Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Saúde e Sociedade (Online) |
Texto Completo: | https://www.revistas.usp.br/sausoc/article/view/29787 |
Resumo: | The aim of this paper is to describe the effects of early physical therapy intervention on two children with pectus excavatum (PEX), according to analysis of postural parameters and features on chest radiograph. We conducted a case study with two children with PEX who were regularly followed up by the physiotherapy team of a university hospital. One of the cases was a girl aged one year and eight months with PEX broad type in the symmetrical deformity, and the second was a boy aged ten months with PEX broad type in the acute symmetric deformity. The treatment protocol was constituted of stretching of the pectoralis and serratus muscles, strengthening of the abdominal muscle, negative pressure maneuvers and follow up with guidance at home. An improvement in the infants' depression of the sternum and in the postural pattern was observed by means of the chest radiograph, without progression of PEX in both cases. We conclude that early intervention of physiotherapy in these two cases seemed to slow the progression of PEX, minimizing deformities. However, the effects of this therapy need to be addressed with better methodological quality, with larger samples and more precise evaluation methods, providing more substantial evidence for the physical therapy monitoring of children's PEX. |
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Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics Intervenção precoce da fisioterapia no péctus excavatum: dois casos clinicos em pediatria PediatriaAlteração TorácicaFisioterapiaPéctus ExcavatumPediatricsChest ModificationPhysiotherapyPectus Excavatum The aim of this paper is to describe the effects of early physical therapy intervention on two children with pectus excavatum (PEX), according to analysis of postural parameters and features on chest radiograph. We conducted a case study with two children with PEX who were regularly followed up by the physiotherapy team of a university hospital. One of the cases was a girl aged one year and eight months with PEX broad type in the symmetrical deformity, and the second was a boy aged ten months with PEX broad type in the acute symmetric deformity. The treatment protocol was constituted of stretching of the pectoralis and serratus muscles, strengthening of the abdominal muscle, negative pressure maneuvers and follow up with guidance at home. An improvement in the infants' depression of the sternum and in the postural pattern was observed by means of the chest radiograph, without progression of PEX in both cases. We conclude that early intervention of physiotherapy in these two cases seemed to slow the progression of PEX, minimizing deformities. However, the effects of this therapy need to be addressed with better methodological quality, with larger samples and more precise evaluation methods, providing more substantial evidence for the physical therapy monitoring of children's PEX. O objetivo deste trabalho é descrever os efeitos da intervenção fisioterapêutica precoce em duas crianças com péctus excavatum (PEX), segundo a análise de parâmetros posturais e aspectos de radiografia torácica. Realizou-se um estudo de caso com duas crianças com PEX, ambas acompanhadas regularmente pela equipe de fisioterapia de um hospital universitário, sendo um dos casos do gênero feminino, com um ano e oito meses e PEX do tipo amplo na deformidade simétrica, e o segundo do gênero masculino, com PEX do tipo amplo na deformidade simétrica aguda, com dez meses de idade. O protocolo de tratamento constituiu-se de alongamentos dos músculos peitoral e serrátil, fortalecimento do músculo abdominal, manobras de pressão negativa e seguimento com orientações domiciliares. Por radiografia torácica, observou-se melhora na depressão do esterno e no padrão postural dos lactentes, sem progressão do PEX nos dois casos. Concluímos que a intervenção precoce da fisioterapia nesses dois casos pareceu retardar a evolução do PEX, minimizando as deformidades. No entanto, os efeitos dessa terapêutica precisam ser investigados com melhor qualidade metodológica, com amostras maiores e mais métodos precisos de avaliação, viabilizando evidências mais substanciais no acompanhamento fisioterapêutico do PEX infantil. Universidade de São Paulo. Faculdade de Saúde Pública2011-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/sausoc/article/view/2978710.1590/S0104-12902011000100025Saúde