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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
A Journal on Physical Medicine and Rehabilitation after Pathological Events
Official Journal of the , , , ,
In association with
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Europa Medicophysica 1998 March;34(1):39-43
The cerebral palsy patient with spastic tetraplegia and associated respiratory dysfunction
Bianchi C., Dal Brun A., Rossi S., Brambilla A.
Rehabilitation Division, Istituto Sacra Famiglia - Cesano Boscone (Milano), Italy
The survival of subjects with spastic tetraplegia (ST) has improved. Acute or chronic respiratory conditions are often secondary to false tracheal tracts and gastro-esophageal reflux (GER). The aim of this study was to assess the relationship between a clinical history of bronchopneumonitis and presence of false tracheal tracts or GER in 75 patients with ST and mental retardation (hospitalised and out-patients). Dynamic videofluoroscopic X-ray investigation with solid and liquid contrast medium was performed in all patients. Results showed the relatively frequent occurrence of false tracheal tracts and GER in the sample studied. There was no significant correlation between these findings and the clinical history of respiratory problems. The authors discuss why false tracheal tracts and GER should be considered in differential diagnosis in the causal interpretation of the respiratory problems of ST patients.