Effects of physical therapy in Mucopolysaccharidoses patients
DOI:
https://doi.org/10.34024/rnc.2007.v15.10297Keywords:
Physical Therapy Modalities, Hydrotherapy, Mucopolysaccharidoses, Botulinum ToxinsAbstract
Mucopolysaccharidoses is a group of metabolic inherited illness that leads to skeletal deformities and spinal cord compression, causing muscle spasticity. Objective. To assess the efficiency of physiotherapy in cases of Mucopolysaccharidoses using a case study. Case study. An 18 year-old male patient suffering from Mucopolysaccharidoses was enrolled in this study. The physical therapy treatment took place in the Physical Therapy clinic of the Paulista University, Anchieta campus, for 20 months, and was evaluated at the beginning and the end of the pre-established period for the study. Results. The treatment disclosed an elastic hypertonia grade 1 in the modified Ashworth scale, in the left arm and both legs, an improvement in the articular mobility of the ankle and an increased easiness in changing lying positions. Conclusion. Physiotherapy helped to reduce elastic hypertonia, adjusting the tonus to close to normal.
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References
2. Turtelli CM. Manifestações radiológicas da mucopolissacaridose tipo VI. Radiol Bras 2002; 35(5): 311-4.
3. Leistner S, Giugliani R. A useful routine for biochemical detection and diagnosis of mucopolysaccharidoses. Genet Mol Biol 1998; 21(1):163-7.
4. Borges MF, Tavares FS, Silva PCL, Oliveira ZAR, Ballarin MAS, Gomes RA, et al. Mucopolissacaridose tipo VI (síndrome de Maroteaux-Lamy): avaliação endócrina de três casos. Arq Bras Endocrinol Metab 2003; 47(1): 87-94.
5. Chaves AG, Tavares KB, Val JR, Matsuyama C, Riskalla PE. Síndrome de Morquio: relato de caso e revisão da literatura. Rev Bras Otorrinolaringol 2003; 69(2): 267-71.
6. Kalteis T, Schubert T, Caro WC, Schroder J, Luring C, Grifka J. Arthroscopic and histologic findings in Morquio’s syndrome. Arthroscopy 2005;21(2):233-7.
7. Fitzgerald J, Verveniotis SJ. Morquio’s syndrome. A case report and review of clinical findings. N Y State Dent J 1998; 64(8):48-50.
8. Gulati MS, Agin MA. Morquio syndrome: a rehabilitation perspective. J Spinal Cord Med. 1996; 19(1):12-6.
9. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth Scale of muscle spasticity. Phys Ther 1986; 67: 206-7.
10. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J 1965; 14:61–5.
11. Ruoti RG, Morris DM, Cole AJ. Reabilitação Aquática. 1ª ed. bras. São Paulo: Manole, 2000, 463p.
12. Campion MR. Hidroterapia Princípios e Prática. 1ª ed. bras. São Paulo: Manole, 2000, 334p.
13. Teive HA, Zonta M, Kumagai Y. Treatment of spasticity: an update. Arq. Neuro-Psiquiatr 1998; 56(4):852-8.
14. Peixoto ES, Mazzitelli C. Avaliação dos Principais Déficits e Proposta de Tratamento da Aquisição Motora Rolar na Paralisia Cerebral. Rev Neurocienc 2004; 12(1): 46-53.
15. Fachardo GA, de Carvalho SCP, Vitorino DFM. Tratamento hidroterápico na Distrofia Muscular de Duchenne: Relato de um caso. Rev Neurocienc 2004; 12(4): 217-21.
16. Castro TM, Leite JMRS, Vitorino DFM, Prado GF. Síndrome de Rett e Hidroterapia: Estudo de Caso. Rev Neurocienc 2004; 12(2):77-81.
17. John L, Reed A. Eletroterapia explicada - princípios e prática. 3a ed. São Paulo: Manole, 2001, pp. 57-150.
18. Kitchen S. Eletroterapia: Prática Baseada em Evidências. 11ª Ed. São Paulo: Manole, 2003, 360p.
19. Martins FLM, Guimarães LHCT, Vitorino DFM, Souza LCF. Eficácia da eletroestimulação funcional na amplitude de movimento de dorsiflexão de hemiparéticos. Rev Neurocienc 2004; 12(2):103-9.
