Department of Rehabilitation, Evergreen Hospital Medical Center, Kirkland, Washington, USA.
J Neurol Phys Ther. 2009 Dec;33(4):212-23. doi: 10.1097/NPT.0b013e3181c1fac3.
: Neurofibromatosis is a group of genetic disorders that affect the development and growth of nerve cell tissues. These disorders include tumors of myelin-producing supportive cells that grow on nerves and can cause changes in bone formation, skin integrity, and nerve transmission. Common musculoskeletal impairments associated with neurofibromatosis type 1 (NF 1) include cervical pain, muscle weakness, muscle stiffness, headaches, and postural deviations.
: This case study describes successful physical therapy management and outcomes for cervical pain and headaches in a 17-year-old girl with a 16-year history of NF 1. Difficulties in driving, studying, lifting, and participating in recreational activities were all associated with the patient's pain, decreased cervical range of motion, decreased scapular strength, and postural deviations.
: Physical therapy interventions included posture training, dynamic shoulder/scapular strengthening, cervical stabilization, stretching, ultrasound, interferential current, and a progressive home exercise program.
: By the end of 13 weeks (20 sessions) of physical therapy, the patient was completely pain free, demonstrated increased cervical range of motion, and had improvements in scapular strength. She returned to full and unrestricted recreational activities, driving, studying, and household chores. Furthermore, scores on the Neck Disability Index improved from 44 of 50 (complete disability) to 2 of 50 (no disability).
: Physical therapy may be a viable option for conservative management of musculoskeletal dysfunction and functional limitations resulting from NF 1.
神经纤维瘤病是一组遗传疾病，影响神经细胞组织的发育和生长。这些疾病包括髓鞘产生支持细胞的肿瘤，这些肿瘤生长在神经上，可导致骨形成、皮肤完整性和神经传递的变化。与神经纤维瘤病 1 型（NF1）相关的常见肌肉骨骼损伤包括颈痛、肌肉无力、肌肉僵硬、头痛和姿势偏差。
本病例研究描述了一名 17 岁女孩在患有 NF1 16 年的情况下，对颈痛和头痛进行成功的物理治疗管理和结果。患者的疼痛、颈椎活动度降低、肩胛带力量降低和姿势偏差都与驾驶、学习、举重和参与娱乐活动困难有关。
物理治疗干预包括姿势训练、肩胛带/肩部动态强化、颈椎稳定性、伸展、超声波、干扰电流和渐进性家庭运动计划。
在 13 周（20 次）的物理治疗结束时，患者完全无痛，颈椎活动度增加，肩胛带力量增强。她恢复了完全不受限制的娱乐活动、驾驶、学习和家务。此外，颈部残疾指数评分从 50 分（完全残疾）提高到 2 分（无残疾）。
物理治疗可能是 NF1 引起的肌肉骨骼功能障碍和功能限制的保守治疗的可行选择。
