Rehabilitation in Devica’s Syndrome. Case Report

2021 ◽  
Vol 63 (1) ◽  
pp. 78-83
Author(s):  
Agnieszka Maruszewska ◽  
Lech Panasiuk ◽  
Katarzyna Bryzek-Michalak
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Treatment Process ◽  
Rehabilitation Program ◽  
Lower Limbs ◽  
Functional Tests ◽  
Beneficial Effects ◽  
Devic’S Syndrome ◽  
Strengthening Exercise ◽  
Comprehensive Rehabilitation

Introduction: Devic’s syndrome also known as neuromyelitis optica is an autoimmune disease of central nervous system (CNS).It has an inflammatory, demyelizatory, chronic and relapsing nature, where ones own immune system attacks the spinal cord and optic nerves. Material and Methods: The authors presented a case report of a 54-year-old woman diagnosed with Devic’s syndrome 2 years ago. The physiotherapeutic examination revealed: visual and balance disturbances, decrease in muscle strength of upper and lower limbs, unsteady and shaky gait with a need to use a zimmer frame. At the start and at the end of a therapy, to objectively monitor the progress of rehabilitation treatment, a number of functional tests were used that included: Barthel Index, Brunnstrom’s test, Rankin Scale, Ashworth’s scale, Lovett’s test and a timed 20m walk. In physiotherapeutic treatment process patterns and techniques of PNF (prioprioceptive neuromuscular facilitation) ware used as well as exercise to correct muscles tone and strengthening exercise of trunk and lower limbs. Results: As a result of applying a comprehensive rehabilitation approach an increase of muscles strength of upper and lower limbs was obtained (Lovett’s scale R/L: shoulder 5/5, elbow 5/5, hand 5/5, hip 4+/4+, knee 4+/4+, foot 4+/4+). In addition all postural muscles gained in strength and an improvement in hands dexterity, body coordination and balance was noticed. Conclusion: Multidisciplinary approach and an individually selected rehabilitation program proves to show beneficial effects in a treatment process of patients with Devic’s syndrome.

Pelvic Pain and Floor Dysfunction

2018 ◽  
Author(s):  
Danielle Sarno ◽  
Farah Hameed
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Pelvic Pain ◽  
Multidisciplinary Approach ◽  
Rehabilitation Program ◽  
Painful Bladder ◽  
Integral Role ◽  
Comprehensive Rehabilitation ◽  
Irritable Bowel ◽  
Tract Infections

Chronic pelvic pain is defined as persistent pain perceived in structures related to the anatomic pelvis (lower abdomen below the umbilicus) of either women or men for greater than 6 months. The etiology may be related to gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic causes. Pelvic pain and floor dysfunction often are associated with a musculoskeletal disorder related to the pelvic girdle, spine, or hip. Myofascial pelvic pain may be related to other diagnoses, such as depression, irritable bowel syndrome, endometriosis, constipation, painful bladder syndrome, and chronic urinary tract infections. A thorough history and clinical examination, including an internal pelvic floor musculoskeletal examination, can help identify the underlying etiology. A multidisciplinary approach to management is essential. Pelvic floor physical therapy plays an integral role. Other treatments, such as medications, complementary therapies, and injections, may be used in conjunction with physical therapy to facilitate a comprehensive rehabilitation program and manage symptoms.

scholarly journals First branchial cleft fistula: a case report and literature review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Razan Bawazir ◽  
Abdullah Bawazir ◽  
Osama Bawazir
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Multidisciplinary Approach ◽  
Treatment Process ◽  
Nerve Monitoring ◽  
Case Presentation ◽  
Rare Malformation ◽  
Branchial Cleft ◽  
Magnetic Resonance Imaging Mri

Abstract Background First branchial cleft fistula is a rare malformation of the neck and head. The purpose of this report is to showcase a method of treating first brachial cleft fistula while preserving the facial nerve. Case presentation This case report presents an 8-year-old female with a type 2 first branchial cleft fistula. The treatment process follows multidisciplinary approach with the aid of health professionals from different departments, pre-op magnetic resonance imaging (MRI) scanning to map the fistula, and the use of nerve monitoring device (NIM). Conclusion The procedure was successfully done while preserving the facial nerve.

scholarly journals Acromiocervical Flap As One of the Modality To Reconstruct Post-Burn Neck Contracture: A Case Report

1970 ◽  
Vol 1 (4) ◽  
Author(s):  
Denny Irwansyah ◽  
Afriyanti Sandhi ◽  
Eko Heryadi ◽  
Gentur Sudjatmiko
Keyword(s):  
Case Report ◽  
Patient Compliance ◽  
Skin Graft ◽  
Functional Disability ◽  
Simple Procedure ◽  
Skin Grafting ◽  
Rehabilitation Program ◽  
Normal Function ◽  
Facial Deformity ◽  
Comprehensive Rehabilitation

