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  Rehabilitation Modifications for a Patient with Parkinson’s Disease Following a Suspected Case of Gilbert’s Syndrome: A Case Study

  Jason Bandong, Hy Ia, Naureen Imam, Kayla Wilcox, and Travis Dennis

  The purpose of this case study was to assess the effects of core stabilization exercises, balance training, agility ladder step drills, fine motor, and dual-task training in the treatment of a high-functioning, 55-year-old, male patient with a history of Parkinson’s Disease and suspected Gilbert’s Syndrome.

  This treatment program delivered for 1 hour once per week over 4 weeks led to mild improvements in activity limitations with the most notable being able to button a shirt with decreased time and assistance. The patient also exhibited mild improvement in body structure/function impairments with decreased loss of balance as evident during tandem walking in the Functional Gait Assessment.

  This case report suggests that a multimodal physical therapy treatment approach can be effective in the treatment of a patient with Parkinson’s Disease and suspected Gilbert’s Syndrome.

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  Case Study: Effects of Psychosocial Factors on a Geriatric Patient with Guillain Barré Syndrome

  Keane Evangelista, Mary Pent Hunter, Jessica Phung, Aum Tejani, and Lee Anne H. Robotta

  The purpose of this case report is to determine how a change in intrinsic motivation and environmental factors help physical and functional improvements in a 77-year-old male patient with Guillain Barré Syndrome (GBS) in the geriatric population. Interventions to promote this change included patient education about lifestyle choices along with endurance and balance exercises.

  Patient psychological state, community access, and general education about interventions/dosing had an effect on the patient's participation in his prescribed HEP. His comorbidities hindered his overall progress over the course of his treatment and should be addressed to improve patient outcomes. Activities that were more salient and stimulating to the patient, such as a swimming class or participating in a social event were reported to be more likely to be completed. These types of activities may address the patient’s GBS and associated comorbidities.