Task-Oriented Rehabilitation for Steroid-Responsive Encephalopathy (SREAT): A Case Report of Functional and Mood Outcomes
Mots-clés :
Activities of Daily Living, Functional independence, Behavioural changes, Emotional well-beingRésumé
Background: Steroid-responsive encephalopathy is an uncommon but complicated neurological condition, making its diagnosis and treatment challenging. It causes a wide range of neurological deficits and cognitive and behavioural changes that affect the patient’s independent activities of daily living and emotional well-being. Case Report: A 66-year-old female patient with a known case of giant cell arteritis was diagnosed with steroid-responsive encephalopathy associated with autoimmune thyroiditis (SREAT). She experienced significant difficulties in performing Activities of Daily Living (ADL) due to cognitive and physical impairments, which contributed to depressive symptoms and reduced quality of life. The Task-Oriented Approach (TOA) is a structured, goal-directed rehabilitation method emphasising real-life functional tasks. It was administered for 50 minutes per session, 5 days a week, for 3 weeks, to enhance functional independence and alleviate depression. Activities of Daily Living (ADL) were evaluated using the Functional Independence Measure (FIM), and depression was assessed using the Beck Depression Inventory-II (BDI-II). Result: At the end of 3 weeks after the intervention, the patient showed notable improvements in functional and mood outcomes. Her FIM score increased from 47 to 80, indicating greater independence in ADL, while her BDI-II score decreased from 27 to 15, reflecting a reduction in depressive symptoms from moderate to mild. Conclusion: Improvement in functional and emotional outcomes was observed in this single case following a task-oriented approach to rehabilitation program.
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(c) Copyright East African Journal of Neurological Sciences 2026
Ce travail est disponible sous licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.
