medigraphic.com

2015, Number 2

Rev Cub de Med Fis y Rehab 2015; 7 (2)

March training in treadmill with Robowalk Expander system in adolescent with medullar lesion. Presentation of a case

Pazo MP, Sabater HH, Almanza DY, Cisneros PV

Language: Spanish
References: 18
Page: 223-230
PDF size: 114.35 Kb.


ABSTRACT

Medullar lesion is all damage or pathological condition that affects totally or partially the integrity of the spinal cord with the rising alteration of sensitive, motor and autonomous functions. The case of a 16-year-old adolescent is presented who was admitted in Julio Díaz Hospital, in Pediatric Rehabilitation Service, with the diagnosis of giant cell tumor of bone with infrequent localization at vertebral body D12 level, with after-effect an uncompleted spastic paraplegia. Rehabilitation program was applied and it included kinesiotherapy–mattress, neuromuscular reeducation below the lesion level, hydromassage, reeducation of pelvic floor and training in the treadmill h/p/cosmos with RoboWalk Expander system, the last one it´s especially appropriate in patient with medullar lesion to recover the forced at the first phases. The patient was evaluated at the beginning and the end of the treatment and clinical and functional improvement was observed.


REFERENCES

  1. García E, Martín A, García EL. Trauma raquimedular. MEDICRIT [Internet].2009 Ago; 4(3):66-75. Disponible en: http://www.medicrit.com/a/4366.php

  2. De Morais DF, De Melo JS, Spotti AR, Tognola WA. Predictors of clinical complications in patients with spinomedullary injury. Coluna/Columna [Internet]. 2014: 139-142. Available from: http://www.scielo.br/scielo.php?script=sci_arttext& pid=S1808-18512014000200139&lng=en. http://dx.doi.org/10.1590/S1808- 18512014130200404.

  3. Solano HA, San Román A. Repercusión de las lesiones medulares traumáticas en la dinámica vesical, perspectivas de seguimiento. Columna [Internet]. 2013; 13(2):aprox. 2p. Disponible en: http://www.scielo.br/pdf/coluna/v12n3/15.pdf

  4. Vaquero J, Zurita M, Aguayo C. Traumatic paraplegia at thoracic level: Longterm morphological alterations in spinal cord. Trauma Fund MAPFRE. 2014;25(3):136-42.

  5. Ropper A, Brown R. Diseases of the Spinal Cord. En: Adams & Victors’ Principles of Neurology. 8a. ed. McGraw-Hill; 2005. p. 1050-88.

  6. Avendaño J, Basco J. Electroestimulación funcional en el lesionado medular. Fisioterapia [Internet]. 2001;23(2):12-22. Disponible en: http://www.elsevier.es/es-revista-fisioterapia-146-articulo-electroestimulacionfuncional- el-lesionado-medular-13024314

  7. Winchester P, Smith P, Foreman N, Mosby JM, Pacheco F, Querry R, et al. A prediction model for determining over ground walking speed after locomotor training in persons with motor incomplete spinal cord injury. J Spinal Cord Med [Internet]. 2009; 32:63-71. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2647503/

  8. García R, Falcon J, Verdecia A. Tumor de células gigantes. Informe de un caso. CPICM [Internet]. 2009; 70(2):aprox. 9p. Disponible en: http://www.gtm.sld.cu/sitios/cpicm/contenido/ric/textos/Vol_70_No.2/tumor_celula s_gigantes_ic.pdf

  9. Ugarte JC y cols. Manual de Imagenología. 2ª. ed. La Habana: ECIMED; 2008. 39-57 p.

  10. González I, Pedraza NE, Franco A. Informe anatomo-patológico de un tumor óseo de células gigantes en localización no habitual. Acta Médica del Centro [Internet]. 2012;6(1). Disponible en: http://www.actamedica.sld.cu/r1_12sup1/ tumor_oseo.htm

  11. González Y, Rivera MB. Presentación de un paciente con tumor óseo de células gigantes. CCM [Internet]. 2013 Dic; 17(4): 518-22. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560- 43812013000400013&lng=es.

  12. Hernández OA, Fortún P, Peña L, Marrero LO, Hernández MR. Tratamiento del tumor de células gigantes con resección en bloque e injerto pediculado de peroné. Rev Cubana Ortop Traumatol [Internet]. Dic 2006; 20(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 215X2006000200006&lng=es.

  13. Vazquez J, Rosabal M. Tumor de células gigantes. Estudio de 12 casos. Multimed [Internet]. 2001;5(4). Disponible en: http://www.multimedgrm.sld.cu/ articulos/2001/v5-4/3.html

  14. Martínez R, Hernández A, Sánchez JA, García O. Tumor de células gigantes del extremo distal del peroné. Presentación de un caso. MEDICIEGO [Internet]. 2013;19(2). Disponible en: http://bvs.sld.cu/revistas/mciego/vol19_no2_2013/ pdf/T23.pdf

  15. Kottke FJ, Lehmann JF, et al. Krusen. Medicina Física y Rehabilitación. 4.a ed. Editorial Médica Panamericana; 2000. 747-779 p.

  16. Van Hedel HJ, Dietz V. Rehabilitation of locomotion after spinal cord injury. RestorNeurolNeurosci[Internet]. 2010; 28:123-134. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20086289

  17. Harkema SJ, Schmidt-Read M, Lorenz D, Edgerton VR, Behrman AL. Balance and ambulation improvements in individuals with chronic incomplete spinal cord injury using locomotor training based rehabilitation. Arch Phys Med Rehabil[Internet]. 2011 Jul;93(9):1508-17. Disponible en: http://www.archivespmr. org/article/S0003-9993%2811%2900129-8/abstract

  18. Operating instruction and service manual h/p/cosmos robowalk ® expander. Brochure, 2011. Disponible en: http://www.h-p-cosmos.com/downloads/ brochure/20110606_cos101078-en_h-pcosmos_ robowalk_brochure_PDF_72dpi.pdf




2020     |     www.medigraphic.com