J Korean Acad Rehabil Med.  2010 Jun;34(3):376-379.

Rehabilitative Therapeutic Experience in a Juvenile Patient with Secondary Parkinsonism Related to Hypoparathyroidism: A case report

• Lee MK
• Kim IG
• Han JY
• Choi IS
• Lee SG

Abstract

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.

Keyword

Secondary Parkinsonism; Hypoparathyroidism; Rehabilitation

MeSH Terms

Biofeedback, Psychology
Gait
Humans
Hypoparathyroidism
Parkinson Disease
Parkinson Disease, Secondary
Range of Motion, Articular
Tremor