Algunos aspectos clínicos e imagenológicos de la tortícolis muscular congénita en menores de 2 años / Some clinical and imaging features of congenital muscular torticollis in children aged under two years

Introducción: La curación de las secuelas dentofaciales de la tortícolis congénita, una vez establecidas, solo puede lograrse mediante cirugías. La identificación temprana de los pacientes aquejados de esta dolencia y un tratamiento precoz es imprescindible, pues de ello dependerá la evolución a largo plazo de los mismos. Objetivo: Identificar los factores que pueden tener utilidad desde la perspectiva de la prevención primordial de la tortícolis congénita. Métodos: Se realizó una investigación observacional, longitudinal y prospectiva en pacientes con diagnóstico de tortícolis muscular congénita atendidos en el Policlínico de Especialidades del Hospital Infantil Sur de Santiago de Cuba, en el periodo de septiembre de 2016 a septiembre de 2018. La muestra fue de 20 pacientes con dicho diagnóstico. Las variables fueron agrupadas en clínicas e imagenológicas. Resultados: Predominaron los pacientes del sexo masculino, 14 casos (70 por ciento). El diagnóstico de la mayoría de los casos fue precoz, 3 (15 por ciento) en la etapa neonatal y 14 (70 por ciento) entre los 29 días y 6 meses. Las complicaciones más temidas tales como la asimetría facial, la deformidad plagiocefálica, la distopia orbitaria y auricular aparecieron sobre todo asociadas a un diagnóstico y tratamiento tardío. La tomografía axial computarizada solo superó a las radiografías para descubrir complicaciones neurológicas. Conclusiones: La atención a temprana edad es la mejor opción terapéutica para evitar complicaciones en niños con tortícolis muscular congénita(AU)

Introduction: Once established, dentofacial sequels of congenital torticollis can only be healed by surgery. Early identification of sufferers and timely treatment are indispensable to achieve a favorable long-term evolution. Objective: Identify potentially useful factors from the perspective of fundamental prevention of congenital torticollis. Methods: An observational longitudinal prospective study was conducted of patients diagnosed with congenital muscular torticollis attending the Secondary Care Polyclinic at the South Children's Hospital in Santiago de Cuba from September 2016 to September 2018. The sample was 20 patients diagnosed with the disease. The variables analyzed were grouped into clinical and imaging. Results: There was a predominance of male patients with 14 cases (70 percent). Diagnosis of most cases was performed early: 3 (15 percent) at the neonatal stage and 14 (70 percent) between 29 days and 6 months. The most feared complications, such as facial asymmetry, plagiocephalic deformity, and orbital and auricular dystopia, were mainly found to be associated to late diagnosis and treatment. Computed axial tomography only surpassed radiography in spotting neurological complications. Conclusions: Early care is the best therapeutic option to prevent complications in children with congenital muscular torticollis(AU)

Application of Early Rehabilitation Treatment in Functional Improvement after Total Knee Arthroplasty / 昆明医科大学学报

Objective To investigate the effect of early rehabilitation treatment on functional improvement after total knee arthroplasty. Methods 48 patients (53knees) of rehabilitation in our hospital from 2010 to 2013 were divided into 2 groups, 22 patients (25knees) in control group were given common rehabilitation training, 26 patients (28 knees) in observation group were given early rehabilitation treatment. Results All the ROM, knee score and function score of 2 groups were improved, and observation group were better than that of control group (P<0.05),at the last follow-up, the PF, BP and VT of observation group were better than control group (P<0.05) . Conclusion Early rehabilitation treatment can significantly promote the knee function recovery after surgery and improve the life quality of patients, so it deserves to be generalized.

Effect of Early Rehabilitation on Patients with Severe Traumatic Brain Injury / 中国康复理论与实践

@#ObjectiveTo explore the effect of early rehabilitation on patients with severe traumatic brain injury.Methods89 patients with severe traumatic brain injury were divided randomly into the treatment group (49 cases) and control group (40 cases). All patients of two groups were treated with routine nursing, dehydrated drug, brain protective therapy and alimental therapy, and measures of preventing complications. While, the patients of the treatment group were added with motor and cognitive rehabilitation, mainly physical therapy, combined with occupational therapy, psychotherapy and speech therapy. All patients of two groups were evaluated with scores of activities of daily living (ADL), Disability Rating Scale (DRS), Fugl-Mayer Assessment (FMA), Mini-mental status examination (MMSE), three class balance scale before and after treatment.ResultsThe scores of ADL, DRS, FMA and balance function of the patients in the treatment group were significantly different from that of the control group after treatment ( P<0.05).The MMSE scores of two groups had no significantly difference after treatment ( P>0.05).ConclusionEarly rehabilitation can improve the brain function of the patients with severe traumatic brain injury, patients' living quality and ADL.