The Impact of Physical Therapy on DBS Dystonia Patients

School Name

South Carolina Governor's School for Science and Mathematics

Grade Level

12th Grade

Presentation Topic

Physiology and Health

Presentation Type

Mentored

Abstract

Over 250,000 people in the United States suffer from generalized dystonia, a disorder that causes uncontrollable muscle convulsions. There are few treatments currently available to lessen the tremor, spasms, and pain caused by dystonia. One specific treatment known as Deep Brain Stimulation (DBS), in which electrodes are implanted into the brain to control muscle movements, can be advantageous for dystonia patients. However, there is significant variation present in the levels of improvement from patient to patient. We hypothesized that the reason some DBS dystonia patients improve more than others is due to physical therapy (PT). To test this, we looked at a case series of 10 patients who had undergone DBS — 6 who had PT and 4 who did not. Using subjective patient statements before and after DBS, we found that 3 out of the 6 patients who had PT improved (50%) while 3 out of the 4 patients who did not have PT improved (75%). Thus, the group who did not undergo PT tended to improve more. However, there were only 10 patients in the study, making it difficult to determine if our outcome was accurate or not. In the future, we hope to redo this experiment with a larger sample size and focus on more factors such as the time spent in PT per patient. This research is a start to gaining a deeper knowledge of the most accurate treatment for dystonia patients of varying backgrounds and if physical therapy is truly worthwhile or not.

Location

ECL 340

Start Date

3-25-2023 11:30 AM

Presentation Format

Oral Only

Group Project

No

COinS
 
Mar 25th, 11:30 AM

The Impact of Physical Therapy on DBS Dystonia Patients

ECL 340

Over 250,000 people in the United States suffer from generalized dystonia, a disorder that causes uncontrollable muscle convulsions. There are few treatments currently available to lessen the tremor, spasms, and pain caused by dystonia. One specific treatment known as Deep Brain Stimulation (DBS), in which electrodes are implanted into the brain to control muscle movements, can be advantageous for dystonia patients. However, there is significant variation present in the levels of improvement from patient to patient. We hypothesized that the reason some DBS dystonia patients improve more than others is due to physical therapy (PT). To test this, we looked at a case series of 10 patients who had undergone DBS — 6 who had PT and 4 who did not. Using subjective patient statements before and after DBS, we found that 3 out of the 6 patients who had PT improved (50%) while 3 out of the 4 patients who did not have PT improved (75%). Thus, the group who did not undergo PT tended to improve more. However, there were only 10 patients in the study, making it difficult to determine if our outcome was accurate or not. In the future, we hope to redo this experiment with a larger sample size and focus on more factors such as the time spent in PT per patient. This research is a start to gaining a deeper knowledge of the most accurate treatment for dystonia patients of varying backgrounds and if physical therapy is truly worthwhile or not.