Establishment of a novel rehabilitation program for patients with dropped head syndrome: Short and intensive rehabilitation (SHAiR) program

Igawa, Tatsuya; Isogai, Norihiro; Suzuki, Akifumi; Kusano, Shusuke; Sasao, Yutaka; Nishiyama, Makoto; Funao, Haruki; Ishii, Ken

doi:10.1016/j.jocn.2020.01.046

Cited by 11 publications

(18 citation statements)

References 19 publications

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“…Decreased trunk muscle mass has been reported to be associated with pain, spinal malalignment, and quality of life in patients with spinal disorders [21], and we believe that decreased trunk muscle mass is associated with the development of idiopathic DHS. We have previously reported that exercise interventions focused on the lower trunk and cervical muscles in patients with DHS yield good outcomes [22]. From our ndings, a focus on trunk muscle mass could be an option for conservative treatment of DHS patients.…”

Section: Discussionmentioning

confidence: 67%

Prevalence of Sarcopenia in Idiopathic Dropped Head Syndrome Patients is Similar to Healthy Volunteers

Igawa

Isogai

Suzuki

et al. 2021

Preprint

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Dropped head syndrome (DHS) exhibits cervical deformity due to weakness of the cervical extensor group, and sarcopenia is characterized by progressive and systemic reduction in skeletal muscle mass. These clinical finding are associated with reduced activity of daily living, reduced quality of life, and increased risk of mortality. We collected and reviewed prospective registry data for 16 consecutive female patients with idiopathic DHS and 32 healthy individuals who matched their gender and age. The prevalence of sarcopenia and body composition data were compared. There were no differences in the prevalence of sarcopenia, appendicular muscle mass, and leg muscle mass between DHS patients and the healthy elderly. Trunk muscle mass in DHS patients was significantly lower than that in healthy individuals. A significant correlation was found between appendicular muscle mass and trunk muscle mass in healthy subjects but not in DHS patients. Sarcopenia was not associated with the onset of idiopathic DHS. The prevalence of sarcopenia was not high in patients with idiopathic DHS due to the preservation of their appendicular skeletal muscle mass. Patients with DHS were characterized by a significant loss of trunk muscle mass that may be related to the disease but not aging.

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Section: Discussionmentioning

confidence: 67%

Prevalence of Sarcopenia in Idiopathic Dropped Head Syndrome Patients is Similar to Healthy Volunteers

Igawa

Isogai

Suzuki

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Decreased trunk muscle mass has been reported to be associated with pain, spinal malalignment, and quality of life in patients with spinal disorders 21 , and we believe that decreased trunk muscle mass is associated with the development of idiopathic DHS. We have previously reported that exercise interventions focused on the lower trunk and cervical muscles in patients with DHS yield good outcomes 22 . From our findings, a focus on trunk muscle mass could be an option for conservative treatment of DHS patients.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of sarcopenia in idiopathic dropped head syndrome patients is similar to healthy volunteers

Igawa

Ishii

Isogai

et al. 2021

Sci Rep

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Dropped head syndrome (DHS) exhibits cervical deformity due to weakness of the cervical extensor group, and sarcopenia is characterized by progressive and systemic reduction in skeletal muscle mass. These clinical finding are associated with reduced activity of daily living, reduced quality of life, and increased risk of mortality. We collected and reviewed prospective registry data for 16 patients with idiopathic DHS continuously collected without dropping out and 32 healthy individuals who matched their gender and age. The prevalence of sarcopenia and body composition data were compared. There were no differences in the prevalence of sarcopenia, appendicular muscle mass, and leg muscle mass between DHS patients and the healthy elderly. Trunk muscle mass in DHS patients was significantly lower than that in healthy individuals. A significant correlation was found between appendicular muscle mass and trunk muscle mass in healthy subjects but not in DHS patients. Sarcopenia was not associated with the onset of idiopathic DHS. The prevalence of sarcopenia was not high in patients with idiopathic DHS due to the preservation of their appendicular skeletal muscle mass. Patients with DHS were characterized by a significant loss of trunk muscle mass that may be related to the disease but not aging.

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“…Therefore, there are few reports of treatment for this disease. The short and intensive rehabilitation (SHAiR) program is a rehabilitation program developed to improve the dropped head (DH) of patients with idiopathic DHS [ 5 ]. This report presents a case of ALS in which the SHAiR program was effective.…”

Section: Introductionmentioning

confidence: 99%

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

et al. 2022

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Background and Objectives: Dropped head syndrome (DHS) is a syndrome that presents with correctable cervical kyphotic deformity as a result of weakening cervical paraspinal muscles. DHS with amyotrophic lateral sclerosis (ALS) is a relatively rare condition, and there is no established treatment. This is the first case report describing the improvement of both dropped head (DH) and cervical pain after the short and intensive rehabilitation (SHAiR) program in an ALS patient with DHS. Case Report: After being diagnosed with ALS in June 2020, a 75-year-old man visited our hospital in October 2020 to receive treatment for DHS. At the initial visit, the patient’s DH was prominent during standing and walking. The pain intensity of the neck was 9 out of 10 on the numerical rating scale (NRS), which was indicative of severe pain. The patient was hospitalized for 2 weeks and admitted into the SHAiR program. DH began to decrease one week after undergoing the SHAiR program and improved two weeks later. Neck pain decreased from 9 to 6 on the NRS. Results: The SHAiR program is a rehabilitation program aimed at improving DH in patients with idiopathic DHS. The program was designed to improve neck extensor and flexor function and global spinal alignment, and the program may have contributed to the improvement of DH and neck pain. Currently, reports of conservative therapies for this disease are limited to the use of cervical orthosis. Although further research is needed on the safety and indications of treatment, the SHAiR program may be a viable treatment option.

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Establishment of a novel rehabilitation program for patients with dropped head syndrome: Short and intensive rehabilitation (SHAiR) program

Cited by 11 publications

References 19 publications

Prevalence of Sarcopenia in Idiopathic Dropped Head Syndrome Patients is Similar to Healthy Volunteers

Prevalence of Sarcopenia in Idiopathic Dropped Head Syndrome Patients is Similar to Healthy Volunteers

Prevalence of sarcopenia in idiopathic dropped head syndrome patients is similar to healthy volunteers

The Short and Intensive Rehabilitation (SHAiR) Program Improves Dropped Head Syndrome Caused by Amyotrophic Lateral Sclerosis: A Case Report

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