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Case Reports: Novel treatment (new drug/interventions; established drug/procedure in new situation)
Use of the EXOPULSE Mollii for severe ataxia in an adult male 4 months after cardiac arrest
  1. Vibeke Wagner1,
  2. Mikkel Sneftrup Knudsen1,
  3. Derek John Curtis2 and
  4. Christian Gunge Riberholt1
  1. 1 Department of Neurorehabilitation TBI Unit, Rigshospitalet, Hvidovre, Denmark
  2. 2 Child and Youth Administration, City of Copenhagen, Copenhagen, Denmark
  1. Correspondence to Ms Vibeke Wagner; vibeke.wagner{at}regionh.dk

Abstract

The EXOPULSE Mollii is designed to reduce spasticity through low-current electrical stimulation of major muscle groups. The effect on severe cerebellar ataxia has not been investigated. This case describes the use of the EXOPULSE Mollii in an adult male with severe cerebellar ataxia 4 months after cardiac arrest and ischaemic stroke. The patient used the suit in 15 of 19 possible sessions (78.9%). He improved in the sit-to-stand test, arm function test and 10 m walking test. He described improved visual focus, ability to speak and swallow. Improvements were maintained for 1 week after the last session. The EXOPULSE Mollii is relevant to consider in the early stages of inpatient rehabilitation for patients with severe ataxia, but further research is warranted.

  • movement disorders (other than Parkinsons)
  • stroke
  • physiotherapy (rehabilitation)

https://doi.org/10.1136/bcr-2022-249574

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    Footnotes

    • Contributors The patient’s physical therapists during the intervention period were VW and CGR. VW and CGR designed the study, while VW, MSK and CGR collected the data. VW, MSK, CGR and DJC analysed and interpreted the data. VW drafted the manuscript and MSK, CGR and DJC revised and approved the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.