日本財団 図書館

共通ヘッダを読みとばす


Top > 社会科学 > 社会 > 成果物情報

ABSTRACTS

 事業名 国際リハビリテーション医学会第8回世界大会開催
 団体名 日本リハビリテーション医学会 注目度注目度5


P-2-06-19

REHABILITATION OF WERDNIG-HOFFMANN DISEASE (INFANTILE TYPE) PATIENTS

Kimura, Shinya (University of Tokyo, Tokyo, Japan)

Okawa, Yayoi (Teikyo University, Ichihara, Japan)

 

Purpose: We studied the effect of rehabilitation for Werdnig-Hoffmann disease (infantile type) patients who had been under respirator control for more than 10 years.

Method: We analyzed medical records of two Werdnig-Hoffmann disease (infantile type) cases.

Results: Case 1: A 16-year-old male. Case 2: An 11-year-old male. Both patients had had systemic hypotonia since their birth, and had became under respirator control at age of 3 months old. We began rehabilitation program for Case 1 at age of 1 year and 8 months, and for Case 2 at 4 months. At initial evaluation, a full range eye movement was possible, and as for MMT findings, facial muscle was 3 and wrist flexion 2 in both cases, whereas flexion of fingers and toes was 1 for Case 1 and 2 for Case 2. The all other muscles were 0. Hip and knee joint showed flexion contractams. Case 1 could move his hand to express good-bye sign and case 2 had facial expression.

To establish an optimum communication method for the patients, we let them play games and tried to find out what games were appropriate for their age. Before they became 3 years old, their muscle power fell to 1 or less, but they could answer "yes" by the eye movement. In school age, they were slow in learning. However, Case I could listen to the sound of musical instruments, select a pitch and compose music, and Case 2 could exchange letters with a healthy child by selecting words among those shown. It became easier for them to go out with the use of a wheelchair equipped with an oxygen cylinder. Improvement and prevention of contractures has helped to make the use of the wheelchair easier.

Conclusion: Both patients showed good intellectual development through a rehabilitation program, including efforts to develop their communication abilities, optimize plays and learning, prevent contractures, and provide a specialized wheelchair.

 

P-2-06-20

"ISONIAZID INDUCED PERIPHERAL NEUROPATHY AND ITS REHABILITATION"

Naseem A. Shekhani, MD (Dow Medical College; Karachi, Pakistan)

V. Stambolis, MD (Rush University; Chicago, IL; U.S.A.)

Hamid Manzoor, MB, BS (Dow Medical College; Karrachi, Pakistan)

 

Isoniazid (INH) has been utilized in the treatment of tuberculosis all over the world. Peripheral neuropathy has become a known complication of INH use, EMG studies have shown a progressive slowing of motor nerve conduction and evidence of denervation has been documented. When this complication occurs, timely removal of INH can reverse the process and lead to full recovery. INH is used in combination with pyridoxime to help in the excretion of isonicotinyl hydrazine, the lack of supplemental use of pyridoxime can produce its deficiency. Use of pyridoxime is recommended to avoid peripheral neuropathy. We present a case of 40 year old male with the diagnosis of tuberculosis, who presented initially to a primary care office after being on INH for approximately 6 months. The patient initially complained of paresthesias and numbness in his fingers and toes. The patient was subsequently seen again 2 months post initial presentation, complaining of painful deep burning sensations and distal weakness. Upon further exploration of his history the patient had been initially placed on pyridoxime, but did not take it faithfully. EMG findings had abnormality in motor nerve conduction velocity, amplitude and latency in common peroneal, median and ulnar nerves, from these findings, a diagnosis of INH induced polyneuropathy was established. The purpose of this case presentation is to increase awareness of peripheral neuropathy caused by INH among physiatrists, and to educate the patients of the need for concomitant use of pyridoxime.

 

 

 

BACK   CONTENTS   NEXT

 






サイトに関するご意見・ご質問・お問合せ   サイトマップ   個人情報保護

日本財団会長笹川陽平ブログはこちら

日本財団図書館は、日本財団が運営しています。

  • 日本財団 THE NIPPON FOUNDATION



ランキング
注目度とは?
成果物アクセスランキング
583位
(35,139成果物中)

成果物アクセス数
19,545

集計期間:成果物公開〜現在
更新日: 2022年9月24日

関連する他の成果物

1.「国際リハビリテーション医学会第8回世界大会開催」の報告書
2.Second Announcement&Call for Papers
3.PROGRAM
4.国際リハビリテーション医学会第8回世界大会報告書
5.生活医学シリーズNo.115「生活習慣病としての心臓病」
  [ 同じカテゴリの成果物 ]


アンケートにご協力
御願いします

この成果物は
お役に立ちましたか?


とても役に立った
まあまあ
普通
いまいち
全く役に立たなかった


この成果物をどのような
目的でご覧になりましたか?


レポート等の作成の
参考資料として
研究の一助として
関係者として参照した
興味があったので
間違って辿り着いただけ


ご意見・ご感想

ここで入力されたご質問・資料請求には、ご回答できません。






その他・お問い合わせ
ご質問は こちら から