Taricco Luciana Delboni, Aoki Solange Sumire
Department of Physical Medicine and Rehabilitation, Associação de Assistência à Criança Deficiente (AACD), São Paulo-SP, Brazil.
Am J Phys Med Rehabil. 2009 May;88(5):431-4. doi: 10.1097/PHM.0b013e3181a0e249.
Arthrogryposis is a term used to describe the presence of multiple joint contractures that are present at birth. Reports that describe the experience of a rehabilitation program for adult patients with arthrogryposis are rare. We describe the treatment of an adult patient who had not received previous surgery or rehabilitation. At home, she walked on her knees and elsewhere used a wheelchair. She was submitted to surgery and Ilizarov external fixator to correct the deformities, followed by intensive rehabilitation to permit upright standing and walking with assistive devices. After 4 mos, the patient was able to walk average distances in different types of terrain with a reciprocating walker and Canadian crutches. This report aims to emphasize the good result of interdisciplinary care of a previously untreated adult patient with arthrogryposis.
关节挛缩症是一个用于描述出生时即存在多个关节挛缩的术语。描述针对成年关节挛缩症患者康复项目经验的报告很少。我们描述了一位此前未接受过手术或康复治疗的成年患者的治疗情况。在家时，她用膝盖行走，其他地方则使用轮椅。她接受了手术和伊里扎洛夫外固定架以矫正畸形，随后进行强化康复训练，以使其能够借助辅助器械直立站立和行走。4个月后，患者能够使用往复式助行器和加拿大腋拐在不同类型的地形上行走一段平均距离。本报告旨在强调对一名此前未经治疗的成年关节挛缩症患者进行多学科护理所取得的良好效果。
