Obstetric brachial plexus palsy (OBPP) is a clinical situation induced by the damage to the plexus brachialis and the branches originating from its location. While the diagnosis of OBPP can be made with a detailed examination performed right after the baby is born, it may limit the daily life activities of the child throughout his/her life when the situation noticed at a late stage. Treatment for OBPP can be grouped as conservative treatment, palliative surgery during conservative treatment, surgical therapy and late period treatment. In addition to all these, the physical therapy and rehabilitation processes are initiated for the patient from the moment the patient is diagnosed. The aim of the study is to reveal the importance of the early physiotherapy and rehabilitation program and the significance of the regular exercise program not neglected after a series of operations, in OBPP treatment. In this case presentation, we will present a 9-year treatment program, physiotherapy and rehabilitation period of a female patient with OBPP diagnosed at the time of birth, and her condition before and after this process.
A 5-year-old girl with Ataxia Telangiectasia applied to our rehabilitation center due to balance and coordination problems. Step length, double step length, step width and cadence were calculated in the patient and the distance parameters and the time of the walk were examined. The balance of the patient was also evaluated using the pediatric balance scale. We can say that balance and coordination exercises performed in patients with Ataxia Telangiectasia together with the treatment increase the functionality of the daily life activities of the patient and increase the balance and coordination, and this contributes significantly to the comfort of the patient's daily life.
Chromosome 1q duplication is one of the rare congenital anomalies accompanied by numerous visceral organ anomalies, dysmorphism, and psychomotor retardation. Our case is an 8-year-old male patient with 1q31.3q42.12 trisomy. The patient was brought to our rehabilitation center because he couldn't able to go up and down stairs and slopes without support also he couldn't run and jump. The patient receives physical therapy service for kyphotic posture, speech therapy for speech and drooling problems, and special education support for mild cognitive impairment. Our aim is to describe the dysmorphic features and posture examination of an 8-year-old male patient with chromosome 1q31.3q42.12 trisomy. In lateral, anterior and posterior posture examination, various anatomic and dysmorphic problems were observed on the patient. To improve the life quality and comfort of the patient, it should be prepared necessary treatment plans for this patients.
The aim of our study is to determine the potential degree of the deformity that may occur on the healthy foot, which is often neglected during treatment, in the case that the patient can walk independently, by evaluating the feet, the affected and healthy side of patients with hemiplegic type CP. Methods13 females and 15 males, aged between 3 and 19, diagnosed with hemiplegic type CP were included in the study. A foot examination was done with a feiss line to determine the patient's foot deformity. The midpoint of the patient's malleolus medialis and the midpoint of their first metatarsophalangeal joint were connected with a straight line. Tuberositas ossis navicularis in the os naviculare was also marked and detected, and its perpendicular distance to the straight line was approximately measured in centimeters with a soft tape measure. These measurements were repeated on both feet. Results13 of the participants in the study were females and 15 of them were males. 12 of the patients had right side hemiplegic type CP, while 16 of them had left side hemiplegic type CP. 17 of the patients could walk independently, 11 could walk with support or an assisting device or could only stand but not actively walk. The age average of the patients was 14.5; 42.9% of them were under the age of 10 and 57.1% of them were 10 years old and above. While a significant difference was not encountered between the left foot measurements when the patients' walking status and foot measurements were compared, there was a significant difference between the average measurements of the right foot. It was seen that as age increased, the measurement values of the right and left feet linearly increased as well. ConclusionIt could be concluded that the existing deformities on the affected side can worsen over time, and a new deformity may ensue on the healthy side over time as well. We think that deformities can advance quicker especially in cases who can walk, due to the effectiveness of their muscle weaknesses, and that these situations must definitely be evaluated in the treatment program.
Colorectal cancer is one of the most common types of cancer after breast, prostate and lung cancer accounts for approximately 10%-15% of all cancer types. 1 The cancer is the most common among gastrointestinal organs and it is a type of cancer with a high malignancy. 2 Colorectal cancers are more common in men than in women.Although the reason for this is not fully understood, the idea that hormonal changes and exposure to risk factors are higher in the male gender is predominant. This cancer, whose incidence increases with increasing age that is less likely to occur under the age of 50. 3 The most important symptom in colorectal cancers is the change in defecation habits. In addition fatigue, weight loss, loss of appetite, abdominal pain, increase or decrease in bowel movements and bleeding findings are also accompanied. 4
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