Respiratory treatment in a patient with nemaline myopathy

  • Massimiliano Polastri | gbptap1@gmail.com Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, St Orsola University Hospital, Italy.
  • Gioacchino Schifino Department of Clinical, Integrated and Experimental Medicine (DIMES), Alma Mater Studiorum University of Bologna, Italy.
  • Eva Tonveronachi Department of Cardiac-Thoracic-Vascular Diseases, Unit of Pneumonology, St Orsola University Hospital, Bologna, Italy.
  • Francesco Tavalazzi Department of Cardiac-Thoracic-Vascular Diseases, Unit of Pneumonology, St Orsola University Hospital, Bologna, Italy.

Abstract

Respiratory involvement of nemaline myopathy is evident on the diaphragm and intercostal muscles function. The present case study aimed to describe the characteristics of the respiratory physiotherapeutic treatment in a patient with nemaline myopathy. Here, we describe a case of a 43-yearold woman with nemaline myopathy undergoing pulmonary rehabilitation during short hospital admission for an acute exacerbation. At the time of hospitalisation, the patient was already under oxygen therapy (1 L/min) and noninvasive home ventilation using bi-level positive airway pressure with a nasal interface. Supplementary therapeutic exercises were implemented in addition to daily nasal noninvasive ventilation. At discharge, ultrasound examination revealed increased diaphragm trophism if compared with data obtained at hospital admission.

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Published
2019-12-19
Info
Issue
Section
Case Reports
Keywords:
Nemaline myopathy, respiratory therapy, scoliosis, physiotherapy techniques, noninvasive ventilation.
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How to Cite
Polastri, M., Schifino, G., Tonveronachi, E., & Tavalazzi, F. (2019). Respiratory treatment in a patient with nemaline myopathy. Clinics and Practice, 9(4). https://doi.org/10.4081/cp.2019.1209