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Rib fracture physiotherapy rehabilitation

P Soler Palacin, A Torrent, R Rossich, F A Moraga, D Yeste, J C CarreƱo, G Encabo, C Figueras
As a result of the increased incidence of osteopenia and osteoporosis in HIV-infected patients, numerous publications have suggested that there may be a link between bone metabolism alterations and HIV infection. The early bone loss seen in these patients was initially attributed to the use of highly active antiretroviral treatment (HAART) that included protease inhibitors. Recent studies, however, have suggested that it may be a direct consequence of the viral infection on bone metabolism, persistent activation of pro-inflammatory cytokines (TNFa), or altered vitamin D metabolism secondary to the virus, combined with subsequent factors (e...
August 2007: Journal of Pediatric Endocrinology & Metabolism: JPEM
S Bajuk, T Jelnikar, M Ortar
This paper describes the physiotherapy and occupational therapy used in treating a 74-year-old woman with a left brachial plexus lesion, a break in the axillary artery, dislocation of the acromioclavicular joint, a broken scapula and clavicula, serial left rib fractures, and lacerations on the upper and lower arm. After testing the patient, the following goals were set: reduce pain, soften scar tissue, and improve joint motion, muscle strength, and functionality of the hand. A 12-month outpatient program was used...
October 1996: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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