RESUMO
This survey was conducted in order to assess the degree of knowledge of physical medicine and rehabilitation [PMR], as an emerging medical discipline, by Moroccan Doctors and to evaluate its place in their daily practice. 500 questionnaires were distributed to interns and residents in Rabat and Casablanca teaching hospitals. 307 questionnaires were analyzed. The mean score of the knowledge of PMR on a scale ranging 0 to 25 was 15.63 +/- 4.51 [3-25]. The comparison of means between different groups puts Rheumatology residents in the top rank with a mean score of 20.18 +/- 3.00 with a significant difference when compared to the other group [p= 0.001]. On the other hand, 57.7% of doctors declared never having sought the advice of a Physiatrist. Finally, 85% of participants felt that the introduction of PMR in the curriculum of general medicine would be very useful. PMR is poorly known to doctors training in Moroccan teaching hospitals. More efforts must be combined to promote this discipline that has become essential in patient care
RESUMO
The adhesive capsulitis of the shoulder is characterised mainly by a passive amplitude loss in the three articular sectors in abduction, antepulsion and external rotation.They raises various etiologies and constitute a major indication to the rehabilitation. The goal of the rehabilitation is to shorten the delay of evolution and to avoid recidivisms. We bring back results of the experience of the unit of rehabilitation of the service of rheumatology of the C.H.U. Ibn Rochd, of 1997 to 2003. It is about 70 patient whose middle age is of 48 years. The picture clinic included a global pain of the shoulder, with to the exam clinic a passive limitation of the articular mobility of at least 40% of the deficit in the abduction, the antepulsion and the external rotation. The balance didn't recover any etiology at 41 patient [60%]. The treatment included a treatment anodyne and anti-inflammatory non sterdidien partner to an infiltration intraarticular of corticosteroids and rehabilitation. A recuperation to 140 degree of the articular amplitudes has been observed in 79% of cases. The adhesive capsulitis is the most often primitive, however an investigation meticulous etiologic imposes itself before keeping this diagnosis. The reach is more frequent at the woman. The rehabilitation permits to get 80% of good results with a total articular amplitude recuperation and an improvement of the functional prognostication
RESUMO
A patient taking corticosteroids for asthma experienced a spontaneous neglected rupture of the patellar tendon. The rupture was repaired surgically by tendoinoplasty using the vaster medial and loosened wire cerclage. Even with the rehabilitation knee began immediately after surgery, the results was judged unsatisfied because of the difficulties of total extension. We underline the difficulties of treatment of neglected rupture of the patellar tendon and the bad functional results after surgery and rehabilitation