Case report of meningiomatosis with aspiration of a dental bridge improved by comprehensive rehabilitation therapy.
Min Ji Suh, Eun Young Han, Bo Ryun Kim and 1 others
PMID 28174477WHAT IT FOUND
An aspirated fixed dental bridge was removed on the second bronchoscopy.
The patient also walked about 5 meters with a rolling walker. One case cannot show what caused the gain.
Key findings
01A loose fixed dental bridge was found missing, and chest radiography showed a 45 × 10 mm metal object impacted in the left main bronchus; the 5-unit bridge was removed on the second bronchoscopy attempt.
02At the reported follow-up, K-MMSE was 8/30, K-MBI improved from 0 to 6, BBS was 15/56, and he walked about 5 meters with a rolling walker.
03The FDS score was 88/100 before indirect dysphagia therapy and still 88/100 after follow-up VFSS, and PEG was recommended.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
This is a single case report, so it cannot show that the treatment worked for others. The patient received bronchoscopy, antibiotics, psychiatric treatment, nasogastric feeding, indirect dysphagia therapy, PEG, and comprehensive rehabilitation, so the effect of any one component cannot be separated. The Berg Balance Scale baseline is reported as 2/56 in one place and as 0/5 in another, so the start point for balance improvement is unclear. The patient had severe cognitive impairment and needed maximal assistance for most activities of daily living at baseline, so it says little about patients who were more independent.
The easy way to misread this
Do not conclude that comprehensive rehabilitation therapy caused the mobility and score gains. This is one patient who also had bronchoscopy, antibiotics, psychiatric treatment, nasogastric feeding, indirect dysphagia therapy, and PEG insertion, and no comparison group was used.