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

Résumé

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.