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Biomedical subjects

A Kibele

Publications and source records attributed to A Kibele.

3 recordsLinked to original sources

Surgical treatment and postoperative splinting of recessive dystrophic epidermolysis bullosa.

Digital contractures and pseudosyndactyly, common manifestations in recessive dystrophic epidermolysis bullosa, cause significant functional impairment. The deformities progress with time, although surgery may delay the progression. The role of surgical intervention, hand therapy, and the use of prolonged splinting was examined in seven children (nine hands) with recessive dystrophic epidermolysis bullosa with an average age of 5 years, 8 months (range, 1 year, 10 months to 16 years, 4 months). The technique of surgery, postoperative regimen, and splinting differ from those previously reported. Surgery includes "de-cocooning" the hand and fingers, manipulating contracted joints, and full-thickness skin grafting to dermal defects. Surgery and the postoperative regimen of rigid night splints and web-retaining gloves for day wear has allowed arrest or minimal progression of contractures in complaint patients in short-term follow-up study of an average of 17 months (range, 12-28 months). An interdisciplinary team of physicians and surgeons, therapists, and nurses makes this care regimen possible and influences family compliance.

Adolescent↗

Occupational therapy's role in improving the quality of life for persons with cerebral palsy.

Adults with cerebral palsy need assistance to maximize their capabilities, interact with others, and achieve independence. They experience difficulty communicating their needs to successfully obtain medical/rehabilitation and independent living services, which are necessary to achieve independent living. Knowledge of the experience of such clients can help occupational therapists to better serve them. This study, which used a case study design, presents data collected during more than 80 hours of guided interviews with 5 study participants. A data analysis of the participants' experiences showed recurring themes of the disability as the enemy, the importance of attitude, dependence versus independence, and the significance of purposeful activity. The participants' experiences with therapists and independent living skills agencies are presented, as is an examination of the medical/rehabilitation and independent living models.

Activities of Daily Living↗