Affiliation:
1. MD, PhD, Physiatrist Universitas Indonesia Hospital*Corresponding Author
2. MD Universitas Indonesia Hospital
Abstract
Multiple System Atrophy (MSA) is a progressive neurodegenerative disorder with various symptoms that propose impaired
muscle performance and loss of balance. A male 65 year old complaining of fatigue easily and dizziness when doing activities.
He had walking difculty and limb weakness. The 6-minute walk test (6MWT) showed impaired cardiorespiratory tness with shortened walking
distance and reduced maximal oxygen uptake (VO2max: 5,39, METs: 1,54). Moreover, there was decreasing thorax expansion (2-1.5-2.5), and
balance instability measured by lower Time Up and Go test (17) and Berg Balance test (49). Cardiorespiratory Rehabilitation programs focus on
physical therapy (passive and active strengthening exercise, treadmill aerobic cardiorespiratory exercise) and home program exercises. Three months
after therapy, there were signicant improvement in cardiorespiratory tness characterized by improving VO2max (VO2max 9.07, Mets 2.59),
increased thoracic expansion (2-4-4) and improving balance stability (TUG 11 s) although overall BBS score was reduced (45).
Subject
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