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Intensive physiotherapy with subsequent community-based rehabilitation: two cases of cerebral malaria in rural areas of Malawi
[Purpose] This study aimed to elucidate the effect of intensive physiotherapy and community-based rehabilitation on motor function for patients with cerebral malaria in the rural areas of Malawi. [Participants and Methods] The participants were 10- and 9-year-old children with cerebral malaria. At a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348175/ https://www.ncbi.nlm.nih.gov/pubmed/30774217 http://dx.doi.org/10.1589/jpts.31.112 |
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author | Konno, Kento Chibwana, Samuel Takata, Yuichi |
author_facet | Konno, Kento Chibwana, Samuel Takata, Yuichi |
author_sort | Konno, Kento |
collection | PubMed |
description | [Purpose] This study aimed to elucidate the effect of intensive physiotherapy and community-based rehabilitation on motor function for patients with cerebral malaria in the rural areas of Malawi. [Participants and Methods] The participants were 10- and 9-year-old children with cerebral malaria. At ages 8 and 6 years, they contracted malaria, and their motor function decreased to Gross Motor Function Classification System level III. They underwent intensive physiotherapy for 2 weeks administered by their mothers and volunteers, who were taught rehabilitation exercises. The improvements in the participants’ motor functions were assessed after completion of therapy and 2 months later. [Results] In case 1, no improvement was observed in the 88-item Gross Motor Function Measure (GMFM-88) score after intensive physiotherapy. However, after 2 months of intensive physiotherapy, the total score improved by 6% from 61% to 67%, and the scores for the target areas improved from 12% to 20%. In case 2, the total GMFM-88 score improved from 66% to 68% during physiotherapy and further improved from 68% to 78% after 2 months. The score for the target areas improved from 25% to 26% and further improved from 26% to 49% after 2 months. [Conclusion] The participants in this study achieved improvements in GMFM-88 score after receiving intensive rehabilitation by community members. The effect was more pronounced after 2 months than immediately after intensive physiotherapy. |
format | Online Article Text |
id | pubmed-6348175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-63481752019-02-15 Intensive physiotherapy with subsequent community-based rehabilitation: two cases of cerebral malaria in rural areas of Malawi Konno, Kento Chibwana, Samuel Takata, Yuichi J Phys Ther Sci Case Study [Purpose] This study aimed to elucidate the effect of intensive physiotherapy and community-based rehabilitation on motor function for patients with cerebral malaria in the rural areas of Malawi. [Participants and Methods] The participants were 10- and 9-year-old children with cerebral malaria. At ages 8 and 6 years, they contracted malaria, and their motor function decreased to Gross Motor Function Classification System level III. They underwent intensive physiotherapy for 2 weeks administered by their mothers and volunteers, who were taught rehabilitation exercises. The improvements in the participants’ motor functions were assessed after completion of therapy and 2 months later. [Results] In case 1, no improvement was observed in the 88-item Gross Motor Function Measure (GMFM-88) score after intensive physiotherapy. However, after 2 months of intensive physiotherapy, the total score improved by 6% from 61% to 67%, and the scores for the target areas improved from 12% to 20%. In case 2, the total GMFM-88 score improved from 66% to 68% during physiotherapy and further improved from 68% to 78% after 2 months. The score for the target areas improved from 25% to 26% and further improved from 26% to 49% after 2 months. [Conclusion] The participants in this study achieved improvements in GMFM-88 score after receiving intensive rehabilitation by community members. The effect was more pronounced after 2 months than immediately after intensive physiotherapy. The Society of Physical Therapy Science 2019-01-29 2019-01 /pmc/articles/PMC6348175/ /pubmed/30774217 http://dx.doi.org/10.1589/jpts.31.112 Text en 2019©by the Society of Physical Therapy Science. Published by IPEC Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Study Konno, Kento Chibwana, Samuel Takata, Yuichi Intensive physiotherapy with subsequent community-based rehabilitation: two cases of cerebral malaria in rural areas of Malawi |
title | Intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of Malawi |
title_full | Intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of Malawi |
title_fullStr | Intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of Malawi |
title_full_unstemmed | Intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of Malawi |
title_short | Intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of Malawi |
title_sort | intensive physiotherapy with subsequent community-based rehabilitation: two
cases of cerebral malaria in rural areas of malawi |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348175/ https://www.ncbi.nlm.nih.gov/pubmed/30774217 http://dx.doi.org/10.1589/jpts.31.112 |
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