Proposal for a more effective chest physiotherapy treatment in the neuromuscular patient with copious secretions, bulbar dysfunction and ineffective cough: a case report

The physiotherapy literature pertaining to the treatment of cardiac surgery patients in the period 1977 to 1995 was reviewed. The purpose of this review was to analyse the results of the research and draw up guidelines for the physiotherapy treatment of cardiac surgery patients. This review revealed that there is no indication for routine chest physiotherapy in the uncomplicated cardiac surgery patient.

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COMBINED COGNITIVE-BEHAVIOURAL AND PHYSIOTHERAPY TREATMENT OF DIZZINESS: A CASE REPORT

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465898264083 ◽

1998 ◽

Vol 26 (4) ◽

pp. 365-369 ◽

Cited By ~ 1

Author(s):

Gerhard Andersson ◽

Lucy Yardley

Keyword(s):

Case Report ◽

Head Movement ◽

Provocation Test ◽

Questionnaire Data ◽

Physiotherapy Treatment ◽

Balance System ◽

Cognitive Behavioural ◽

Fear And Anxiety ◽

Balance Problems ◽

Positive Results

Dizziness is a distressing symptom that is often associated with fear and anxiety, as well as organic balance system dysfunction. We report here on the successful treatment of a 68-year-old woman with dizziness and balance problems. Treatment was given within a cognitive behavioural framework, but also included physiotherapy in the form of head movement exercises. Results were evaluated by a balance platform test, a behavioural provocation test and questionnaire data. Positive results were found in each of these three assessment domains.

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Case report

Revista Saúde e Inovação ◽

10.51208/journalofhi.v1i1.11 ◽

2020 ◽

Vol 1 (1) ◽

pp. 1-6

Author(s):

Talyta Cortez Grippe ◽

Ana Carolina Da Bouza Ferreira ◽

Ana Carolina Aguilar ◽

André Gustavo Fonseca Ferreira ◽

Manoel Wilkley Gomes Sousa ◽

...

Keyword(s):

Case Report ◽

Acetylcholine Receptors ◽

Postsynaptic Membrane ◽

Good Effect ◽

Medical Diagnoses ◽

Tongue Muscles ◽

Muscle Specific Kinase ◽

Pharmacological Testing ◽

Bulbar Dysfunction ◽

Positive Results

Myasthenia gravis (MG) is a rare autoimmune disease in which antibodies bind to acetylcholine receptors in the postsynaptic membrane at the neuromuscular junction. Muscle-specific kinase (MuSK) antibody-associated MG patients often have severe symptoms, including bulbar dysfunction, respiratory insufficiency, and atrophy of the facial and tongue muscles. Due to its fluctuating nature and the similarity to the symptoms other disorders MG is one of the most challenging medical diagnoses.Fluctuating character and the similarity of symptoms to those of other disorders make MG one of the most challenging medical diagnoses. Initial misdiagnosis of MuSK-MG can lead to worsening of symptoms. The diagnosis is confirmed by positive results on pharmacological testing, electrodiagnostictesting and serum antibodyassay. Symptomatic, immunoactive, and supportive approaches to therapy have very good effect and the prognosis is improved with precocious interventions.

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DUAL TASK COGNITIVE PERFORMANCE ALONG WITH CONVENTIONAL PHYSIOTHERAPY TREATMENT ON GAIT PARAMETERS IN PATIENTS WITH ISCHEMIC STROKE: A CASE REPORT

International Journal of Physiotherapy and Research ◽

10.16965/ijpr.2015.192 ◽

2015 ◽

Vol 3 (6) ◽

pp. 1284-1287

Author(s):

Pooja Kumari Digra ◽

◽

Manoj Kumar Deshmukh ◽

Divya Midha ◽

Yogita Verma ◽

...

Keyword(s):

Ischemic Stroke ◽

Case Report ◽

Cognitive Performance ◽

Dual Task ◽

Physiotherapy Treatment ◽

Gait Parameters ◽

Conventional Physiotherapy

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Combating a Case of COVID Pneumonia with ARDS – a Physiotherapist’s Standpoint

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i57b34074 ◽

2021 ◽

pp. 412-417

Author(s):

Chaithanya Ratheesh ◽

Aishwarya Nair

Keyword(s):

