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REVIEWS AND ORIGINAL ARTICLES |
From the Departments or Physical Medicine and Rehabilitation, and Internal Medicine, Section on Hypertension and Renal Disease, Ochsner Medical Institutions, New Orleans, Louisiana.
As part of a comprehensive continuous ambulatory peritoneal dialysis (CAPD)
program, the Ochsner Foundation Home Training Unit, in association with the
Department of Physical Medicine and Rehabilitation, has established a
preventive approach to spinal musculoskeletal problems. Because the CAPD
patient is susceptible to back complaints resulting from alterations in body
posture and altered bone metabolism, we have designed a special program for
evaluation and prevention, which incorporates special exercises for posture
correction and energy conservation. Sixteen of 32 patients have been
evaluated, instructed and supervised in this program. Two patients required
back supports in addition to exercises. One patient was withdrawn from CAPD
because of incapacitating back pain. The remaining 15 have been able to
sustain normal activity and avoid back pain with exercises alone.
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