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2017 ; 12
(10
): e0186388
Nephropedia Template TP
gab.com Text
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English Wikipedia
Middle-aged individuals with thalidomide embryopathy have undergone few surgical
limb procedures and demonstrate a high degree of physical independence
#MMPMID29053750
Ghassemi Jahani SA
; Danielsson A
; Karlsson J
; Brisby H
PLoS One
2017[]; 12
(10
): e0186388
PMID29053750
show ga
BACKGROUND: Thalidomide is known to have induced thalidomide embryopathy (TE) in
more than 10,000 live-born children worldwide between 1957-1962. AIM: The aim of
this study was to investigate the need for orthopaedic surgery and limb orthosis
in relation to function and physical independence in middle-aged individuals with
TE. METHODS: 13 women/18 men with a mean age of 45.8 (SD 1.1) years were
included. Information about limb surgery, the use of orthotic devices, jobs,
accommodation, disability adjustments and personal assistants was collected.
Physical function was measured by a modified general function score. The time
needed for activities of daily living (ADL) was collected. Individuals with
proximal focal femoral deficiency, PFFD, and participants in need of home or work
adaptations were compared with the rest of the group. RESULT: 31 surgical
procedures had been performed in the extremities. Three individuals were in need
of personal assistance and seven had disability-adjusted homes. 28 individuals
were working and 24 reported participation in exercises. Those with PFFD had
significantly lower function score and needed a significantly longer time for ADL
in the morning (p = 0.001 and p = 0.032). The group in need of home or work
adjustments had significantly lower function score and needed longer time for
morning ADL (p = 0.012 and p = 0.009). DISCUSSION: Few orthopaedic procedures had
been performed. The TE individuals except the ones with PFFD and those in the
need of disability adjustments, were mostly active workers, reported good
physical function and participated in exercises, despite limb malformations.