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Rehabilitación (Madr., Ed. impr.) ; 40(3): 163-166, mayo 2006. ilus, tab
Article in Es | IBECS | ID: ibc-046495

ABSTRACT

La miositis por cuerpos de inclusión (MCI) es una de las miopatías inflamatorias idiopáticas menos frecuente y más desconocida. Se presenta el caso de un varón de 36 años con tetraparesia secundaria a MCI trasladado a nuestro hospital para tratamiento rehabilitador consistente en: tratamiento postural, cinesiterapia, electroestimulación, ortesis, terapia ocupacional y ayudas técnicas. El enfermo era dependiente para las actividades de la vida diaria (AVD), presentaba amiotrofia, no realizaba sedestación y se le diagnosticó además de polineuropatía del enfermo crítico en miembros inferiores. Al alta, era independiente para AVD básicas e instrumentales y realizaba marcha con una ortesis antiequina y una ayuda externa contralateral. Nuestra experiencia no coincide con la creencia generalizada de que no se puede realizar cinesiterapia activa en estos pacientes, mientras existan alteraciones de los parámetros de inflamación o de las enzimas musculares


Inclusion body myositis (IBM) is one of the less frequent and most unknown idiopathic inflammatory myopathies. The case of a 36 year old male is presented. He had tetraparesis secondary to IBM and was transferred to our hospital for rehabilitation treatment consisting in: postural treatment, kinesitherapy, electrostimulation, orthesis, occupational therapy and technical help. The patient was dependent for daily life activities (DLA), had amyotrophy, did not sit up and was also diagnosed of polyneuropathy of critical patient in lower limbs. On discharge, he was independent for basic and instrumental DLA and could walk with an anti-equine orthesis and external contralateral help. Our experience does not coincide with the generalized belief that active kinesitherapy cannot be done in these patients while there are alterations of the inflammation or muscular enzyme parameters


Subject(s)
Male , Adult , Humans , Myositis, Inclusion Body/rehabilitation , Polyneuropathies/rehabilitation , Kinesiology, Applied/methods , Muscles/enzymology , Recovery of Function
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