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Anales de la Facultad de Ciencias Médicas (Asunción)

versión impresa ISSN 1816-8949

Resumen

CACERES, Susana Beatriz; MARTINEZ, María Luz  y  NOELIA, Morales, Lelis. Kinesitherapy in men with generalized tetanus. An. Fac. Cienc. Méd. (Asunción) [online]. 2019, vol.52, n.3, pp.101-110. ISSN 1816-8949.  https://doi.org/10.18004/anales/2019.052.03.101-110.

Introduction:

Tetanus is a disease caused by the bacterium Clostridium tetani, with tetanus being the most common form of infection, characterized by generalized spasms of the musculature, which involves the muscles of the trunk rather than those of the limbs and, manifests symptoms of autonomic hyperactivity.

Case description:

The case of a 48-year-old male admitted to the Tracheostomized Clinic Hospital with a generalized tetanus diagnosis is presented. On the 30th day of his illness he received respiratory and motor kinesiotherapy, with 15 sessions performed. The kinesitherapy applied to the patient consisted of facilitating the elimination of bronchial secretions, improving lung expansion, re-educating swallowing, improving muscle strength and joint amplitude, inhibiting the sequelae of muscular hypertonia.

Results:

It was possible to improve the respiratory mechanics, the removal of the tracheostomy cannula and nasogastric tube, improved muscle strength and joint amplitude, being able to perform unsupported sitting and standing with assistance.

Discussion:

With the relaxing treatment, tracheostomy and assisted breathing, new problems appear, aspects that were addressed kinésicamente in the present clinical case, observing a shorter hospitalization time and greater physical independence compared to other published cases. Conclusion: For the application of kinesitherapy in patients with generalized tetanus, it is necessary to know the disease, its evolution and clinical management. Interdisciplinary work is very important, specifically with regard to medication and pain control, so that the advancement of kinesic techniques reaches its goal.

Palabras clave : kinesitherapy; physiotherapy; generalized tetanus..

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