Evaluating The Efficacy Of Physical Therapy In Managing Paramyotonia Congenita Symptoms: A Case Study

Abstract

Background: Paramyotonia Congenita (PMC) is an uncommon genetic condition that disrupts the normal function of sodium ion pumps within muscle cells, leading to delayed muscle relaxation following activation. It can manifest with symptoms such as localized or widespread muscle stiffness, often accompanied by varying degrees of discomfort. This case report aims to outline the physical therapy strategies employed and the resulting treatment outcomes in a 13-year-old female diagnosed with Paramyotonia Congenita.

Case Summary: A 13-year-old girl diagnosed with Paramyotonia Congenita presented with a 4-month history of heightened low back and bilateral hip discomfort. The treatment approach encompassed the utilization of therapeutic heating modalities, aquatic therapy, and targeted stretching exercises. Additionally, patient and family education, along with the facilitation of an individual education plan, were integral components of the intervention.

Outcome Measures: The patient received care over the course of 13 sessions at an outpatient clinic. During this period, notable enhancements in the patient's range of motion for the shoulder, hip, and back were observed, along with an alleviation of pain. The evaluation of range of motion was conducted using goniometric measurements, while pain levels were quantified using both a 0-10 visual analog scale and the Wong-Baker FACES pain rating scale.

Conclusion: Physical therapy interventions could offer a viable approach for alleviating pain in a 13-year-old girl with Paramyotonia Congenita (PMC). The use of heat application as a treatment modality has demonstrated the potential to reduce pain for multiple days, with deeper heating techniques showing greater efficacy in pain reduction over extended durations. Nevertheless, further research is essential to comprehensively assess the effectiveness of physical therapy in PMC treatment, with a specific focus on the application of deep heat and other therapeutic modalities