Rehabilitation in Children With Sclerodermoid Chronic Graft-Versus-Host Disease: Case Series
10.5535/arm.2019.43.3.347
- Author:
Minji JUNG
1
;
In Young SUNG
;
Eun Jae KO
Author Information
1. Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. iysung56@gmail.com
- Publication Type:Case Report
- Keywords:
Graft vs host disease;
Joint contracture;
Rehabilitation
- MeSH:
Child;
Contracture;
Graft vs Host Disease;
Hematopoietic Stem Cell Transplantation;
Humans;
Joints;
Range of Motion, Articular;
Rehabilitation;
Retrospective Studies;
Therapeutic Uses
- From:Annals of Rehabilitation Medicine
2019;43(3):347-351
- CountryRepublic of Korea
- Language:English
-
Abstract:
Joint contracture in chronic graft-versus-host disease (cGVHD) is refractory to treatment, and tends to deteriorate gradually over time. There is scant clinical research focusing on timing and intensity of rehabilitation on joint contractures in children with sclerodermoid cGVHD after hematopoietic stem cell transplantation. We retrospectively reviewed rehabilitative therapeutic effects in 6 children with sclerodermoid cGVHD, whose clinical records documented their condition, before and after rehabilitation therapies. Three children who started treatment within a mean of 2 months after the onset of joint symptoms, and who underwent home-based exercise twice daily for 30 minutes showed more prominent improvement in range of motion compared with the other 3 children, who started rehabilitation therapy later than 6 months after onset of joint symptoms, without regular home-based exercise.
