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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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European Journal of Physical and Rehabilitation Medicine 2014 February;50(1):25-30

language: English

Rehabilitation for Charcot Marie tooth: a survey study of patients and familiar/caregiver perspective and perception of efficacy and needs

Padua L. 1, 2, Pazzaglia C. 1, Schenone A. 3, Ferraro F. 4, Biroli A. 5, Esposito C. 6, Pareysonv D. 7

1 Neurology, Department of Neuroscience, Don Carlo Gnocchi Onlus Foundation, Milan, Italy;
2 Neurophysiology, Department Of Geriatrics, Neuroscience and Orthopedics, Università Cattolica del Sacro Cuore, Rome, Italy;
3 Neurology, Department of Neuroscience, Ospedale San Martino Genova, Genoa, Italy;
4 Rehabilitation, Department of Physical Medicine and Rehabilitation, Azienda Ospedaliera di Bozzolo, Mantova, Italy;
5 Rehabilitation, Department of Neurological Rehabilitation and Autonomic Function, Ospedale San Giovanni Bosco, Turin, Italy;
6 Rehabilitation, Department of Charcot‑Marie‑Tooth Rehabilitation, Ospedale Spolverini di Ariccia, Rome, Italy;
7 Neurology, Department of Neuroscience, Ospedale C. Besta, Milan, Italy


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Background: Charcot Marie Tooth (CMT) disease is the most common inherited polyneuropathy. At the moment there is no pharmacological therapy for this pathology and the conservative treatment is mostly based on rehabilitation program. Moreover there is no medical consensus on it and the perception of its efficacy is mostly clinician-oriented.
Aim: To evaluate, through ad hoc self-administered questionnaires, the patient and family/caregiver perspective on rehabilitation access and perceived benefit from it.
Design: Observational survey study.
Setting: Clinical and genetic records of in and out-patients of third level hospitals and a patients association (ACMT-Rete) and familiar/caregiver.
Population: Patients affected by CMT and familiar/caregiver.
Results: Questionnaires showed that patients perceive physical and mental benefit from rehabilitation, but also perceived that do not perform the best rehabilitation program for their pathology. Familiar and caregiver, are not sure that rehabilitation is effective for their kin, probably because the benefits are too small to be seen by someone other than the patient.
Conclusion: The study shows as the lack of a consensus on rehabilitation tailored on CMT patients need is perceived by patients and familiar/caregiver.
Clinical Rehabilitation Impact: The knowledge of patients perception is very important in order to obtain the best rehabilitation program for CMT disease.

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lpadua@rm.unicatt.it