Most Frequent Long-term Deviations from Normal in the Musculoskeletal System of Patients in Remission of Tumourous Diseases Manifested in Childhood or Adolescence
M. Málková; J. Koutecký 1; J. Radvanská 1; J. Radvanský 2
Rehabilitační klinika 2. LF UK a FN v Motole, Praha, přednosta doc. PaedDr. P. Kolář Klinika dětské onkologie 2. LF UK a FN v Motole, Praha, přednosta prof. MUDr. J. Koutecký, DrSc. Klinika tělovýchovného lékařství 2. LF UK a FN v Motole, Praha, 2 přednos
Čes-slov Pediat 2002; (9): 493-498.
The pilot study describes the present practice of physiotherapeutic and exercise therapy in patients treated for cancer manifested in childhood or adolescence followed up periodically during long-term remission of the disease. In a randomly selected group of 40 patients aged 8 - 23 years in which the time to follow-up from completion of therapy ranged from 1 - 12 years, the incidence of functional changes of musculoskeletal System was evaluated. These abnormalities are widely spread also in a general population, but the incidence in this cohort is substantially higher. Main functional changes of musculoskeletal System found with higher then normal incidence in this cohort are: preclination of the head (62.5 % of patients), protraction of shoulders (67 % ), the weakness of intrascapular muscles (72.5 % ), limited development and movement ability of thoracic spine and significant shortless of scalenies muscles of neck.
late effects of cancer treatment, functional changes of musculoskeletal System
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