Authors: Zuraida Zainun, Zamzuri Idris, Muhammad Munzir Zuber Ahmad, Nur Syakirah Bt Che Mat Amin.
ABSTRACT
Pineal region tumours are primary central nervous system (CNS) tumours. Pineal region tumours may cause increased pressure inside the skull due to the production of too much CSF or blockage of its normal flow known as hydrocephalus. Imbalance is one of the features in this case. Vestibular Rehabilitation (VRT) is a specific form of physical therapy designed to habituate symptoms and promote adaptation to and substitution for various aspects of deficits related to a wide variety of balance disorders. Bal Ex is a home-based module of VRT with specific modules that are available in three forms; manual book, poster and DVD. This module was developed with a combination of customized Cawthorned Cookseey Exercise and prayer movements. The patient is a 14-year-old boy, disabled (mute and deaf), known case of pineal gland tumour since 2016, then post tumour removal 2 weeks ago. The patient experienced balance problem 8 years ago before he was diagnosed with pineal tumour. He did not complain of any dizziness and vertigo according to his mother. The patient then underwent intensive BAL Ex therapy inward for 3 sessions starting with Level 1, once per day, 40 minutes each session, and without taking any medicine during the treatment. He underwent one-to-one sessions with the trainer and also followed the balance exercise video in every session. After 1 week of balance exercise only in level 1, the patient showed a small difference and 10% improvement.
Keywords: Bal Ex, Postural improvement, Bal Ex Module, imbalance
Citation: IeJSME 2021 15 (3): 57-60