Abstract: Postburn neck contractures are frequent and may cause gross facial deformity and severe functional disability. Reconstruction of these deformities is challenging, especially to plastic surgeon. Several methods have been published including skin graft, local flap and free flap. Patient and Method: The case presented in this paper is a postburn neck contracture which had been managed by two plastic surgeons in two different hospitals. This deformity limits the normal function of eating, speaking and appearance of this patient. Skin graft was used to correct this deformity but in the next few months neck contracture recurred. Result: It results in minimal disability and in overall improved functional and appearance outcome. We report our experience using the acromiocervical flap on a case for reconstruction of neck contracture with a goal to prevent recurrence.Summary: Skin Grafting is not an easy and simple procedure for reconstruction of the neck contracture. It requires comprehensive rehabilitation program including prolonged neck splinting and patient compliance. Considering those difFIculties acromiocervical flap can be one of the modality to reconstruct post burn neck contracture because it is relatively simple and reliable.

scholarly journals Complex respiratory and motor rehabilitation program in a patient with post-pulmonary tuberculosis conditions and multiple sequelae after SARS-CoV-2 infection: case report

2021 ◽  
pp. 301-305
Author(s):  
Cristina DAIA ◽  
Anca IONESCU ◽  
Elena Valentina IONESCU ◽  
Mădălina Gabriela ILIESCU ◽  
Liliana Elena STANCIU ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Motor Impairment ◽  
Lower Lobe ◽  
Rehabilitation Program ◽  
Lower Limbs ◽  
Exertional Dyspnea ◽  
Locomotor Disability ◽  
Family Reintegration ◽  
Medical Issues ◽  
Respiratory Parameters

Introduction: A great variety of medical issues can occur after the COVID-19 infection including fatigue, muscle weakness, locomotor disability, self-care dysfunction, polyneuropathy, persistent dyspnea on exertion and a hypercoagulable state. Materials and methods: This paper presents the case of a nonsmoker 49-year-old male with right lung lower lobe lobectomy for post tuberculosis bronchiectasis and diabetes mellitus, who developed multiple serious physicals, neurological, hematological and respiratory consequences, related to critical COVID-19 infection and prolonged hospitalization, Results: A favorable evolution of the patient’s respiratory sequels and motor impairment on both lower limbs was noticed after a complex individualized rehabilitation program started in the post COVID-19 Rehabilitation Department of Balneal and Rehabilitation Sanatorium, Techirghiol, Romania, consisting in better functional parameters and exercise tolerance, significant improvement in daily activities, remission of exertional dyspnea, social and family reintegration. Conclusions: multidisciplinary approach and complex individualized programs of rehabilitation is required after a critical form of COVID in a patients known with tuberculosis, and other complex pathologies, in order to restore physical function and mobility and optimize respiratory parameters. Keywords: COVID-19, Rehabilitation, Tuberculosis,

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

Multidisciplinary approach of a mandibular arteriovenous malformation in a 13-year-old child – case report

ORL ro ◽  
2018 ◽  
Vol 3 (40) ◽  
pp. 26
Author(s):  
Daniela Vrînceanu ◽  
Bogdan Bănică ◽  
Matei Dumitru ◽  
Bogdan Dorobăț ◽  
Cristina Tudor ◽  
...  
Keyword(s):  
Case Report ◽  
Arteriovenous Malformation ◽  
Multidisciplinary Approach

scholarly journals Immediate rehabilitation with feeding appliance of a three day old neonate with cleft lip and palate- a case report

2017 ◽  
Vol 13 (2) ◽  
pp. 293-295
Author(s):  
Deepika Kapoor ◽  
Deepanshu Garg
Keyword(s):  
Case Report ◽  
Cleft Lip ◽  
Multidisciplinary Approach ◽  
Cleft Lip And Palate ◽  
Facial Growth ◽  
Orofacial Clefts ◽  
High Incidence ◽  
Negative Effect ◽  
Growth Development ◽  
Very High

Orofacial clefts (OFC) are one of the most common congenital problems seen with a very high incidence. It imparts a negative effect on the overall health of the child by hindering in his feeding practices, normal facial growth, development of dentition and hence speech. Infants born with orofacial clefts have oronasal communication which creates a problem with the creation of negative pressure inside the oral cavity required for suckling.The treatment for such patients is with the multidisciplinary approach but the preliminary  concern for the neonate is to help with the feeding for which a feeding appliance is given. This case report presents a case of a 3-day old infant to whom a feeding appliance was given to aid in suckling. 

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