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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 Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 1998 March;34(1):39-43

language: English

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


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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.

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