Indian Journal of Palliative Care
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 CASE REPORT
Year : 2011  |  Volume : 17  |  Issue : 2  |  Page : 159--161

Homecare-based motor rehabilitation in musculoskeletal chronic graft versus host disease


1 Hematology Unit, S. Eugenio Hospital, Home Care Service "Giuseppe Papa" of the Rome Section of the Italian Association Against Leukemias, Rome, Italy
2 Hematology Unit, S. Eugenio Hospital, Rome, Italy
3 Division of Hematology, Department of Cellular Biotechnologies and Hematology, Policlinico Umberto I, Rome, Italy
4 Division of Hematology, Policlinico Tor Vergata, Rome Transplant Network, Rome, Italy
5 Italian Association Against Leukemias, Lymphomas, and Myeloma, Rome, Italy

Correspondence Address:
A Tendas
Hematology Unit, S. Eugenio Hospital, Home Care Service "Giuseppe Papa" of the Rome Section of the Italian Association Against Leukemias, Rome
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1075.84540

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Chronic graft versus host disease (cGVHD) is a frequent complication of allogeneic stem cell transplantation. Extensive musculoskeletal and skin involvement may induce severe functional impairment, disability and quality of life deterioration. Physical rehabilitation is recommended as ancillary therapy in these forms, but experiences are sparse. A 39-year-old man affected by musculoskeletal and skin chronic graft versus host disease (cGVHD) was treated with a homecare-based motor rehabilitation program during palliation for disease progression. Significant functional improvement was obtained. Motor rehabilitation should be strongly considered for patients with musculoskeletal cGVHD, both in the palliative and in the curative phase of disease.






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