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Rehabilitation Practice and Science

Translated Title

類風濕性關節炎合併小兒麻痺症、全身性紅斑狼瘡及兩側全膝關節置換術－病例報告及文獻回顧

Abstract

This is a case of 30-year-old female patient who suffered from Rheumatoid Arthritis for 8 years. She also has the problems of Systemic Lupus Erythematosus and the sequsela of Poliomyelitis. After bilateral total knee replacement, she was almost bed ridden with multiple joints pain. The best muscle power of both lower limbs was only fair then. She received oral methotrexate therapy and got moderate improvement, such as decrease in unmber of joint pain. Resting splints and anterior direct molding ankle-foot orthosis were made for her. And the education of joint protection was emphasized once again. Psychological and vocational consultations helped her to cope with depression and to make proper work adjustment. After two months of training for muscle power and endurance, she could walk by herself with a forearm support walker. The muscle power of lower limbs returned to nearly normal.The most important part of the rehabiliation for the rheumatoid arthritis patient is aggressive usage of medications. All the staffs in the rehabilitation trams can to great help to what the patient has suffered physically or mentally.

Language

Traditional Chinese

First Page

149

Last Page

153

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