e Sociedade; v. 20 n. 1 (2011); 257-262 Saúde e Sociedade; Vol. 20 No. 1 (2011); 257-262 Saúde e Sociedade; Vol. 20 Núm. 1 (2011); 257-262 1984-04700104-1290reponame:Saúde e Sociedade (Online)instname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/sausoc/article/view/29787/31668Schivinski, Camila Isabel SantosRichiardi, JaniallyReis, Juliana Thais da SilvaAntonelli, MilenaRibeiro, Maria Ângela Gonçalves de Oliveirainfo:eu-repo/semantics/openAccess2012-07-05T01:42:25Zoai:revistas.usp.br:article/29787Revistahttp://www.scielo.br/sausocPUBhttps://old.scielo.br/oai/scielo-oai.phpsaudesoc@usp.br||lena@usp.br1984-04700104-1290opendoar:2012-07-05T01:42:25Saúde e Sociedade (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics Intervenção precoce da fisioterapia no péctus excavatum: dois casos clinicos em pediatria |
title |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
spellingShingle |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics Schivinski, Camila Isabel Santos Pediatria Alteração Torácica Fisioterapia Péctus Excavatum Pediatrics Chest Modification Physiotherapy Pectus Excavatum |
title_short |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
title_full |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
title_fullStr |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
title_full_unstemmed |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
title_sort |
Early intervention of physiotherapy in pectus excavatum: two clinical cases in pediatrics |
author |
Schivinski, Camila Isabel Santos |
author_facet |
Schivinski, Camila Isabel Santos Richiardi, Janially Reis, Juliana Thais da Silva Antonelli, Milena Ribeiro, Maria Ângela Gonçalves de Oliveira |
author_role |
author |
author2 |
Richiardi, Janially Reis, Juliana Thais da Silva Antonelli, Milena Ribeiro, Maria Ângela Gonçalves de Oliveira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Schivinski, Camila Isabel Santos Richiardi, Janially Reis, Juliana Thais da Silva Antonelli, Milena Ribeiro, Maria Ângela Gonçalves de Oliveira |
dc.subject.por.fl_str_mv |
Pediatria Alteração Torácica Fisioterapia Péctus Excavatum Pediatrics Chest Modification Physiotherapy Pectus Excavatum |
topic |
Pediatria Alteração Torácica Fisioterapia Péctus Excavatum Pediatrics Chest Modification Physiotherapy Pectus Excavatum |
description |
The aim of this paper is to describe the effects of early physical therapy intervention on two children with pectus excavatum (PEX), according to analysis of postural parameters and features on chest radiograph. We conducted a case study with two children with PEX who were regularly followed up by the physiotherapy team of a university hospital. One of the cases was a girl aged one year and eight months with PEX broad type in the symmetrical deformity, and the second was a boy aged ten months with PEX broad type in the acute symmetric deformity. The treatment protocol was constituted of stretching of the pectoralis and serratus muscles, strengthening of the abdominal muscle, negative pressure maneuvers and follow up with guidance at home. An improvement in the infants' depression of the sternum and in the postural pattern was observed by means of the chest radiograph, without progression of PEX in both cases. We conclude that early intervention of physiotherapy in these two cases seemed to slow the progression of PEX, minimizing deformities. However, the effects of this therapy need to be addressed with better methodological quality, with larger samples and more precise evaluation methods, providing more substantial evidence for the physical therapy monitoring of children's PEX. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/sausoc/article/view/29787 10.1590/S0104-12902011000100025 |
url |
https://www.revistas.usp.br/sausoc/article/view/29787 |
identifier_str_mv |
10.1590/S0104-12902011000100025 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/sausoc/article/view/29787/31668 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Saúde e Sociedade; v. 20 n. 1 (2011); 257-262 Saúde e Sociedade; Vol. 20 No. 1 (2011); 257-262 Saúde e Sociedade; Vol. 20 Núm. 1 (2011); 257-262 1984-0470 0104-1290 reponame:Saúde e Sociedade (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Saúde e Sociedade (Online) |
collection |
Saúde e Sociedade (Online) |
repository.name.fl_str_mv |
Saúde e Sociedade (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
saudesoc@usp.br||lena@usp.br |
_version_ |
1787713757344956416 |