmily Boring

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