Reabilitação física em portadores de Legg-Calvé-Perthes após osteotomia de Salter - protocolo de orientação domiciliar

• Main Authors: Areolino Pena Matos, Felipe Ribeiro Cabral Fagundes, Marianne Lamb, Deise Aparecida de Almeida Pires-Oliveira, Rodrigo Franco de Oliveira, Luciano de Arruda Castelo
• Format: Article
• Language: Portuguese
• Published: Universidade Nove de Julho 2013-01-01
• Series: ConScientiae Saúde
• Online Access: http://www.redalyc.org/articulo.oa?id=92926313009
• ISSN: 1677-1028; 1983-9324

Introduction: Kinesiotherapy is an important treatment method for Legg-Calvé- Perthes disease. Objective: To develop a physiotherapy protocol for home care. Methods: The protocol, based on an exercise manual, was designed for increasing ROM, stretching and muscle strengthening. The evaluation includes goniometry, muscle strength testing, and special tests (Thomas, Duncan-Ely, Ducroquet / I and II and Trendelenburg). This study included eleven male patients, aged 4 to 12 years, who were unilaterally affected with LCPD and had been treated with Salter osteotomy + adductor tenotomy. Results: We observed clinical improvement in all variables. Initially, eight volunteers presented severe symptoms, one was classified as a moderate case, and two were considered mild. In the final evaluation, ten progressed to mild, and one of the two that were mild at the beginning evolved to normal. Conclusion: The application of the home care protocol showed benefits for muscle strength and range of motion.