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- Subacute L5 Paresis Following a Capoeira PresentationPublication . Marques, JP; Moura, DL; Cordeiro, A; Páscoa-Pinheiro, JA young female suffered minor low back trauma during a capoeira presentation. She was initially diagnosed with an acute episode of uncomplicated low back and radicular pain. She kept training and competing until developing paresthesia and weakness of the right leg six weeks later. Physical examination revealed sensory and motor deficits compatible with L5 nerve root compression. The MRI revealed an L5-S1 disc extrusion compressing the right L5 nerve root. Nerve root decompression and partial discectomy were performed, and seven months later she was competing without restrictions. We present our approach and discuss possible pathological mechanisms that may explain this unusual presentation.
- Myositis ossificans of the quadriceps femoris in a soccer playerPublication . Marques, JP; Pinheiro, JP; Santos-Costa, J; Moura, DLA young soccer player was diagnosed with myositis ossificans 6 weeks after a muscle strain in the right thigh. Radiographic and sonographic investigations initially helped to confirm diagnosis and later supported clinical improvement. We present our approach to the case and discuss pathophysiology, prevention and treatment of this rare condition.
- Torcicolo muscular congénitoPublication . Bastos, S; Almeida, J; Veiros, I; Bártolo, M; Ribeira, T; Nunes, RObjetivos: Caracterizar a população de crianças observadas por torcicolo muscular congénito na consulta de Reabilitação Pediátrica. Material e Métodos: Estudo longitudinal retrospetivo com revisão dos processos das crianças com torcicolo muscular congénito seguidas na Consulta de Reabilitação Pediátrica do Centro Hospitalar e Universitário de Coimbra, entre Janeiro de 2008 e Novembro de 2011. Resultados: Foram observadas 91 crianças, 67% do sexo masculino, com uma média de idades de 20 semanas. Setenta e dois e nove décimas por cento dos partos foram distócicos, 14 com apresentações fetais anómalas e 61,1% resultaram de mães primíparas. A palpação do músculo esternocleidomastoideu revelou um nódulo em 43,8% das crianças e 63,8% apresentavam limitação das amplitudes articulares cervicais. Foi feito o ensino de medidas posturais a todos os cuidadores e prescrito um programa de reabilitação a 78 crianças. A maioria das crianças apresentou resolução completa do quadro e apenas uma foi submetida a tratamento cirúrgico. Conclusões: O torcicolo muscular congénito é a causa mais frequente de torcicolo na criança. Na maioria dos casos foi atingido um bom resultado com terapia conservadora.
- Characterization of patients with ankylosing spondylitis in hidrokinesitherapy - a multidimensional assessmentPublication . Januário, F; Almeida, J; Serra, S; Amaral, C; Machado, P; Rodrigues, LAOBJECTIVES: Clinical, functional and working characterization of an Ankylosing Spondylitis (AS) group of patients that perform hydrotherapy regularly in a physical and rehabilitation department. Assessment of the benefit of hydrotherapy in symptom relief, function and consumption of analgesics and non-steroidal anti-inflammatory drugs (NSAIDs). MATERIAL AND METHODS: A transversal characterization of a group of patients with SA undergoing hydrotherapy was performed. Demographic, clinical (including disease activity, function and health-related quality of life), radiographic and laboratorial data was collected. A questionnaire about working situation, presence of dyspnoea, smoking, number of sessions and benefit of hydrotherapy was applied. RESULTS: 22 patients (73% males) were enrolled in the study, mean age 55.6 ± 8.8 years, mean duration of the disease 28.0 ± 13.13 years. Apart from the axial involvement, 50% had a previous history of enthesitis, 54.5% peripheral arthritis, 18% dactylitis and 36% uveitis. At the day of assessment, 81% had low-back pain complaints (39% inflammatory rhythm), 18% oligoarthritis, 9.1% had total hip and/or knee prosthesis. The majority of the patients had active disease, accentuated functional deterioration and reduced health related quality of life. About 54.5% were retired due to disability, 18.2% were smokers and 36.4% had dyspnoea; 31.8% presented restrictive ventilatory alterations; 36.4% obstructive (predominance in the small airways); 13.6% mixed and in 18.2% the spiromety was normal. The mean total time of hydrotherapy was 13 ± 6.8 years. The patients attended a mean of 3 sessions per week and 3 series of 15 sessions per year. Of the 22.7% that performed another physical activity, 80% walked and 20% cycled. The ingestions of analgesics (p < 0.05) and NSAIDs (p < 0.01) were also reduced. CONCLUSION: A high percentage of spyrometric changes were identified. The majority of the patients are retired due to disability. The patients feel benefit with hydrotherapy, that contributed to reduction of the analgesic and NSAIDs consumption. The importance of the global systemic evaluation and multidisciplinary of the SA to optimize the therapeuthics and improve the quality of life of the patients is pointed out.
- Qualidade de vida na doença de Huntington: que sintomas a influenciamPublication . Januário, F; Júlio, F; Januário, C
- Rehabilitation of postural stability in ataxic/hemiplegic patients after strokePublication . Januário, F; Campos, I; Amaral, CPurpose. This study assesses the postural stability and the effect of balance training using a force platform visual biofeedback among outpatients with postural disturbances following stroke. Method. A tilting multiaxial force platform was used to assess bilateral postural stability in 38 outpatients (mean age 69.50 +/- 8.57 years) with hemiplegia and/or ataxia after stroke. Stability indexes were obtained. Afterwards, a subgroup of 12 patients with the poorest overall stability index (OASI) started a balance training programme in the force platform. Postural control training consisted of a 30-min training session once a week for a 15-week period. The test was then repeated. Results. In the 38 outpatients sample, the mean OASI was 4.7 +/- 2.0 and 42.1% of the patients used their hands for support. In the 12 outpatients group, the initial OASI was 5.8 +/- 2.3 and half of the patients used their hands for support. The final OASI was 3.3 +/- 1.0 (p = 0.005) and only two of the patients used their hands for support (p = 0.046). Conclusion. Our results suggest that a training programme using force platform visual biofeedback improves objective measures of bilateral postural stability in patients with hemiplegia and/or ataxia after stroke.
- Depressão e ansiedade na revaliazação do hemiplégico de causa vascularPublication . Laíns, J; Oliveira, RA; Caldas, J; Azenha, A; Keating, J
- Hemiplegia e amputação: avaliação funcionalPublication . Laíns, J; Azenha, A; Caldas, J
- Reacções à situação de doença no síndrome do hemiplégicoPublication . Oliveira, RA; Laíns, J