COMPLEX KINESITHERAPY PROGRAM FOR TREVOR-FAIRBANKS DISEASE

Abstract

Introduction: Dysplasia epiphysealis hemimelica (DEH, Trevor-Fairbanks disease), also known as Trevor's disease, is a bone disease with an early onset of clinical picture (around 8-10 years of age). The disease has an unclear genesis, quite diverse clinical manifestation and is a relatively rare disease (with a frequency of 1 in 1,000,000 individuals).Clinical experience is very limited and physiotherapy experience is almost negligible. The search for different physiotherapy approaches is difficult due to the large spectrum of clinical symptoms (accumulation of nodular mass in different bone segments of the body, including the spine).It is important to note that Trevor's disease is considered a multifactorial condition, meaning that a number of factors may interact to contribute to its development.
Objectives: To prepare a kinesitherapy complex for patients with Trevor's disease.
Methods:.The search for different kinesitherapy approaches is difficult due to the large spectrum and possibilities of clinical manifestation of Trevor's disease.
Results: A total of 6 patients aged 18-20 years were included in this study. The study was carried out in the period from 2008-2010. Kinesitherapy was performed in six (n=6) patients with Trevor's disease, to whom a specialized kinesitherapy program was applied. The average age of the subjects was 18±8.78. Of these, 58% were men and 42% were women.Kinesitherapy was performed daily, 2 times a day, with a duration of the kinesitherapy procedure of 20-45 min, depending on the general condition of the patients.The results of our studies compared the initial and final results after therapy, as well as with data from literature sources, due to the rarity of the disease.
Conclusions: The rapid development in medicine and the introduction of new and safe surgical techniques, allows for adequate inclusion of kinesitherapy as part of the patient's active recovery. Trevor's disease is a social disease, starting at a relatively early age and leading to disability at an early age. The use of different methodologies and/or their combination, in the complex treatment of Trevor's disease, requires knowledge in the field of anatomy, kinesiology and pathokinesiology, which can be used as a basis for creating a complex therapy.