Abstract:
BACKGROUND AND PURPOSE:The incidence of West Nile virus (WNV) has increased in the United States since 1999. A small percentage of people with WNV develop West Nile neuroinvasive disease (WNND) with encephalitis and flaccid paralysis. The purpose of this report is to describe the physical therapist management and outcomes for a patient with WNND and the therapist's efforts to use an evidence-based practice approach in the management of a patient with this disease. CASE DESCRIPTION:The patient was an active 55-year-old woman in excellent health who became acutely ill with asymmetrical lower-extremity weakness. The physical therapist reviewed the available literature, consulted with medical and physical therapist experts and the patient, and elected to use a poliovirus "period of recovery" approach combining intensive strengthening and monitoring of fatigue. OUTCOMES:The patient progressed from an initial nonambulatory status to ambulation with a single-point cane at week 18 after onset of symptoms. She began to ambulate without an assistive device by week 20. The patient returned to work part-time by week 22 and full-time by week 43. DISCUSSION:These outcomes demonstrate the recovery of a patient with WNND after an intensive strengthening program.
journal_name
Phys Therjournal_title
Physical therapyauthors
Miller NH,Miller DJ,Goldberg JLsubject
Has Abstractpub_date
2006-06-01 00:00:00pages
843-56issue
6eissn
0031-9023issn
1538-6724journal_volume
86pub_type
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