Diagnosis and Treatment of Acute Exertional Rhabdomyolysis

Baxter, Richard E.; Moore, Josef H.

doi:10.2519/jospt.2003.33.3.104

Cited by 31 publications

(27 citation statements)

References 24 publications

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“…A number of examination tools were used to assess the functional limitations described by the patient. Active range of motion was measured and used as a guide for treatment based on the previous reports for treatment of acute exertional rhabdomyolysis, and because of patient subjective reports of decreased functional mobility (Baxter & Moore, 2003;Randall et al, 1996). It was suspected that the decrease of AROM was due to muscle weakness based on the primary diagnosis of statin-induced rhabdomyolysis.…”

Section: Discussionmentioning

confidence: 99%

“…The plan of care was based on the previous work of Randall et al, as well as Baxter and Moore (Baxter & Moore, 2003;Randall et al, 1996). Modifications were made to those treatments parameters to include both upper and lower extremities exercises from the beginning of care.…”

Section: Interventionsmentioning

confidence: 99%

“…Decreased muscle strength and endurance, loss of balance, and decreased AROM all impacted the patient's functional status in her occupation as a restaurant owner and her ability to participate in her family life. A plan of care based on previous work with military personal was modified to incorporate a whole body treatment approach and to address the balance deficits noted (Baxter & Moore, 2003;Randall et al, 1996).…”

Section: Clinical Impressionmentioning

confidence: 99%

“…At the time of initial evaluation, it was suspected that AROM would be decreased secondary to muscle based on the patient's subjective reports and medical diagnosis. AROM measurements were used to guide the progression of the intervention plan, based on the literature (Baxter & Moore, 2003;Randall et al, 1996). Intrarater reliability (r = 0.8-0.89) has been shown to be higher than interrater reliability (r = 0.58-0.86) for AROM measurements (Boone et al, 1978).…”

Section: Range Of Motionmentioning

confidence: 99%

“…Previous work has been done following acute exertional rhabdomyolysis in athletes and military personnel (Baxter & Moore, 2003;O'Connor, Brennan, Campbell, Heled, & Deuster, 2008;Randall, Butler, & Vance, 1996;Tietze & Borchers, 2014). A protocol based on the work of Randall et al has been used to treat acute exertional rhabdomyolysis due to intense push-up training, allowing the individual to return to physical activity (Baxter & Moore, 2003). The treatment program was broken into 4 phases.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Case Report: Rehabilitation of a 65 Year-Old Female with Statin-Induced Rhabdomyolysis

Swartz¹,

Cech²,

Evans³

et al. 2017

IJHS

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Statin-induced rhabdomyolysis is a debilitating condition of muscle breakdown that can lead to severe functional limitations. Prior reports of physical therapy treatment have focused on athletes and military personal following acute exertional rhabdomyolysis, however there is minimal information for treatment of statin-induced rhabdomyolysis in the geriatric population. A 65 year-old female with a diagnosis of rhabdomyolysis due to the interaction of atorvastatin and clarithromycin was seen in an out-patient orthopedic clinic for weakness, fatigue, and difficulty completing daily tasks. The treatment approach was adapted from work based on previous military programs in managing acute exertional rhabdomyolysis by decreasing the pace and intensity of the exercises to accommodate an elderly patient, but still maintaining a focus on achieving active range of motion before progressing to isotonic exercises and functional activities. Primary outcome measures included the Timed Up and Go (TUG), 6 Minute Walk Test (6MWT), and 5 Time Sit to Stand (5xSTS). By discharge all outcome measures demonstrated improvement and the patient was able to return to work.

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Section: Discussionmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Clinical Impressionmentioning

confidence: 99%