https://doi.org/10.4081/reumatismo.2022.1386

Musculoskeletal syndrome treated with global postural re-education in double-redo lung transplantation: a case report with an 8-month follow-up

Vol. 74 No. 1 (2022)
Submitted: 16 December 2020
Accepted: 12 March 2022
Published: 3 May 2022
Dyspnea, exercise, global postural re-education, physiotherapy, lung transplantation.
Abstract Views: 2274
PDF: 559
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Authors

M. Polastri
gbptap1@gmail.com
https://orcid.org/0000-0001-8548-0813
Department of Continuity of Care and Disability, Physical Medicine and Rehabilitation, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna, Italy.
G.M. Paganelli
Heart and Lung Transplant Programme, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna, Italy; Department of Cardiac-Thoracic-Vascular Diseases, Pneumonology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna, Italy.
G. Dolci
https://orcid.org/0000-0001-6053-3608
Heart and Lung Transplant Programme, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna; Department of Cardiac-Thoracic-Vascular Diseases, Thoracic Surgery Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna, Italy.
E. Di Ciaccio
https://orcid.org/0000-0001-6959-938X
Private Practice, Bologna, Italy.
I. Prediletto
https://orcid.org/0000-0002-2709-919X
Department of Cardiac-Thoracic-Vascular Diseases, Pneumonology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, St Orsola University Hospital, Bologna; Department of Clinical, Integrated and Experimental Medicine (DIMES), University of Bologna, Italy.

Postoperative pain and persisting fatigue represent critical concerns for patients receiving lung transplantation. The purpose of this study was to illustrate the trajectory of symptoms in a patient who presented with a posttransplant musculoskeletal syndrome after double redo-lung transplantation and attended therapeutic sessions of global postural re-education during the symptomatic phase. A 32-year-old woman with interstitial lung disease underwent double lung transplantation. At 23 months, functional parameters deteriorated, and the patient was placed on the active list for a second double-lung transplantation. Twenty months after re-transplantation, the patient reported continuous thoracic-lumbar musculoskeletal pain exacerbated by moving or performing the standard motor activities. Lower body flexibility improved during the observation period changed from -10 cm to 0 cm at the Chair Sitand- Reach Test. Leg strength improved as well, and the patient was able to perform more repetitions at the Squat Test, improving from 14 to 39. Pain intensity changed from 7 to 4 on a numerical rating scale. We observed that outcomes strictly related to treatment, with lower body flexibility, pain intensity, and physical function improving over time. As a result global postural re-education proved to be effective in this patient.

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How to Cite

Polastri, M., Paganelli, G., Dolci, G., Di Ciaccio, E., & Prediletto, I. (2022). Musculoskeletal syndrome treated with global postural re-education in double-redo lung transplantation: a case report with an 8-month follow-up. Reumatismo, 74(1). https://doi.org/10.4081/reumatismo.2022.1386
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