RESUMO
Neglect is a supramodal, clinically relevant disorder, which occurs in the different sensory modalities as well as in the mental representation. The different manifestations of neglect show interindividual and intraindividual variation. Different spatial and attention-related interventions lead to varying degrees of improvement in neglect symptoms but are often not stable in time or transferable to activities of daily living. Representational deficits or body-related aspects to modify personal neglect are rarely a priority in current therapies. Because of the multisensory and motor deficits from our point of view the future of neglect rehabilitation lies in a combined therapy of visual exploration, motor imagery with intensive motor therapy of motor sensory deficits and probably best reinforced by continued neck muscle vibration or allocation of attention to the neglected side.
Assuntos
Imagens, Psicoterapia/métodos , Transtornos dos Movimentos/reabilitação , Neurorretroalimentação/métodos , Reabilitação Neurológica/métodos , Transtornos da Percepção/reabilitação , Medicina Baseada em Evidências/métodos , Humanos , Transtornos dos Movimentos/complicações , Transtornos dos Movimentos/diagnóstico , Avaliação de Resultados em Cuidados de Saúde/métodos , Transtornos da Percepção/complicações , Transtornos da Percepção/diagnóstico , Resultado do TratamentoRESUMO
PIP: A case of ovarian and intestinal actinomycosis in a woman wearing an IUD that had been neglected for 4 years is reported. With an extensive review of the literature on actinomycosis, the condition and especially the possible causes of its intestinal and especially genital focus, which is quite rare, are discussed. The examination and treatment of the case reported are described in detail. It is concluded that a study of an anerobic flora on IUDs might provide an explanation of the origin of similar cases.^ieng