<?xml version="1.0" encoding="UTF-8"?> <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd"> <ArticleSet> <Article> <Journal> <PublisherName>jmedicalcasereports</PublisherName> <JournalTitle>Frontiers in Medical Case Reports</JournalTitle> <PISSN>I</PISSN> <EISSN>S</EISSN> <Volume-Issue>Volume 4; Issue 5</Volume-Issue> <PartNumber/> <IssueTopic>Multidisciplinary</IssueTopic> <IssueLanguage>English</IssueLanguage> <Season>(Sep-Oct, 2023)</Season> <SpecialIssue>N</SpecialIssue> <SupplementaryIssue>N</SupplementaryIssue> <IssueOA>Y</IssueOA> <PubDate> <Year>-0001</Year> <Month>11</Month> <Day>30</Day> </PubDate> <ArticleType>Medical Case Reports</ArticleType> <ArticleTitle>Allied Health Rehabilitation of A Child With Anti-N-Methyl D-Aspartate (NMDA) Receptor Encephalitis – A Case Report on Presentation and Management</ArticleTitle> <SubTitle/> <ArticleLanguage>English</ArticleLanguage> <ArticleOA>Y</ArticleOA> <FirstPage>1</FirstPage> <LastPage>12</LastPage> <AuthorList> <Author> <FirstName>Heather</FirstName> <LastName>Miles</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>N</CorrespondingAuthor> <ORCID/> <FirstName>Susannah</FirstName> <LastName>Byrne</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Alana</FirstName> <LastName>English</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Georgia</FirstName> <LastName>Beck</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Theresa</FirstName> <LastName>Carroll</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> <FirstName>Penelope J</FirstName> <LastName>Ireland</LastName> <AuthorLanguage>English</AuthorLanguage> <Affiliation/> <CorrespondingAuthor>Y</CorrespondingAuthor> <ORCID/> </Author> </AuthorList> <DOI/> <Abstract>This case report presents a review of a twelve-year-old female patient, with anti-NMDAR encephalitis who was referred for inpatient rehabilitation. This report describes therapy input and functional change over phases of recovery. A retrospective chart review was completed including collection of therapist activity, length of stay and functional change. The child’s recovery appeared to reflect the stages of recovery described in the literature. Functional change, therapeutic strategies and clinician time are described. During the initial recovery phase, functional change was limited compared to the later phases where the rate of change was higher. This case highlights the need to evaluate the timing and model of rehabilitation, and for multidisciplinary team collaboration. Considering a modified model of rehabilitation during early phases of recovery may be useful to optimise patient outcomes and clinical resources. Use of functional outcome measures may support teams to evaluate services, optimise patient outcomes and resources.</Abstract> <AbstractLanguage>English</AbstractLanguage> <Keywords>Rehabilitation,Anti-NMDA Receptor Encephalitis,Allied Health,Multidisciplinary Team</Keywords> <URLs> <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=14887&title=Allied Health Rehabilitation of A Child With Anti-N-Methyl D-Aspartate (NMDA) Receptor Encephalitis – A Case Report on Presentation and Management</Abstract> </URLs> <References> <ReferencesarticleTitle>References</ReferencesarticleTitle> <ReferencesfirstPage>16</ReferencesfirstPage> <ReferenceslastPage>19</ReferenceslastPage> <References>Arcuri GG, McMullan AE, Murray AE, Silver LK, Bergthorson M, Dahan-Oliel N, Coutinho F. Perceptions of family-centred services in a paediatric rehabilitation programme: strengths and complexities from multiple stakeholders. Child Care Health Dev 2016; 42: 195-202. Bach LJ. Long term rehabilitation management and outcome of anti-NMDA receptor encephalitis: case reports. NeuroRehabilitation 2014; 35: 863-875. Chapparo C, Ranka J (2020) The Perceive, Recall, Plan and; Perform System Assessment course manual. (Available through courses from Occupational Performance Network, jranka@occupationalperformance.com) Consoli A, Ronen K, An-Gourfinkel I, Barbeau M, Marra D, Costedoat-Chalumeau N, Montefiore D, Maksud P, Bonnot O, Didelot