Significant improvement after sensory tricks and trunk strength training for Parkinson’s disease with Antecollis and Camptocormia: a case report and literature review

Abstract

Abstract Objective: To investigate whether central and peripheral interventions can alleviate symptoms in a patient with Parkinson's disease (PD) with Antecollis (AC) and Camptocormia (CC) as the primary manifestations. To the best of our knowledge, this case is the first reported case of rehabilitation method for AC. Methods: We present the case of a 65-year-old female PD patient with AC and CC. The course of the disease was 5 years. She was treated with rehabilitation strategies such as sensory tricks and trunk strength training. In the inpatient period, we compared and analyzed this patient's gait analysis, rehabilitation assessment scale, and angles of her trunk abnormal posture in the first, third, and fifth weeks. Results: The patient's stride length increased, indicating that the patient's walking ability was improved. The patient could simulate shopping on the street under supervision and needed minimal assistance to go up and down stairs. The Unified Parkinson's Disease ScalePart Three score and Camptocormia severity score decreased. Furthermore, the Modified Barthel Index score, Lawton's Scale of Instrumental Activities of Daily Living score, and Berg Balance Scale score increased. In addition, the patient showed significant improvements in the angles of AC, Upper CC, and Lower CC. Conclusion: The present case suggests that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC. Further studies are required to confirm the effectiveness of therapeutic interventions.