Abordagem fisioterapêutica na encefalomielite disseminada aguda ADEM – relato de um caso

Resumo (EN)

We are reporting a case of an acute disseminated encephalomyelitis (ADEM), which is an autoimmune uncommon inflammatory disease that destroys severely the myelin of the central nervous system. The case we are going to present is of a two years old female patient that after a picture of a respiratory infection she had a delay on her neurological development, hipotomy of her trunk deficit control of her cervical, a deep bilateral reflex of the patellar and of the aquíeu high tonus degree one of the bilateral biceps and triceps bronchial and of the previous tibia. For three month she was under motor physiotherapy to reduce delay of the neurological development. After three months of treatment the patient continued to present a delay in the neurological development and it was noticed that she was able to sustain her head a litle better even when she was laying on her stomach, she could control her trunk better when she was seated, she was able to stay seated with the reaction of previous protection, and last but not least she could rail from one side to the other without the help of a physiotherapist. Thus we can conclude that the study of one case is not enough to prove the physiotherapy efficiency, there is the need of more complete studies. We can also say that this case was important to show the need of physiotherapy in the treatment of patients with acute disseminated encephalomyelitis (ADEM).