Spinal muscular atrophy type II (intermediary) and III (Kugelberg-Welander): evolution of 50 patients with physiotherapy and hydrotherapy in a swimming pool
Arq. neuropsiquiatr
; Arq. neuropsiquiatr;54(3): 402-6, set. 1996. tab
Article
em En
| LILACS
| ID: lil-184769
Biblioteca responsável:
BR1.1
RESUMO
We added hydrotherapy to 50 patients with spinal muscular atrophy (SMA) who were being treated with individual convencional physiotherapy. Hydrotherapy was performed at an approximate temperature of 30 degrees Celsius, twice a week, for thirty minutes in children and for forty-five minutes in adults during a 2-year period. The outcome derived from this combined modality of treatment was rated according to physiotherapeutic evaluations, the MMT (Manual Muscular Test), and the Barthel Ladder. Patients were reevaluated at 2-month intervals. After two years of ongoing treatment, we were able to observe that the deformities in hip, knee and foot were progressive in all SMA Type II patients, and in some Type III. Muscle strength stabilized in most SMA Type III patients, and improved in some, MMT was not done in SMA Type II. In all patients we were able to detect an improvement in the Barthel Ladder scale. This study suggests that a measurable improvement in the quality of daily living may be obtained in patients with SMA Types II and III subjected to conventional physiotherapy when associated with hydrotherapy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Atrofia Muscular Espinal
/
Especialidade de Fisioterapia
/
Hidroterapia
Tipo de estudo:
Guideline
Limite:
Adolescent
/
Adult
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Child
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Child, preschool
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Female
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Humans
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Infant
/
Male
Idioma:
En
Revista:
Arq. neuropsiquiatr
Assunto da revista:
NEUROLOGIA
/
PSIQUIATRIA
Ano de publicação:
1996
Tipo de documento:
Article
País de publicação:
Brasil