OLGU SUNUMU: AKONDROPLAZİ TANILI HASTANIN FİZİK TEDAVİ VE RAHABİLİTASYON SÜRECİ

Sevda Canbay Durmaz, Ümran Güven, Ali Canbay, Davut Özbağ, Selma SOLGUN DAĞ
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Abstract

ABSTRACT: Achondroplasia is an autosomal dominant disorder. But 80% of cases are sporadic. Its incidence is between 1/25000 and 1.5/10000. Significant shortening of the femur and humerus occurs in patients with achondroplasia. This shortness causes the appearance of rhizomelic type of dwarfism. Since the skull of patients with achondroplasia is large during delivery, it may cause difficult delivery. During infancy, hypotonia is more dominant. Many patients also have delayed motor development. Our aim in the study is to present the successful physical therapy and rehabilitation process of our patient diagnosed with achondroplasia for one year and her condition from diagnosis to treatment. Our patient is 3500kg who was born by cesarean section on 12.02.2020. weight was a baby girl. The mother's height was 162 cm. and the father's height was 174 cm. The mother was 23 years old and the father 27 years old. The same diagnosis was not present in any living relative of the patient. The patient was 1 year old when she applied to our center. She had completed head control and had not yet acquired the skills of rolling over, crawling, and sitting without support. Gross motor skills such as assisted standing and stepping were not developed. In this direction, after a 1-year physical therapy and rehabilitation period applied in 2 sessions a week, the patient gained the ability to walk independently.
病例报告:一名软骨发育不全患者的物理治疗和康复过程
摘要:软骨发育不全症是一种常染色体显性遗传疾病。但 80% 的病例为散发性。其发病率在1/25000到1.5/10000之间。软骨发育不全症患者的股骨和肱骨会明显缩短。这种短小会导致侏儒症的出现。由于软骨发育不全患者在分娩时头骨较大,可能会导致难产。在婴儿期,肌张力低下更为明显。许多患者还伴有运动发育迟缓。 我们的研究目的是介绍被诊断为软骨发育不全的患者一年来成功的物理治疗和康复过程,以及她从诊断到治疗的情况。 患者体重 3500 公斤,于 2020 年 2 月 12 日通过剖腹产出生,是一名女婴。母亲身高 162 厘米,父亲身高 174 厘米。母亲 23 岁,父亲 27 岁。患者在世的任何亲属都没有同样的诊断。患者向本中心提出申请时才 1 岁。她已经完成了头部控制,但还没有掌握翻身、爬行和无支撑坐立的技能。辅助站立和迈步等粗大运动技能也没有发展起来。在这种情况下,经过每周两次、为期 1 年的物理治疗和康复训练,患者获得了独立行走的能力。
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