TY - JOUR
T1 - Listening to the patient as a possible route to cost-effective rehabilitation
T2 - A case report
AU - Grandi, Attilia
AU - Mazzola, Marcella
AU - Angelini, Lucia
AU - Chiappedi, Matteo
PY - 2012
Y1 - 2012
N2 - Introduction. Adolescents with cerebral palsy often do not need a specific rehabilitative treatment; however, when specific needs are expressed, clinicians should listen and try to answer them. Case presentation. We present the case of a 17-year-old Italian male patient with hemiplegia who had received standard physiotherapy and, ultimately, after a period of adapted physical activity performed in a group, was under consideration for discharge. However, due to unsatisfactory hand control, he asked for help to reach a personal goal, the ability to drive a motorbike, without surgery. Functional taping showed efficacy, but was neither cost-effective nor practical for the patient and his family; by contrast, a dynamic orthosis associated with training in a real-life environment was instead successful. Conclusion: The present case underlines the importance of considering solutions involving the motivation and compliance of the patient in order to improve his activity and participation.
AB - Introduction. Adolescents with cerebral palsy often do not need a specific rehabilitative treatment; however, when specific needs are expressed, clinicians should listen and try to answer them. Case presentation. We present the case of a 17-year-old Italian male patient with hemiplegia who had received standard physiotherapy and, ultimately, after a period of adapted physical activity performed in a group, was under consideration for discharge. However, due to unsatisfactory hand control, he asked for help to reach a personal goal, the ability to drive a motorbike, without surgery. Functional taping showed efficacy, but was neither cost-effective nor practical for the patient and his family; by contrast, a dynamic orthosis associated with training in a real-life environment was instead successful. Conclusion: The present case underlines the importance of considering solutions involving the motivation and compliance of the patient in order to improve his activity and participation.
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U2 - 10.1186/1752-1947-6-19
DO - 10.1186/1752-1947-6-19
M3 - Article
C2 - 22251773
AN - SCOPUS:84855790473
VL - 6
JO - Journal of Medical Case Reports
JF - Journal of Medical Case Reports
SN - 1752-1947
M1 - 19
ER -