Successful Surgery for Scoliosis Supported by Pulmonary Rehabilitation in a Duchenne Muscular Dystrophy Patient With Forced Vital Capacity Below 10%

被引：3

作者：

Lee, Jang Woo ^{[1
]}

Won, Yu Hui ^{[2
]}

Choi, Won Ah ^{[1
]}

Lee, Soon Kyu ^{[1
]}

Kang, Seong Woong ^{[1
]}

机构：

[1] Yonsei Univ, Coll Med, Inst Neuromuscular Dis, Dept Rehabil Med & Rehabil, Seoul, South Korea

[2] Ewha Womans Univ, Sch Medine, Dept Rehabil Med, Seoul, South Korea

来源：

ANNALS OF REHABILITATION MEDICINE-ARM | 2013年 / 37卷 / 06期

关键词：

Scoliosis; Low vital capacity; Duchenne muscular dystrophy; Pulmonary rehabilitation;

D O I：

10.5535/arm.2013.37.6.875

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Low vital capacity is a risk factor for scoliosis correction operation in Duchenne muscular dystrophy (DMD) patients, but pulmonary rehabilitation, including noninvasive intermittent positive pressure ventilator application, air stacking exercise, and assisted coughing technique, reduces the pulmonary complications and perioperative mortality risk. In this case, the patient's preoperative forced vital capacity (FVC) was 8.6% of normal predicted value in sitting position and 9.4% in supine position. He started pulmonary rehabilitation before the operation and continued right after the operation. Scoliosis correction operation was successful without any pulmonary complications, and his discomfort in sitting position was improved. If pulmonary rehabilitative support is provided properly, FVC below 10% of normal predicted value is not a contraindication of scoliosis correction operation in DMD patients.

引用

页码：875 / 878

页数：4