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Background: Charcot-Marie-Tooth disease (CMT) is one of the most common inherited neuromuscular disorders with a prevalence rate of 1 in 2,500 in the United States. CMT is a form of muscular dystrophy, and is an umbrella term for certain inherited genetic disorders that affect the peripheral nervous system. The genetic disorder is characterized by muscular wasting, weakness, and sensory loss, and is most severe in the distal lower extremities. Common symptoms include foot drop, high-stepped gait with frequent tripping or falls, foot deformities such as high arches and hammer toes, and loss of muscle bulk in the distal lower extremities. Neuropathic pain and fatigue upon exertion are also common symptoms that are underreported. The onset of symptoms is variable depending on the type; however, it is usually prevalent during adolescence or early adulthood. There is no pharmacological treatment for CMT. Clinical approaches include physical therapy (PT) management, orthotics, and surgical interventions for treatment of skeletal deformities. Purpose: This patient was selected for a case report because there was relatively little research on therapeutic interventions for a patient with chronic low back pain alongside balance deficits in this particular patient population, especially for a patient in this age demographic, 45-65. The purpose of this case report was to provide an overview of CMT disease and a description of PT management strategies used for a patient with poor balance secondary to CMT disease and chronic low back pain.
Christine, Nicole, "Physical Therapy For A Patient With Poor Balance Secondary To Charcot-Marie Tooth Disease And Chronic Low Back Pain: A Case Report" (2014). Case Report Posters. Poster 27.