Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 8 de 8
Filtrar
1.
Eur J Phys Rehabil Med ; 51(5): 539-45, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25692687

RESUMO

BACKGROUND: Congenital Muscular Torticollis (CMT) is the most common form of torticollis in infants; on clinical presentation it is classified into 3 types: 1) postural torticollis, with postural deformity only in the neck; 2) muscular torticollis, where neck deformity is associated with muscle tightness and restricted passive range of motion (ROM); and 3) sternomastoid tumor or pseudotumor, with a fibrotic, sternocleido-mastoid muscle mass and passive ROM limitations. AIM: The aim of this study was to evaluate the physical therapy outcome of infants with CMT treated either by parents using a home exercise program, or by a physical therapist. DESIGN: Longitudinal study. SETTING: Outpatients with CMT at our Department of Physical Medicine and Rehabilitation. POPULATION: Fifty consecutive newborns with CMT, referred by the primary pediatrician: METHODS: In our study, 50 infants with CMT were evaluated and treated either by a physical therapist or by parents using a home program. RESULTS: Sixteen females (32%) and 34 males (68%), aged 10.2 weeks (SD 6.66); 23 of the infants (46%) presented with more severe articular limitations than the others (P=0.002) and were therefore prescribed outpatient treatment by a physical therapist; the remaining 27 less severe cases (54%) were prescribed a home therapy program. 49 infants achieved full resolution after an average of 81.06 days (SD 64.05) of rehabilitation treatment. The group of patients who were treated at home achieved resolution more quickly (72.8 vs. 91.1 days), although statistical significance was not reached. CONCLUSIONS: Infants with CMT who were treated early, either at home or in the outpatient clinic, completely recovered normal neck movement in a short time. It is important not to discharge patients until they have achieved full resolution of CMT symptoms to exclude the minimal risk of relapse. CLINICAL REHABILITATION IMPACT: This study demonstrates the importance of early treatment in cases of congenital muscular torticollis.


Assuntos
Modalidades de Fisioterapia , Torcicolo/congênito , Avaliação da Deficiência , Feminino , Humanos , Recém-Nascido , Estudos Longitudinais , Masculino , Torcicolo/classificação , Torcicolo/reabilitação , Resultado do Tratamento
2.
Eur J Phys Rehabil Med ; 51(3): 341-3, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24937355

RESUMO

Although the diagnosis of and therapy for acute disseminated encephalomyelitis (ADEM) have been extensively investigated, the role of rehabilitation in modifying its functional outcome has received little attention in the literature so far. We report a case of pediatric ADEM who showed complete functional recovery following early rehabilitative treatment, started in the Intensive Care Unit.


Assuntos
Atenção , Encefalomielite Aguda Disseminada/reabilitação , Modalidades de Fisioterapia , Recuperação de Função Fisiológica/fisiologia , Criança , Encefalomielite Aguda Disseminada/fisiopatologia , Encefalomielite Aguda Disseminada/psicologia , Humanos , Masculino
3.
Eur J Phys Rehabil Med ; 47(3): 447-53, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21508910

RESUMO

BACKGROUND: Turner syndrome (TS) is a sex chromosome abnormality in females characterized by gonadal dysgenesis, short stature and skeletal malformations like kyphosis and scoliosis. AIM: To evaluate the prevalence of scoliosis and its incidence over 4 year follow-up. DESIGN: Consists in two parts: cross sectional study and longitudinal study. SETTING: Outpatient. POPULATION: Forty-nine TS assessed at the Pediatric Outpatients Clinic. METHODS: Clinical and radiological evaluation of spine. RESULTS: Cross sectional study: at baseline an high prevalence of minor scoliosis was observed (59%, 95% CI 44-73). The prevalence increased with age (trend test P=0.01). Patients with scoliosis were more frequently on GH therapy (69% vs. 35%, P=0.023). At multivariable analysis (including age, height and GH therapy), height was the only independent correlate of scoliosis. Longitudinal study: of the 20 cases without scoliosis at baseline, 9 were diagnosed with new scoliosis (classified as minor ) after 4 years (incidence of 45% , 95% CI 23-68). We didn't found any predictor of new scoliosis; patients who developed scoliosis 4 years later were older and taller at baseline. CONCLUSION: TS have a higher risk to develop scoliosis and the age at risk is protracted further with respect to normal subjects. This risk appears influenced by the height of the patient and, indirectly, by the GH therapy. Clinical rehabilitation impact. In TS is necessary a prolonged time of observation (until age twenty) for identifying scoliosis and beginning a rehabilitation program.


Assuntos
Escoliose/epidemiologia , Síndrome de Turner/epidemiologia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Estudos Transversais , Feminino , Seguimentos , Humanos , Incidência , Lactente , Itália/epidemiologia , Cariotipagem , Modelos Lineares , Estudos Longitudinais , Prevalência , Estatísticas não Paramétricas
4.
Eura Medicophys ; 43(4): 445-50, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18084166

RESUMO

The study was aimed at evaluating clinical and functional assessment and results obtained following rehabilitative treatment in children affected by chronic graft versus host disease (cGVHD) after allogeneic transplantation of hemopoietic stem cells (HSCT). From 1999 to 2003 we evaluated 6 children with cGVHD after HSCT presenting severe complications and disabilities. Clinical and functional assessment was performed prior to rehabilitative treatment (T1), at follow-up at 6 (T6) and 12 (T12) months after treatment. Each child received a personalized rehabilitative treatment program based on the use of neuromotor re-education techniques, massotherapy, chest rehabilitation and occupational therapy. Six children presented sclerodermoid skin lesions, joint contractures, anchylosis, respiratory insufficiency, postural and walking alterations which led to reduction in motor performance and autonomy in daily living activity. After 1 year of rehabilitation treatment, 3 patients showed improvement in motor performance, 2 remained stable and 1 patient worsened. Rehabilitative treatment associated with pharmacological therapy has proven to be useful in patients affected by cGVHD. We believe that cGVHD is a pathology which must be seen by a physiatrist as early as possible at onset of first cutaneous signs of cGVHD to limit its invalidating evolution.


Assuntos
Doença Enxerto-Hospedeiro/reabilitação , Adolescente , Criança , Avaliação da Deficiência , Crianças com Deficiência , Feminino , Doença Enxerto-Hospedeiro/fisiopatologia , Transplante de Células-Tronco Hematopoéticas , Humanos , Masculino , Modalidades de Fisioterapia , Amplitude de Movimento Articular , Resultado do Tratamento
6.
G Ital Med Lav ; 18(4-6): 139-43, 1996.
Artigo em Italiano | MEDLINE | ID: mdl-9410786

RESUMO

A bilateral evaluation of the trapezius muscle was carried out, clinically and by surface electromyography, in 11 stroke patients, in order to compare the activation amplitude of the upper trapezius muscle in different movements of upper limb, using the healthy side as comparison parameter. At our request of analytical activation of the trapezius (consisting in raising their shoulders), we noted in all of them a contraction, both clinically and by EMG valuable. On the contrary at our request of the fixation activity of the shoulder girdle by the trapezius (humeral flexion) we couldn't notice a considerable activation in 4 patients. These data suggest that the trapezius is more active during voluntary movements than in postural fixation, and suggest the use of rehabilitation techniques focusing on the voluntary control.


Assuntos
Transtornos Cerebrovasculares/fisiopatologia , Músculo Esquelético/fisiopatologia , Adulto , Idoso , Braço/fisiopatologia , Dorso , Eletromiografia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Movimento , Contração Muscular/fisiologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...