Search

Background: Post-essential thrombocythemia myelofibrosis is a chronic myeloproliferative neoplasm. Thrombosis and hemorrhages are complications of essential thrombocytemia caused by quantitative and qualitative alteration of platelet. The incidence of thrombotic and haemorrhagic 'major' events at diagnosis is respectively 7% and 4%. The results of these episodes can be severely disabling. Purpose: The purpose of this study is to present a interprofessional and unusual intervention that provides for the integration of the methods Affolter and Hobart in a person affected by Post-Essential Thrombocythemia Myelofibrosis with of ponto-cerebellar ischemic stroke. Study Design: Case Report Methods: We report a case of a 38 years old woman, hospitalized for a period of one year at the Medical Rehabilitation Unit of a Hospital in Emilia Romagna. The intervention of the integration methods Affolter and Hobart was performed once a week for a period of eight months through collaboration between a physiotherapist and a psychologist. The Outcomes examined concerning communication, motor, functional skills of the patient and were measured every month, through rating scales provided by the protocol of ' Network GRACER' (Severe Brain Emilia Romagna) as the Levels of Cognitive Functioning (LCF), the Functional Indipendence Measure (FIM™), the Barthel Index e la Disability Rating Scale (DRS). The tactile and proprioceptive sensibility were also evaluated. Results: At the end of the treatment period all outcomes showed positive changes. Discussion and Conclusions: The positive results of this study suggest that the integration of the methods Affolter and Hobart might be an effective therapeutic strategy for critically ill patients, with a state of minimum responsiveness and restricted movement. They also suggest that the presence of an interdisciplinary team of professionals is crucial in achieving improvement targets in complex patient. [ABSTRACT FROM AUTHOR]

Copyright of Scienza Riabilitativa is the property of Associazione Italiana Fisioterapisti and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)