Aportación de Fisioterapia respiratoria en un equipo pluridisciplinar. Caso clínico de polimiositis con innovación de entrenamiento muscular

  1. Carlos Solís Reyes 1
  2. Ana Isabel Fumero García 1
  3. Ana Sofía Sarabia Govea 2
  4. Mª Consuelo Revert Gironés 2
  1. 1 Hospital Universitario Nuestra Señora de Candelaria
    info

    Hospital Universitario Nuestra Señora de Candelaria

    Santa Cruz de Tenerife, España

    ROR https://ror.org/005a3p084

  2. 2 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    ROR https://ror.org/01r9z8p25

Revista:
Majorensis: Revista Electrónica de Ciencia y Tecnología

ISSN: 1697-5529

Any de publicació: 2017

Número: 13

Pàgines: 40-49

Tipus: Article

Altres publicacions en: Majorensis: Revista Electrónica de Ciencia y Tecnología

Resum

Introduction: Polymyositis is an inflammatory disease that causes muscle weakness. As a result, it is often a restrictive commitment of the respiratory system. Pediatric patients with this disease are admitted to the Intensive Care Unit, needs to be assisted with mechanical ventilation. There is little documented evidence to support the intervention of physiotherapy by respiratory muscle training for withdrawal of mechanical ventilation of patients with Polymyositis. Methods: We report the case of a girl with polymyositis requiring noninvasive mechanical ventilation as part of treatment of an acute pneumonia. He also received assistance respiratory physiotherapy to recover the physiological respiratory function. Results: evident improvement of the patient, reducing the number of hospital admissions. Discussion: Muscle training has a significant risk of fatigue and failure in an inflamed musculature. In the presented clinical case, the levels of creatinkinasa were smaller with each crisis, probably due to the previous muscular destruction, that left smaller muscular tissue that could raise the CK in later crises. The evident improvement of the patient contrasts with the expected prognosis before the physiotherapy interventions. Conclusions: planned for each patient, at low or moderate intensity training, can improve muscle weakness in polymyositis.