Case Report: Occupational therapy in a patient with an overgrowth syndrome that restricts movement [version 1; peer review: 2 approved]

• Main Authors: Luca Coppeta, Sandro Gentili, Francesca Papa, Ludovico Maria De Zordo, Stefano Mugnaini, Antonio Pietroiusti
• Format: Article
• Language: English
• Published: F1000 Research Ltd 2019-12-01
• Series: F1000Research
• Online Access: https://f1000research.com/articles/8-2050/v1

Background: Overgrowth syndromes are a heterogeneous group of conditions characterized by excessive body growth - localized or generalized - commonly associated with various malformities and an increased oncological risk. Case report: Here we present the case of a 57-year old man, employed in an office, who suffers from an asymmetric overgrowth of the lower limbs. Currently the patient presents malformations of the lower left arm (hip, knee and ankle), evident on the articular and periarticular level, where there are diffuse exostoses. This case discusses the main occupational concerns relating to the patient’s workspace at a high floor level that could create critical issues in the event of an emergency exodus. Given the impossibility of placing the patient in heavy manual activities, employment is limited to office activities. Adjustments were carried out at the patient’s workstation, and thus the patient has been recognized as fit to work. Increased frequency of breaks were prescribed in order to allow the physiological alternation of postures. Conclusions: In cases of overgrowth syndromes, the exact identification of the limitations presented by the patient and observations about ambulatory functions must be carefully evaluated in order to modulate the work environment.