Case Report ◽

Ventilatory Support ◽

Treatment Protocol ◽

Respiratory Illness ◽

Supplemental Oxygen ◽

Multiple Organ ◽

Vital Role ◽

Correct Identification ◽

Physiotherapy Treatment ◽

Organ Systems

Introduction: Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus, affecting multiple organ systems. The disease usually presents as mild to moderate respiratory illness but in many cases has progressed to development of pneumonia and ARDS ultimately requiring ventilatory support and prolonged ICU stay. Prolonged immobilization itself is a harbinger of various complications drastically altering a patient’s functional status. Physiotherapy plays a vital role in the management of COVID-19 symptoms as well as in the prevention of complications. Case Study: This case report describes the progress of a 44-year old female patient diagnosed with COVID-19 presenting with subsequent pneumonia and ARDS. The patient was started with medical management and supplemental oxygen therapy. In combination to the above-mentioned protocols, physiotherapy treatment was also initiated. After 2 weeks of rehabilitation and drug therapy, the patient displayed improved respiratory function at room air and was able to independently ambulate with minimal breathing difficulty. Discussion: This case report aims to highlight the importance of early intervention of physiotherapy in COVID-19 patients. The scope of physiotherapy treatment in patients with COVID-19 pneumonia is vast. The treatment protocol adapted for this patient are in tune with the various research articles analysed to ensure evidence-based care. This will enable the healthcare professionals to ensure timely referral and early initiation of Physiotherapy treatment. Conclusion: As per the findings and results of this case report, it is evident that the patient benefited from the timely advent of physiotherapy intervention. The key factor was the correct identification of the problematic areas and accurate prioritization based on the clinical presentation and investigation findings

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The Implementation of Teleconsultations in a Physiotherapy Service During COVID-19 Pandemic in Brazil: A Case Report

International Journal of Telerehabilitation ◽

10.5195/ijt.2021.6368 ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Thaiana B.F. Pacheco ◽

Dayse A. Bezerra ◽

João Pedro de S. Silva ◽

Ênio W. A. Cacho ◽

Clécio G. De Souza ◽

...

Keyword(s):

Case Report ◽

Tibial Plateau ◽

Tibial Plateau Fracture ◽

Digital Tools ◽

Management Tool ◽

Self Management ◽

Adherence To Treatment ◽

Physiotherapy Treatment ◽

Peripheral Facial Paralysis ◽

Plateau Fracture

Introduction: The Brazilian Council of Physiotherapy and Occupational Therapy regulated the use of teleconsultation during the COVID-19 pandemic, creating uncertainty about its use in Brazil. Objective: To describe the experience of teleconsultations during the COVID-19 pandemic. Methods: Four patients participated in the study with the following diagnoses: Parkinson’s disease, stroke, peripheral facial paralysis, and tibial plateau fracture. Patients underwent up to 10 physiotherapy sessions via digital tools. The 5-A self-management tool (Assess, Advise, Agree, Assist, Arrange) guided the sessions. Results: The teleconsultation type varied between synchronous (n = 1; 25%); asynchronous (n = 2; 50%) and synchronous/asynchronous (n = 1; 25%). There was 75% (n = 3) adherence and one withdrawal (25%). As the benefits of teleconsultations, the patients pointed out the convenience, maintenance of the exercises, and contact with the professional. The reported limitations were the lack of the use of physiotherapeutic devices. Conclusion: Teleconsultations contribute to the continuity of physiotherapy treatment during social isolation. Adherence to treatment was facilitated by access to the technology and by offering patients the choice of teleconsultation type.

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Case report

Revista Saúde e Inovação ◽

10.51208/saudeinovacao.v1i1.11 ◽

2020 ◽

Vol 1 (1) ◽

pp. 1-6

Author(s):

Talyta Cortez Grippe ◽

Ana Carolina Da Bouza Ferreira ◽

Ana Carolina Aguilar ◽

André Gustavo Fonseca Ferreira ◽

Manoel Wilkley Gomes Sousa ◽

...

Keyword(s):

Case Report ◽

Acetylcholine Receptors ◽

Postsynaptic Membrane ◽

Good Effect ◽

Medical Diagnoses ◽

Tongue Muscles ◽

Muscle Specific Kinase ◽

Pharmacological Testing ◽

Bulbar Dysfunction ◽

Positive Results

Myasthenia gravis (MG) is a rare autoimmune disease in which antibodies bind to acetylcholine receptors in the postsynaptic membrane at the neuromuscular junction. Muscle-specific kinase (MuSK) antibody-associated MG patients often have severe symptoms, including bulbar dysfunction, respiratory insufficiency, and atrophy of the facial and tongue muscles. Due to its fluctuating nature and the similarity to the symptoms other disorders MG is one of the most challenging medical diagnoses.Fluctuating character and the similarity of symptoms to those of other disorders make MG one of the most challenging medical diagnoses. Initial misdiagnosis of MuSK-MG can lead to worsening of symptoms. The diagnosis is confirmed by positive results on pharmacological testing, electrodiagnostictesting and serum antibodyassay. Symptomatic, immunoactive, and supportive approaches to therapy have very good effect and the prognosis is improved with precocious interventions.

Download Full-text