A, Amoura Z, Vidailhet M, Cohen D. Malignant catatonia due to anti-NMDA-receptor encephalitis in a 17-year-old girl: case report. Child Adolesc Psychiatry Ment Health 2011; 5: 15. Dalmau J, Armanguand;eacute; T, Planagumand;agrave; J, Radosevic M, Mannara F, Leypoldt F, Geis C, Lancaster E, Titulaer MJ, Rosenfeld MR, Graus F. An update on anti-NMDA receptor encephalitis for neurologists and psychiatrists: mechanisms and models. Lancet Neurol 2019; 18: 1045-1057. Dalmau J, Gleichman AJ, Hughes EG, Rossi JE, Peng X, Lai M, Dessain SK, Rosenfeld MR, Balice-Gordon R, Lynch DR. Anti-NMDA-receptor encephalitis: case series and analysis of the effects of antibodies. Lancet Neurol 2008; 7: 1091-1098. Dalmau J, Tand;uuml;zand;uuml;n E, Wu HY, Masjuan J, Rossi JE, Voloschin A, Baehring JM, Shimazaki H, Koide R, King D, Mason W, Sansing LH, Dichter MA, Rosenfeld MR, Lynch DR. Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis associated with ovarian teratoma. Ann Neurol 2007; 61: 25-36. Florance NR, Davis RL, Lam C, Szperka C, Zhou L, Ahmad S, Campen CJ, Moss H, Peter N, Gleichman AJ, Glaser CA, Lynch DR, Rosenfeld MR, Dalmau J. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis in children and adolescents. Ann Neurol 2009; 66: 11-18. Gable MS, Sheriff H, Dalmau J, Tilley DH, Glaser CA. The frequency of autoimmune N-methyl-D-aspartate receptor encephalitis surpasses that of individual viral etiologies in young individuals enrolled in the California Encephalitis Project. Clin Infect Dis 2012; 54: 899-904. Guo YH, Kuan TS, Hsieh PC, Lien WC, Chang CK, Lin YC. Rehabilitation for a child with recalcitrant anti-N-methyl-d-aspartate receptor encephalitis: case report and literature review. Neuropsychiatr Dis Treat 2014; 10: 2263-2267. Houtrow AJ, Bhandal M, Pratini NR, Davidson L, Neufeld JA. The rehabilitation of children with anti-N-methyl-D-aspartate-receptor encephalitis: a case series. Am J Phys Med Rehabil 2012; 91: 435-441. Iizuka T, Sakai F, Ide T, Monzen T, Yoshii S, Iigaya M, Suzuki K, Lynch DR, Suzuki N, Hata T, Dalmau J. Anti-NMDA receptor encephalitis in Japan: long-term outcome without tumor removal. Neurology 2008; 70: 504-511. Ireland PJ, Francis A, Jackman S, McLennan K. Exploring functional outcomes and allied health staffing levels in an inpatient paediatric rehabilitation unit. Disabil Rehabil 2019; 41: 293-298. Keetley R, Radford K, Manning JC. A scoping review of the needs of children and young people with acquired brain injuries and their families. Brain Inj 2019; 33: 1117-1128. King G, Strachan D, Tucker M, Duwyn B, Desserud S, Shillington M. The application of a transdisciplinary model for early intervention services. Infants and; Young Children 2009; 22: 211-23. Madi SM, Alraddadi NI. Association Between Pediatric Inpatient Rehabilitation Services and Childrenand;#39;s Functional Outcomes: King Fahad Medical City Experience. Rehabil Process Outcome 2020; 9: 1179572720928394. Noetzel M, Dosenbach N (2017) Swaiman’s Pediatric Neurology (Sixth Edition), Elsevier, Edinburgh. Rosenbaum P, King S, Law M, King G, Evans J. Family-Centred service: a conceptual framework and research review. Physical and Occupational Therapy in Pediatrics 1998; 18: 1-20. Tham SL, Kong KH. A case of anti-NMDAR (N-methyl-D-aspartate receptor) encephalitis: a rehabilitation perspective. NeuroRehabilitation 2012; 30: 109-112. Titulaer MJ, McCracken L, Gabilondo I, Armanguand;eacute; T, Glaser C, Iizuka T, Honig LS, Benseler SM, Kawachi I, Martinez-Hernandez E, Aguilar E, Gresa-Arribas N, Ryan-Florance N, Torrents A, Saiz A, Rosenfeld MR, Balice-Gordon R, Graus F, Dalmau J. Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study. Lancet Neurol 2013; 12: 157-165. Uniform Data System for Medical Rehabilitation (2006). The WeeFIM II Clinical Guild, Version 6.0. Buffalo: UBFoundation Activities Inc. World Health Organization (2007) International Classification of Functioning, Disability, and Health: Children and; Youth Version: ICF-CY. World Health Organization.</References> </References> </Journal> </Article> </ArticleSet>