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Rehabilitation of a pediatric achondroplasia patient – Case report
1
Department of Nursing, Faculty of Health Science, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland
2
Department of Rehabilitation, Regional Specialized Children's Hospital in Olsztyn, Poland
3
Department of Rehabilitation, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland.
Submission date: 2018-08-29
Acceptance date: 2018-10-01
Online publication date: 2018-12-15
Publication date: 2019-06-30
Corresponding author
Alicja Warmowska-Dawid
Department of Nursing, Faculty of Health Science, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland, Oczapowskiego 2, 10-719 Olsztyn, Poland. Tel.: +4889 539 32 83.
Department of Nursing, Faculty of Health Science, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland, Oczapowskiego 2, 10-719 Olsztyn, Poland. Tel.: +4889 539 32 83.
Pol. Ann. Med. 2019;26(1):55–59
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Achondroplasia is the most common non-lethal osteochondrodysplasia characterized by macrocephaly, frontal bossing and depressed nasal bridge, disproportionate short stature, bowing of the lower legs, rhizomelia and trident hands.
Aim:
The aim of this work is to present a clinical case of a achondroplasia patient and effects of early rehabilitation.
Case study:
A 3-month-old female infant was admitted to our hospital due to insufficient weight gain. Patient was diagnosed with achondroplasia. Due to the truncal hypotonia and right torticollis, between 4. and 24. month of age, rehabilitation according to Vojta method and Bobath concept was conducted.
Results and discussion:
Patient was diagnosed with delayed motor development in comparison to healthy children population. With the use of achondroplasia developmental recording forms psychomotor development was found to be harmonic and normal for this disease entity. As a result of rehabilitation normalization of muscle tone and correction of head position was achieved in the seventh month of age.
Conclusions:
(1) Children with achondroplasia require early rehabilitation adapted to the delay in the certain stage of development. (2) In the assessment of psychomotor development and effects of rehabilitation “achondroplasia developmental recording forms” prove to be useful. (3) Its widespread use by clinicians should be recommended. (4) Development of rehabilitation guidelines for achondroplasia patients requires multicenter cooperation.
Achondroplasia is the most common non-lethal osteochondrodysplasia characterized by macrocephaly, frontal bossing and depressed nasal bridge, disproportionate short stature, bowing of the lower legs, rhizomelia and trident hands.
Aim:
The aim of this work is to present a clinical case of a achondroplasia patient and effects of early rehabilitation.
Case study:
A 3-month-old female infant was admitted to our hospital due to insufficient weight gain. Patient was diagnosed with achondroplasia. Due to the truncal hypotonia and right torticollis, between 4. and 24. month of age, rehabilitation according to Vojta method and Bobath concept was conducted.
Results and discussion:
Patient was diagnosed with delayed motor development in comparison to healthy children population. With the use of achondroplasia developmental recording forms psychomotor development was found to be harmonic and normal for this disease entity. As a result of rehabilitation normalization of muscle tone and correction of head position was achieved in the seventh month of age.
Conclusions:
(1) Children with achondroplasia require early rehabilitation adapted to the delay in the certain stage of development. (2) In the assessment of psychomotor development and effects of rehabilitation “achondroplasia developmental recording forms” prove to be useful. (3) Its widespread use by clinicians should be recommended. (4) Development of rehabilitation guidelines for achondroplasia patients requires multicenter cooperation.
ACKNOWLEDGEMENTS
The authors wish to thank the mother of the patient for her co-operation and support and for providing the consent for the publication.
FUNDING
No funding was received.
CONFLICT OF INTEREST
The authors report no conflict of interest.
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