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Efficacy of A Neurophysiotherapy Program On Upper and Lower Limb Functions In A Patient With Spinal Muscular Atrophy Type Ii
Introduction: Spinal muscular atrophy (SMA) is one of the common neuromuscular diseases in which the degeneration of the cells of the anterior horns of the spinal cord occurs, resulting in muscle atrophy and weakness of the muscles and muscle groups of the trunk and lower extremities. The PNF concept has been successfully integrated into modern neurophysiotherapy (NFTH), but its use in patients with SMA type II has not been investigated based on available data. Methods: We performed a case study using the mixed methods design, more precisely a convergent model. In the quantitative part of the case study, we performed functional measurements in the patient using functional tests with a high degree of reliability and validity before and after the completion of the NFTH. In the qualitative part of the case study, qualitative data were collected through a partially structured interview with a patient with spinal muscular atrophy type II and analyzed. Results: Based on the analysis of the results of functional tests, we find that after completing a NFTH improved motor skills, functional motor skills and performance of the upper and lower limbs in a patient with SMA type II, improved posture and transfers, axial and proximal motor functions and distal motor functions. Conclusions: Based on the analysis of mixed-methods results, we find that qualitative results support quantitative and that a person with spinal muscular atrophy type II improved results at the level of physical function, activity and participation according to ICF biopsihosocial model.