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Physiotherapy in HIV

A O Ifesanya, O J Ogundele, A A Anejukwo
BACKGROUND: Bilateral posterior dislocation of the shoulders is rare and may result from a seizure. A 48 year-old HIV-positive man who presented eight weeks after bilateral posterior shoulder dislocation and bilateral fractures of the surgical necks of both humeri is reviewed. He was treated with an algesics and physiotherapy and was able to return to work after 9 months. CONCLUSION: The rarity of this lesion, its late presentation, the importance of a high index of suspicion in making the diagnosis and the fair outcome of non-operative treatment informed this report...
September 2015: African Journal of Medicine and Medical Sciences
Darren Brown, Austin Claffey, Richard Harding
HIV is characterised by episodes of disability. We report a novel, hospital outpatient rehabilitation intervention, combining physiotherapy-led group exercise and education for people living with HIV (PLWH). This observational study evaluated routine delivery of the 10-week intervention in terms of referral patterns, rehabilitation goals, intervention adherence and change in patient outcomes. Measurements at baseline & 10 weeks included locomotor performance (6 minute walk test; 6MWT), flexibility, upper and lower limb strength and health related quality of life (HRQOL)...
June 5, 2016: AIDS Care
N Zwetyenga, L-A See, J Szwebel, M Beuste, M Aragou, C Oeuvrard, D Martin, A Emparanza
Noma is a necrotizing ulcerative stomatitis known since Antiquity. It occurs mostly in poor countries, the Sahel countries being the most affected. Each year, several hundred thousand cases are reported. Noma affects especially malnourished children who are less than 6 years old and rarely adults with acquired immunodeficiency (HIV, cancer). Ulcerative lesion is occurring rapidly due to the production of endotoxins by bacteria from oral commensal, telluric and animal origin. Necrotic debridement leads to huge defects: loss of soft tissue (skin, nerves, vessels, eye), bone (maxilla, mandible) and teeth...
September 2015: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
E O Oranu, J D Ojule, C F Mmom
BACKGROUND: Uterovaginal prolapse in pregnancy is an infrequent but potentially harmful condition when not properly handled. There is no standard guideline on its management; however discretion is used to treat individual case on its merit. Vaginal delivery is possible but elective caesarean section seems a better alternative. METHOD: We present the case records of 24 year old Gravid 2 Para 1 + 0 (alive) who presented in labour with a second degree uterovaginal prolapse at term...
January 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Jill Hanass-Hancock, Hellen Myezwa, Stephanie A Nixon, Andrew Gibbs
PURPOSE: HIV-related disability is an emerging issue in countries where HIV is endemic. This study aimed to understand experiences of disability in patients living with HIV in South Africa using the International Classification of Functioning, Disability and Health (ICF) as a guiding framework. METHODS: In-depth interviews were conducted with 19 HIV-positive people receiving ART through a public hospital in KwaZulu-Natal. Data were analyzed using collaborative qualitative content analysis...
2015: Disability and Rehabilitation
Babatunde Gbolahan Ogundunmade, Unyime Sunday Jasper
BACKGROUND: Bilateral facial nerve palsy is a relatively rare presentation and often points to a serious underlying medical condition. Several studies have reported presentation of bilateral facial nerve palsy in association with Lyme disease, Guillain-Barre syndrome, systemic lupus erythematosus, human immunodeficiency virus, sarcoidosis, diabetes and Hanson disease. While unilateral facial nerve palsy is sometimes associated with hemiplegia in sickle cell patients, no case of bilateral facial nerve palsy have been reported in the literature...
2014: BMC Research Notes
Sara D Pullen, Nnenna Nina Chigbo, Emmanuel Chukwudi Nwigwe, Chinwe J Chukwuka, Christopher Chim Amah, Stanley C Idu
BACKGROUND: The advent of highly active antiretroviral therapy has dramatically extended the life expectancy of people living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. Despite this increased longevity, HIV disease and its pharmacological treatment can cause long-term and acute health complications, many of which can be treated successfully by physiotherapy. The purpose of this paper is to report the effect of a 12-week rehabilitation program on several health-related markers in a 43-year-old woman living with HIV...
