Carlson Mary, Hadlock Tana
Physical Therapy Program, University of Texas at El Paso, El Paso, TX 79902, USA.
Phys Ther. 2007 Feb;87(2):179-92. doi: 10.2522/ptj.20050200. Epub 2007 Jan 23.
Postpoliomyelitis sequelae, such as gait instability and progressive weakness, predispose people with postpolio syndrome to secondary disabilities. With aging, people who depend on their upper extremities to accommodate lower-extremity deficits may anticipate overuse injuries. The purpose of this case report is to describe the use of mobilization and exercise in postoperative rehabilitation of rotator cuff surgery on a patient with postpolio syndrome.
A 48-year-old woman with postpolio syndrome had rotator cuff surgical repair followed by physical therapy intervention. Maitland mobilization and mild functional exercises were chosen to avoid triggering fatigue.
Measurements taken preoperatively, before and after physical therapy intervention, and 2 years after intervention showed return to independent status with excellent retention.
No fatigue or overuse weakness was encountered. This is the first case report to document physical therapy following rotator cuff repair in a patient with postpolio syndrome.
小儿麻痹后遗症，如步态不稳和进行性肌无力，使患有小儿麻痹后遗症综合征的人易患继发性残疾。随着年龄增长，依靠上肢来代偿下肢功能缺陷的人可能会出现过度使用损伤。本病例报告的目的是描述在一名小儿麻痹后遗症综合征患者的肩袖手术术后康复中运用松动术和运动疗法的情况。
一名48岁患有小儿麻痹后遗症综合征的女性接受了肩袖手术修复，随后进行了物理治疗干预。选择梅特兰松动术和轻度功能锻炼以避免引发疲劳。
术前、物理治疗干预前后以及干预后2年所进行的测量结果显示，患者恢复到独立状态，且保持良好。
未出现疲劳或过度使用导致的肌无力情况。这是第一例记录小儿麻痹后遗症综合征患者肩袖修复术后物理治疗的病例报告。
