Physical Therapy in Wilson’s Disease: Case Report

Case Presentation: A 32 years old male patient, diagnosed 16 years ago. He walks by himself with notorious unsteadiness. The evaluation was directed to gait and balance disorders. The treatment was based on three aspects: static balance, dynamic balance and functional capacity exercises. Results from all evaluations showed post-treatment improvement. After the treatment, the difference achieved between the usual gait speed and the maximum gives the possibility to the patient to vary greatly in speed, which is proposed as a marker of potential for adaptation to different environments and task demand. Improvement in Timed Up and Go was enough to overcome the cut-off point that predicts risk of falls in people with PD (11.50 seconds). This report is, to our knowledge, the first to describe an approach to physical therapy for movement disorders present in Wilson’s disease.