Citation

Pierro MM, Bollea L, Di Rosa G, Gisondi A, Cassarino P, Giannarelli P, Gentile M, Morocutti A, Ossella MT, Talone L, Stortini M. Brain Inj. 2005; 19(13): 1147-1155.

Affiliation

Department of Pediatric Rehabilitation, Neurorehabilitation Ward, IRCCS Children's Hospital Bambino Gesù, Palidoro (Rome), Passoscuro, Italy.

Copyright

(Copyright © 2005, Informa - Taylor and Francis Group)

DOI

10.1080/02699050500149973

PMID

16286328

Abstract

PRIMARY OBJECTIVE: To describe the outcome of near-drowning and rehabilitation contexts for recovery. METHODS AND PROCEDURES: Standardized measures were used to emphasize the functional impact of deficits over the first year post-injury in three children <2 years. Multimodal contexts for meaningful interplay were early adapted to the three cases. MAIN OUTCOMES AND RESULTS: The clinical pathways of recovery are identified. Initially all three cases manifested a generalized dystonia. Case 1 exhibited a good outcome with transient dyskinetic-dystonic syndrome; subsequently Balint's syndrome emerged. In this case, the rehabilitation approach was organized on the pickup of direct perception of task-specific affordances. Cases 2 and 3 had poor outcomes presenting the worsening of torsion dystonia (status dystonicus) that hindered rehabilitation intervention. CONCLUSIONS: The dynamic reaggregation of spatial organization through meaningful interaction in specific ecological contexts is the principal goal of rehabilitation intervention. Status dystonicus represents the worst feature for recovery.