Planning of physiotherapeutic procedure in patients after mandible reconstruction taking into account donor site: a literature review.

BACKGROUND: Mandible tumors are very rare. One of the main methods of the treatments is resection of the tumor and then reconstruction of the mandible. The donor site is often distant tissue-fibula or ilium. Following this, it is necessary to improve the patient in two ways, on one hand restoring the function of the mandible, and on the other hand, improving the donor site area. For that reason, physiotherapy after tumor resection and reconstruction of the mandible is very complicated. The aim of this bibliographic review was to find the methods of the reconstruction of the mandible in the context of patients' functional assessment after surgeries to create effective physiotherapeutic procedures in the feature. METHODS: PEDro, Medline (PubMed), Cochrane Clinical Trials were searched. RESULTS: 767 articles were found. 40 articles were included to this literature review. CONCLUSIONS: Authors showed different kinds of surgeries strategy for patients with tumors of the mandible. They also showed manners of patients' functional assessment in the localization of transplantation and donor site. It could be useful for physiotherapists during planning of comprehensive physiotherapy.

Scoliotic posture and biological age measured by pubertal growth spurt in adolescent boys and girls.

Puberty is a critical period in the development of children and adolescents. The muscular dystonia observed during this period and the environmental factors present at home and school promote the adoption of abnormal posture and impaired physical performance. Early detection of postural changes provides opportunities for prevention and treatment. The aim of this study was to compare the body posture and the size of the rotational deformation of the trunk in children aged 10-15 years, before and after pubertal growth spurt. The study included 40 subjects, 19 boys and 21 girls from Wroclaw, Poland, aged 10.3-15.6 years, who reported for the first time to the Postural Defects Outpatient Clinic with suspected rotational deformity of the trunk. Based on the equations, maturity offset (MO) was determined and the age of peak height velocity (APHV) was assessed. The posture was evaluated using a deflection of the plumb line, scapular asymmetry, finger-to-floor test, angle of trunk rotation ATR at 3 spinal levels: proximal thoracic, main thoracic, and lumbar and the Three Rotation Sum (TRS) parameter. These parameters are the earliest clinical signs of scoliosis. In the examined children and adolescents from Wroclaw, irrespective of their calendar age, after the APHV, the characteristics describing lateral curvatures of the spine showed higher values, reaching especially for maximal ATR and for the TRS a highly statistically significant level. Post-pubertal children were also more often characterized by the so-called scoliotic posture - they had a significantly greater trunk deviation measured with the plumb line lowered from C7 (0.3 cm versus 0.9 cm; p = 0.01), a greater difference in the height of lower scapular anles, and a worse score on the finger-to-floor test. In conclusion, scoliometer testing should be permanently incorporated into periodic body measurements at school, especially among 10- to 12-year-old children who are at higher risk for scoliosis progression. Equations for assessing biological age, although associated with an error, appear to be easy to use and useful in screening for risk of developing scoliosis at peri-pubertal age.

Can Hyperbaric Oxygen Therapy Be Used to Treat Children after COVID-19? A Bibliographic Review.

The coronavirus disease (COVID-19) epidemic is a public health emergency of international concern. It was believed that SARS-CoV-2 virus was much less likely affect children. Statistics show that children account for 2-13% of all COVID-19 patients in individual countries. In the youngest population, acute respiratory failure is not as serious a problem as complications after COVID-19, mainly pediatric inflammatory multisystem syndrome (PIMS, MIS-C). This study used a bibliography review. The Medline database (using the PubMed platform) and the Cochrane Clinical Trials database were searched using the following keywords: hyperbaric oxygen therapy for children, treatment of children with COVID-19, and use of HBOT in the treatment of children following COVID-19. Thirteen publications that quantitatively and qualitatively described the efficacy of HBOT application in the treatment of pediatric diseases were eligible among the studies; those relating to the use of HBOT in the treatment of children with COVID-19 and its complications were not found. The bibliographic review showed that hyperbaric oxygen therapy can be used in the treatment of children after carbon monoxide poisoning, with soft tissue necrosis, bone necrosis, after burns, or after skin transplant. No evidence supported by research has been found in scientific journals on the effectiveness of the use of hyperbaric oxygen therapy in children with a history of COVID-19 infection. Research data are needed to develop evidence-driven strategies with regard to the use of HBOT therapy in the treatment of children and to reduce the number of pediatric patients suffering because of complications after COVID-19.