Abstract

AGUILA TEJEDA, Gerardo; SUAREZ MONZON, Horacio; DELGADO FIGUEREDO, Rolando  and  SUAREZ COLLADO, Pedro O. Rehabilitating process of arthrogryposis multiplex congenital. Rev Cubana Ortop Traumatol [online]. 2013, vol.27, n.1, pp.91-98. ISSN 0864-215X.

A case of arthrogryposis multiplex congenital was presented. She was a white female patient with intellectual coefficient of 90, possible organic implication, discrete dyslalia, without visual or hearing alterations, cooperative, communicative, without motor control that was referred by "Frank País" Orthopaedic Hospital in Havana City in 2004. The objective is to assess the results of both rehabilitation and psychotherapy treatments. All initial rehabilitation process included in the multidisciplinary collective strategy for the patient's attention was described, beginning with comprehensive psychological support therapies, respiratory exercises and family training. Two months later, in a sequential form, a combination of physical agents, thermotherapy, massage, electrotherapy and kinesiology was used. There was a relapse due to difficulties in the knee flexors that led to a second surgical procedure. Four months later, a strategy for rehabilitating the patient began which continued to the present time with a marked enhance of self-esteem level and self- confidence to follow both treatment and daily life activities such as to brush her teeth, to comb her hair, to get dressed, to wander around the house and to communicate with neighbours, friends and relatives. Also, there was strength in the debilitated muscle groups and mobilizations with orthosis with total degree of independence from technicians and family members when going back and forth in the sections worked which corresponded to 10 m at the beginning and were increased later to 15 m, accomplishing progressive increases in different stages to finally reach 50 m. It is concluded that the patient's condition improved an 80 % with the treatment, as well as her quality of life and her return to society.

Keywords : arthrogryposis multiplex congenital; rehabilitation treatment; psychotherapy treatment.

        · abstract in Spanish | French     · text in Spanish     · Spanish ( pdf )