2014: HIV/AIDS: Research and Palliative Care
A Fromont, M-N Lehanneur, F Rollot, A Weill, L Clerc, C Bonithon Kopp, C Binquet, T Moreau
Multiple sclerosis (MS) is one of the 30 chronic conditions specifically listed by the French healthcare system as a long-term disease (affections de longue durée [ALD]) for which the main health insurance fund (Caisse nationale d'assurance maladie des travailleurs salariés [CNAMTS]) provides full (100%) coverage of healthcare costs. The CNAMTS insures 87% of the French population (52,359,912 of the 60,028,292 inhabitants). The objectives of this study were to evaluate the direct and indirect medical costs of MS among the entire population insured by the CNAMTS in France in 2004...
June 2014: Revue Neurologique
Saul Cobbing, Jill Hanass-Hancock, Margaret Deane
PURPOSE: The purpose of this study was to describe the experiences of people living with HIV (PLHIV) who had undergone a physiotherapy-led rehabilitation programme, with the aim of informing and improving future rehabilitation. METHODS: The study population included patients living with HIV who were referred for physiotherapy rehabilitation at a public-funded KwaZulu-Natal hospital. Eight participants were considered for final analysis in the study. A qualitative research design was adopted using in-depth interviews to explore their experiences of their rehabilitation programme...
2014: Disability and Rehabilitation
Somayeh Ansari Moghadam, Sharie Faghihi, Reza Amid, Mahdi Kadkhodazadeh, Shabnam Khaje Hosseini
UNLABELLED: Aplastic anemia (AA) is a rare but extremely serious disorder that results from an unexplained failure of the bone marrow to produce blood cells. Patients with AA are at high risk for infections, including periodontitis. Treatment modalities are complicated by bleeding disorders. This is a case report of the successful periodontal and prosthesis treatment in a patient with AA, chronic diffuse gingivitis, excessive tooth caries that interfered with mastication, painful oral lesions, and limited mouth opening...
April 2012: Compendium of Continuing Education in Dentistry
Stanley M Maduagwu, Antoninus O Ezeukwu, Ismaila A Saidu, Bukola J Sangodeyi, Olabode A Jaiyeola
AIMS AND OBJECTIVES: The study investigated some co-morbidities, and age, gender and occupational distribution of stroke survivors seen in the Physiotherapy clinic of University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria; A 3-year retrospective study (January, 2008 to December, 2010). PATIENTS AND METHODS: A total of 236 case notes of stroke survivors referred to the Physiotherapy clinic within the period of study were obtained and reviewed...
December 2012: Nigerian Postgraduate Medical Journal
Krystyna Zawilska, Maria Podolak-Dawidziak
Since the introduction of clotting factor concentrates, the life expectancy of patients with hemophilia has increased from 40 years in the 1960s to 60 or even 70 years today. In Poland, almost all elderly patients with hemophilia have arthropathy, the majority are infected with hepatitis C virus (HCV), and some even with hepatitis B or human immunodeficiency virus. Liver cirrhosis associated with HCV infection develops within 15 to 20 years in 20% to 30% of these patients. Coexistent diseases related to aging and affecting the heart, kidneys, and other organs constitute another challenge...
2012: Polskie Archiwum Medycyny Wewnętrznej
P Hepple, N Ford, R McNerney
BACKGROUND: Resource-limited settings rely on sputum examination using microscopy to diagnose tuberculosis (TB); however, the sensitivity of the test is poor and case detection rates are low. Sputum induction is proposed as a way to improve sample collection and enhance test sensitivity. OBJECTIVE: To undertake a systematic review of studies comparing microscopy and culture sensitivity in induced sputum samples. METHODS: We ran duplicate searches of databases (up to August 2011) and searchable websites of major human immunodeficiency virus (HIV) and TB conferences (up to November 2010) to identify studies comparing the performance of microscopy compared to culture on induced sputum samples, with culture as the reference standard...
May 2012: International Journal of Tuberculosis and Lung Disease
W Y Au, Vincent Lee, Bonnie Kho, Alvin S C Ling, Desmond Chan, Eric Y T Chan, Godfrey C F Chan, Winnie W W Cheung, C W Lau, C Y Lee, Rever C H Li, C K Li, S Y Lin, Vivien Mak, Lina Sun, Kris H F Wong, Raymond Wong, Jeffrey Yau, H L Yuen
OBJECTIVE: To provide a synopsis of current haemophilia care in Hong Kong. DESIGN: Retrospective survey. SETTING: All haematology units of the Hospital Authority in Hong Kong. PATIENTS: All patients with haemophilia A and haemophilia B. RESULTS: To date, there were 222 mild-to-severe haemophilia patients (192 type A, 30 type B) under regular public care in Hong Kong (43% were considered severe, 33% moderate, and 24% mild), which gave a crude prevalence of 6...
