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A case of herpes zoster-related phrenic nerve palsy: Effect of home-based pulmonary rehabilitation

Authors
 Seongeun Park  ;  Ji Cheol Shin  ;  Kye Hee Cho  ;  Sang Hee IM 
Citation
 NEUROLOGY ASIA, Vol.28(3) : 745-749, 2023-08 
Journal Title
NEUROLOGY ASIA
ISSN
 1823-6138 
Issue Date
2023-08
Keywords
Phrenic nerve palsy ; pulmonary rehabilitation ; case report
Abstract
Here, we report the case of a 62-year-old man with herpes zoster-related phrenic nerve palsy, which was evident in clinical, radiological, and electrodiagnostic studies. To aid clinical recovery and preserve pulmonary function, we designed a home-based pulmonary rehabilitation program consisting of air-stacking exercises using ambu-bagging, respiratory muscle training to improve the strength and endurance of inspiratory and expiratory muscles, and aerobic and resistance exercises of the upper and lower limbs to improve and prevent the decline of cardiorespiratory fitness. The patient was monitored, and the exercises were adjusted through regular outpatient follow-up. During the overall follow-up period of 26 months, pulmonary rehabilitation led to an increase in forced vital capacity from 2,020 to 3,160 mL, and improved the diaphragmatic height index from -4.46 to 0.28. Clinical symptoms also showed notable improvement, as the Borg Rating of Perceived Exertion scale score decreased from 17 to 7. We found that a home-based, self-performed pulmonary rehabilitation program could promote recovery from herpes zoster-related phrenic nerve palsy. Not only is this important for the rapid restoration of respiratory function and symptomatic relief, it can also protect patients from respiratory complications
Files in This Item:
T202305694.pdf Download
DOI
10.54029/2023znv
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Shin, Ji Cheol(신지철) ORCID logo https://orcid.org/0000-0002-1133-1361
Im, Sang Hee(임상희) ORCID logo https://orcid.org/0000-0001-5128-5526
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196526
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