Kinesioterapia en varón con tétano generalizado / Kinesitherapy in men with generalized tetanus

Introducción: El Tétanos es una enfermedad causada por la bacteria Clostridium tetani, siendo el tétanos generalizado la forma más común de la infección, caracterizándose por espasmos generalizados de la musculatura, que involucra a los músculos del tronco más que a los de las extremidades y, manifiesta síntomas de hiperactividad autonómica. Descripción del caso: Se presenta el caso de un varón de 48 años internado en el Hospital de Clínicas, traqueostomizado, con diagnóstico de tétanos generalizado. En el día 30 de su enfermedad recibió kinesioterapia respiratoria y motora, con 15 sesiones realizadas. La kinesioterapia aplicada al paciente consistió en facilitar la eliminación de secreciones bronquiales, mejorar la expansión pulmonar, reeducar la deglución, mejorar la fuerza muscular y amplitud articular, inhibir la secuelas de la hipertonía muscular. Resultados: Se logró mejorar la mecánica respiratoria, el retiro de la cánula de traqueostomía y sonda nasogástrica, mejoró la fuerza muscular y amplitud articular, pudiendo el paciente realizar la sedestación sin apoyo y la bipedestación con asistencia. Discusión: Con el tratamiento relajante, traqueostomía y respiración asistida aparecen nuevos problemas, aspectos que fueron abordados kinésicamente en el presente caso clínico, observándose un menor tiempo de hospitalización y mayor independencia física en comparación con otros casos publicados. Conclusión: Para la aplicación de kinesioterapia en pacientes con tétanos generalizado, es necesario conocer la enfermedad, su evolución y manejo clínico. El trabajo interdisciplinario, es muy importante, específicamente en lo que respecta a la medicación y control del dolor, para que el avance de las técnicas kinésicas alcance su objetivo.

Introduction: Tetanus is a disease caused by the bacterium Clostridium tetani, with tetanus being the most common form of infection, characterized by generalized spasms of the musculature, which involves the muscles of the trunk rather than those of the limbs and, manifests symptoms of autonomic hyperactivity. Case description: The case of a 48-year-old male admitted to the Tracheostomized Clinic Hospital with a generalized tetanus diagnosis is presented. On the 30th day of his illness he received respiratory and motor kinesiotherapy, with 15 sessions performed. The kinesitherapy applied to the patient consisted of facilitating the elimination of bronchial secretions, improving lung expansion, re-educating swallowing, improving muscle strength and joint amplitude, inhibiting the sequelae of muscular hypertonia. Results: It was possible to improve the respiratory mechanics, the removal of the tracheostomy cannula and nasogastric tube, improved muscle strength and joint amplitude, being able to perform unsupported sitting and standing with assistance. Discussion: With the relaxing treatment, tracheostomy and assisted breathing, new problems appear, aspects that were addressed kinésicamente in the present clinical case, observing a shorter hospitalization time and greater physical independence compared to other published cases. Conclusion: For the application of kinesitherapy in patients with generalized tetanus, it is necessary to know the disease, its evolution and clinical management. Interdisciplinary work is very important, specifically with regard to medication and pain control, so that the advancement of kinesic techniques reaches its goal.

Ozonoterapia y magnetoterapia en pacientes con hernias discales / Ozone therapy and magnetotherapy in patients with herniated disk

Se efectuó un estudio de intervención terapéutica en 20 pacientes de 40-59 años de edad con hernia discal, atendidos en el Servicio de Rehabilitación del Policlínico Docente "Ramón López Peña" de Santiago de Cuba, desde agosto del 2013 hasta enero del 2014, con vistas a evaluar la eficacia de la ozonoterapia y la magnetoterapia. Se aplicaron escalas para el dolor, fuerza muscular, grado articular y capacidad funcional. Predominaron el sexo masculino (60,0 %), el grupo etario de 40-49 años (45,0 %), la región lumbar como localización anatómica (55,0 %), el esfuerzo lumbar (35,0 %) y la espondiloartrosis (30,0 %) como antecedentes patológicos personales más comunes. Al finalizar el tratamiento hubo mejoría en 85,0 % de los afectados, lo cual demostró que la combinación de ambas terapias fue efectiva para elevar sus capacidades física y funcional.

A therapeutic intervention study was carried out in 20 patients aged 40 to 59 with herniated disk, assisted in the Rehabilitation Service of "Ramón López Peña" Teaching Polyclinic in Santiago de Cuba, from August, 2013 to January, 2014, aimed at evaluating the effectiveness of ozone therapy and magnetotherapy. Scales were applied for the pain, muscular force, articular degree and functional skills. The male sex (60.0 %), the 40-49 age group (45.0%), the lumbar region as anatomical localization (55.0 %), the lumbar effort (35.0 %) and the spondyloarthrosis (30.0 %) prevailed as most common personal pathological history. When concluding the treatment there was improvement in 85.0 % of those affected, which demonstrated that the combination of both therapies was effective to elevate their physical and functional skills.

