Résumé
SUMMARY OBJECTIVE: Few physical exercise programs for children with limb loss have been described in detail recently. We provided information regarding the characteristics and effectiveness of an alternative rehabilitation exercise developed for children with lower-limb amputation. METHODS: An 8-year-old boy with a below-knee amputation and a 9-year-old bilateral amputee girl performed an exercise program of one 2-h session per week for 20 weeks, aimed at developing muscular strength and coordination. Walking ability and walking speed were assessed by using the L-test of functional mobility and 10-m walk test, respectively. Mechanical and neuromuscular muscle function was assessed by using tensiomyography. RESULTS: In case 1, a decrement of 9.5% and 10.5% was found in the L-test (42 s vs. 38 s) and in the 10-m test (19 s vs. 17 s) scores, respectively. In case 2, walking ability remained unchanged (L-test score: 38 s), while a 5.2% reduction in walking speed was observed (10-m test score: 19 s vs. 18 s). No relevant changes were observed in the muscular tone in both cases. CONCLUSIONS: Practitioners should be aware that, contrary to what could be expected, a multidisciplinary training program held once per week for 5 months had a minimal impact on the gait pattern and neuromuscular function of two children with lower-limb amputation.
Sujets)
Humains , Mâle , Femelle , Enfant , Membres artificiels , Amputés , Exercice physique , Marche à pied , Traitement par les exercices physiques , Amputation chirurgicaleRésumé
Se presenta un paciente de 58 años con una linfadenopatía angioinmunoblástica (LAI) que ha ingerido 3 tabletas diarias de anfetamina durante 8 años.La ingestión prolongada de grandes dosis de anfetamina produce daños microvasculares un rasgo característico de la LAI. Con sólo medidas generales se observó una tendencia a la regresión de las adenopatías. El empleo del interferón alfa leucocitario pareció efectivo en el control de algunas adenopatías inguinales persistentes