June 2011: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Senthil P Kumar, Anand Jim
Physiotherapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation. Physical therapists practice in a broad range of inpatient, outpatient, and community-based settings such as hospice and palliative care centers where as part of a multidisciplinary team of care, they address the physical and functional dimensions of the patients' suffering. Physiotherapy treatment methods like therapeutic exercise, electrical modalities, thermal modalities, actinotherapy, mechanical modalities, manual physical therapy and assistive devices are useful for a range of life-threatening and life-limiting conditions like cancer and cancer-associated conditions; HIV; neurodegenerative disorders like amyotrophic lateral sclerosis, multiple sclerosis; respiratory disorders like idiopathic pulmonary fibrosis; and altered mental states...
September 2010: Indian Journal of Palliative Care
Andrea Petróczi, Kim Hawkins, Gareth Jones, Declan P Naughton
BACKGROUND: Benefits of exercise for HIV-infected persons have been documented, although in clinical practice, diminished adherence to exercise limits the effectiveness of this auxiliary treatment. Exercise intervention studies carry the caveat that the results are limited to volunteers with good compliance and completion profiles. OBJECTIVES: This study aimed to identify characteristics contributing to adherence vs non-adherence to prescribed supervised 10-week 75-minute aerobic and progressive resistance exercise programme in a clinical setting that requires twice-weekly attendance at the physiotherapy gym...
2010: Open AIDS Journal
D J Bell, R Dacombe, S M Graham, A Hicks, D Cohen, T Chikaonda, N French, M E Molyneux, E E Zijlstra, S B Squire, S B Gordon
SETTING: Detection of smear-positive pulmonary tuberculosis (PTB) cases is vital for tuberculosis (TB) control. Methods to augment sputum collection are available, but their additional benefit is uncertain in resource-limited settings. OBJECTIVE: To compare the diagnostic yields using five methods to obtain sputum from adults diagnosed with smear-negative PTB in Malawi. DESIGN: Self-expectorated sputum was collected under supervision for microscopy and mycobacterial culture in the study laboratory...
January 2009: International Journal of Tuberculosis and Lung Disease
Nicole Baillieu, Joanne Potterton
PURPOSE: The aim of this study was to determine the extent of delay in acquisition of language, cognitive, and motor skills of children infected with human immunodeficiency virus (HIV). METHODS: Forty HIV-positive, antiretrovirus-naive children aged 18 to 30 months attending the Harriet Shezi Pediatric HIV clinic at Chris Hani Baragwanath Hospital, Johannesburg, South Africa, were assessed using the Bayley Scales of Infant Development II (BSID II). The facet scoring section was used to descriptively analyze cognitive, language, and motor development...
September 2008: Journal of Neurologic Physical Therapy: JNPT
Christopher S Kovacs
A recent case series from Australia suggested that children with hemophilia may be more likely to have low bone density or osteopenia than healthy controls. This finding has led to uncertainty among patients and their physicians as to whether treatment with bisphosphonates is indicated to treat osteopenia and prevent osteoporosis in children or young adults with hemophilia. In fact, several studies confirmed that selected patients with hemophilia were shorter, weighed less, had reduced physical activity, and had other factors (hepatitis C and HIV seropositivity) which predict lower peak bone mass...
February 2008: Transfusion and Apheresis Science
V Souza Pinto, R H Bammann
SETTING: A public referral hospital in Sao Paulo, Brazil. OBJECTIVE: To evaluate chest physiotherapy as a means of obtaining sputum samples from human immunodeficiency virus (HIV) positive in-patients suspected of having pulmonary tuberculosis (TB). DESIGN: A prospective study. MATERIAL AND METHODS: Five consecutive samples were collected from 132 patients using the 'spontaneous' technique (ST) on day 1, slow expiration with the glottis open in a lateral posture ('expiration lente totale glotte ouverte en infralatéral', ELTGOL) on day 2, ST on day 3, sputum induction with hypertonic saline (SIHS) on day 4 and ST on day 5...
December 2007: International Journal of Tuberculosis and Lung Disease
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