Clinical Observations on the Efficacy of Acupuncture Kinesitherapy plus Conventional Acupuncture in Treating Cervical Spondylosis / 上海针灸杂志

ObjectiveTo investigate the clinical efficacy of acupuncture kinesitherapy plus conventional acupuncture in treating cervical spondylosis.MethodSixty-eight patients with cervical spondylosis were randomly allocated to treatment and control groups, 34 cases each. The treatment group received acupuncture kinesitherapy plus conventional acupuncture and the control group, conventional acupuncture alone. Both groupswere treated three times a week for a total of two weeks. The VAS score was recorded in the two groups of patients before and after treatment. The clinical therapeutic effects were evaluated after treatment.Result There was a statistically significant pre-/post-treatment difference in the VAS score in the two groups of patients (P<0.01). There was a statistically significant post-treatment difference in the VAS score between the treatment and control groups (P<0.01). The total efficacy rate and the recovery rate were 100.0% and 73.5%, respectively, in the treatment group and 91.2%and 52.9%, respectively, in the control group. There were statistically significant differences in the total efficacy rate and the recovery rate between the two groups (P<0.05).ConclusionAcupuncture kinesitherapy plus conventional acupuncture has a goodtherapeutic effect on pain symptoms in cervical spondylosis patients. Its therapeutic effect is better than that of conventional acupuncture alone.

Observation of Neuromuscular Electrical Stimulation Combined with Kinesitherapy for Brachial Plexus Injury / 中国康复理论与实践

Objective To observe the clinical effect of neuromuscular electrical stimulation combined with kinesitherapy on dysfunction after brachial plexus injury. Methods 60 cases with brachial plexus injury following dysfunction were divided into two groups. The experi-mental group (n=30) was treated with neuromuscular electrical stimulation combined with kinesitherapy. The control group (n=30) was treat-ed with kinesitherapy. Two groups were assessed by the brachial plexus function evaluation standard before and 3 months after the treat-ment. Results Two group all improved 3 months after the treatment (P<0.05), while the experimental group was better than the control group (P<0.01). Conclusion Neuromuscular electrical stimulation combined with kinesitherapy is more effective to improve the function af-ter brachial plexus injury.

Effects of Neuromuscular Electrotherapy and Kinesitherapy on Brachial Plexus Palsy / 中国康复理论与实践

@#Objective To study the effects neuromuscular electrotherapy and kinesitherapy on brachial plexus palsy. Methods 20 patients with brachial plexus palsy accepted neuromuscular electrical stimulation on involved muscles, and were followed up for 18～58 months. Other 17 patients accepted neurolysis alone were as control. Results The function of shoulder and elbow in electric stimulation group was significantly superior to that of control (P<0.01). Conclusion Neuromuscular electrotherapy combined with kinestherapy is effective on the brachial plexus palsy.

Effect of Rehabilitation on Radial Nerve Injury / 中国康复理论与实践

@#Objective To explore the effects of rehabilitation on radial nerve injury.Methods 20 patients with radial nerve injury were included.The involved muscles were stimulated with NMR-muscular restorer for 10～15 min per muscle combined with kinesitherapy for 20～30 min.The patients were followed up for 12～30 months.Results 15 cases with no-operation recovered to 16 marks,which means excellent,3.5～18 months after rehabilitation.3 case after nerve exploration recovered to 16 marks in 1 case and 15 marks in 2 cases.1 case after neuro-anastomosis recovered to 6 marks,which means improved,6 months after rehabilitation.1 case after radial nerve graft recovered to 4 marks,which means no-improved after 12 months follow-up.Conclusion Neuromuscular electrotherapy combined with kinesitherapy is effective on radial nerve injury.

Changes of the Shift and Body Center of Gravity in a Bout of the Simplified Taichiquan Exercise / 中国康复理论与实践

@#ObjectiveTo explore the influence of slow and mild movements in Taichiquan kinesitherapy.MethodsForty healthy males were divided into Taichiquan group and walking group with 20 persons in each group. The shift of practicing a 5-min bout of the simplified Taichiquan exercise, time of walking 18 m at a comfortable pace and change of one person's body center of gravity during exercise were measured respectively.ResultsTaichiquan group had (1796.4±91)cm shift during 5 min Taichiquan exercise; walking group spent (14.1±1.7)s when walking 18 m at a comfortable pace; and the downward shift of body center of gravity due to the exercise style undulated ( 5.5 ±12.7)cm vertically below the umbilicus (P>0.05).ConclusionSlow, mild and continual movement is the kinesiological basis of Taichiquan kinesitherapy.

Kinesitherapy Applied to Dyslipidemia (review) / 中国康复理论与实践

@#Many clinical researches and animal experiments proved that kineditherapy could undoubtedly improve the blood lipid level of dyslipidemia. The mechanism is that kineditherapy can regulate lipid metabolism, lipoprotein and lipoproteinic lipase. On the other hands kinesitherapy also indirectly modulates insulin, adhesion factors and cytokines to influence the blood lipid level. It is important for patients to choose suitable exercises and insist them for a long time. The effect of different activity intensity on lipid level has no distinct difference.

Early Kinesitherapy Intervention for Synthetic Treatment of Periarthritis of Shoulder / 中国康复理论与实践

@#It's observed that periarthritis of shoulder is treated with early kinesitherapy intervention combining with diathcrmy. The clinic observation with curative effect the severity of periarticular tenderness prewith posttreatment and the mobility of the shoulder pre-with posttreatment between the treatment and control groups are different. The statistical values are X2=12.55,P<0.005,X2=14.10,P<0.005,X2=14.51,P<0. 005 respectively. The method can shorten the course of treatment.