Graded Mobilization With Pacing Technique for Functional Mobility in a Preoperative Marfan Syndrome Case of Aortic Root Dilation: A Case Report

Marfan syndrome (MFS) presents complex cardiovascular manifestations and challenges in management due to its impact on multiple body systems. This case study examines the clinical profile, diagnostic findings, and physiotherapy intervention for a 57-year-old male with MFS who experienced severe aort...

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Published inCurēus (Palo Alto, CA) Vol. 16; no. 2; p. e54591
Main Authors Bhagwatkar, Sawari S, Yadav, Vaishnavi, Ankar, Prajyot, Arya, Neha
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 20.02.2024
Subjects
Aneurysms
Aortic dissection
Cardiovascular system
Case reports
Connective tissue
Doppler effect
Dyspnea
Electrocardiography
Exercise
Fatigue
Marfan syndrome
Mutation
Patients
Physical therapy
Quality of life
Rehabilitation
Scoliosis
Ultrasonic imaging
Validity
functional mobility
graded mobilization
physical therapy
marfan syndrome
aortic root dilation
pacing technique
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Summary:Marfan syndrome (MFS) presents complex cardiovascular manifestations and challenges in management due to its impact on multiple body systems. This case study examines the clinical profile, diagnostic findings, and physiotherapy intervention for a 57-year-old male with MFS who experienced severe aortic and mitral valvular complications. The patient's admission was marked by fatigue, reduced mobility, breathlessness, and a confirmed diagnosis of MFS. Cardiac evaluation revealed severe regurgitation and aortic root dilation. The patient's symptoms were exhaustion, giddiness, dyspnea, and decreased mobility. The objective of this case study was to describe the impact of graded mobilization and pacing techniques in maximizing functional mobility and alleviating symptoms associated with aortic regurgitation and aortic root dilatation through an extensive physiotherapy program. Exercises addressing dyspnea, lung capacity, posture, functional mobility, and fatigue reduction were included in the physiotherapy intervention. The rehabilitation outcome showed a notable shift of score from 3 to 0.5 on the Borg scale of dyspnea, indicating enhanced functional capacity and improved quality of life. Post-rehabilitation, the patient exhibited significant progress in the two-minute walk test. This case highlights the importance of tailored interventions in managing MFS-related cardiac complications.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.54591