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一名小儿骨肉瘤患者膝上截肢后的康复:病例报告

Rehabilitation Following Above-Knee Amputation in a Pediatric Osteosarcoma Patient: A Case Report.

作者信息

Ladkhedkar Pooja S, Akhuj Aditi, Fating Tejaswini, Gulrandhe Purva, Ambekar Aditi

机构信息

Department of Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Community Health Physiotherapy, International Institute of Health Management Research (IIHMR) University, Jaipur, IND.

出版信息

Cureus. 2023 Dec 20;15(12):e50859. doi: 10.7759/cureus.50859. eCollection 2023 Dec.

DOI:10.7759/cureus.50859
PMID:38259366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10801109/
Abstract

The earliest stages of osteosarcomas are primitive mesenchymal cells. It generally occurs close to the long bones' metaphysis and typically affects the long bones, such as the arm and leg. This case report underscores the pivotal role of physiotherapy in the rehabilitation of a 14-year-old male diagnosed with osteosarcoma, who underwent above-knee amputation. The structured six-week rehabilitation program, encompassing passive, active-assisted, and active exercises for the affected limb, alongside strength training for unaffected joints, produced notable gains in the pain rating scale and the lower-extremity functional scale in just 15 days. These outcomes underscore the significance of early and targeted physiotherapy interventions in optimizing functional outcomes and quality of life for young patients with osteosarcoma after surgery.

摘要

骨肉瘤的最早阶段是原始间充质细胞。它通常发生在长骨的干骺端附近,并且通常影响长骨,比如手臂和腿部的长骨。本病例报告强调了物理治疗在一名14岁诊断为骨肉瘤且接受了膝上截肢手术的男性患者康复过程中的关键作用。为期六周的结构化康复计划,包括对患肢进行被动、主动辅助和主动锻炼,以及对未受影响关节进行力量训练,仅在15天内就使疼痛评分量表和下肢功能量表有了显著改善。这些结果强调了早期和有针对性的物理治疗干预对于优化骨肉瘤青年患者术后功能结果和生活质量的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/ae107f951b48/cureus-0015-00000050859-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/bc9c9a6e5bef/cureus-0015-00000050859-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/8a403b85503a/cureus-0015-00000050859-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/1b363089eb45/cureus-0015-00000050859-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/d15b4c6bca01/cureus-0015-00000050859-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/ae107f951b48/cureus-0015-00000050859-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/bc9c9a6e5bef/cureus-0015-00000050859-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/8a403b85503a/cureus-0015-00000050859-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/1b363089eb45/cureus-0015-00000050859-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/d15b4c6bca01/cureus-0015-00000050859-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d2b/10801109/ae107f951b48/cureus-0015-00000050859-i05.jpg

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本文引用的文献

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Effectiveness of (Active) Lifestyle Interventions in People With a Lower Limb Amputation: A Systematic Review.下肢截肢患者(积极)生活方式干预的有效性:一项系统综述。
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Non-oncological outcomes following limb salvage surgery in patients with knee sarcoma: a scoping review.
膝关节肉瘤患者保肢手术后的非肿瘤学结果:范围综述。
Disabil Rehabil. 2022 Aug;44(16):4531-4545. doi: 10.1080/09638288.2021.1900409. Epub 2021 Mar 23.
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