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一种用于烟雾病的混合家庭康复计划,以促进重返工作岗位和功能独立:COVID-19大流行期间一个发展中国家的病例报告。

A Hybrid Home Rehabilitation Program for Moyamoya Disease to Facilitate Return to Work and Functional Independence: A Case Report from a Developing Country during the COVID-19 Pandemic.

作者信息

Navarroza Emmanuel S, Leochico Carl Froilan D, Brigola Madel F, Iniba Dannelle Ann P

机构信息

Department of Physical Medicine and Rehabilitation, St. Luke's Medical Center - Quezon City.

Department of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila.

出版信息

Acta Med Philipp. 2023 Dec 18;57(12):73-77. doi: 10.47895/amp.vi0.5962. eCollection 2023.

DOI:10.47895/amp.vi0.5962
PMID:39429770
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11484525/
Abstract

A 35-year-old female, right-handed, non-hypertensive, and non-diabetic Filipino presented with decreased verbal output and weakness of the right upper and lower extremities during the peak of the COVID-19 pandemic. Cerebral angiography showed bilateral steno-occlusive disease, which was consistent with Moyamoya disease. She underwent inpatient rehabilitation consisting of physical, occupational, and speech therapy. Rehabilitation posthospital discharge was continued using a hybrid rehabilitation approach with a mixed in-person home rehabilitation and remote telerehabilitation. The hybrid approach helped ensure continuity of rehabilitation care, minimize travel and exposure to the hospital or community amid the COVID-19 risks, and reduce costs, without entirely losing the benefits that could only be obtained from hands-on therapeutic evaluation and treatment. After six months of hybrid rehabilitation, the patient was able to return to work and regain functional independence.

摘要

一名35岁的菲律宾女性,右利手,非高血压、非糖尿病患者,在新冠疫情高峰期出现言语输出减少及右上肢和下肢无力症状。脑血管造影显示双侧狭窄闭塞性疾病,符合烟雾病。她接受了包括物理治疗、职业治疗和言语治疗在内的住院康复治疗。出院后采用混合康复方法继续康复,包括亲自上门康复和远程远程康复。这种混合方法有助于确保康复护理的连续性,在新冠疫情风险下尽量减少前往医院或社区的行程及暴露风险,并降低成本,同时又不会完全失去只能通过实际治疗评估和治疗获得的益处。经过六个月的混合康复治疗,患者能够重返工作岗位并恢复功能独立。

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本文引用的文献

1
Telerehabilitation perceptions and experiences of physiatrists in a lower-middle-income country during the COVID-19 pandemic.远程康复:中低收入国家物理治疗师对 COVID-19 大流行期间远程康复的看法和体验。
PM R. 2022 Feb;14(2):210-216. doi: 10.1002/pmrj.12715. Epub 2021 Oct 28.
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Role of Telerehabilitation in the Rehabilitation Medicine Training Program of a COVID-19 Referral Center in a Developing Country.远程康复在发展中国家 COVID-19 转诊中心康复医学培训计划中的作用。
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发展中国家远程康复兴起面临的挑战:一项系统综述。
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