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  • Recuperare Recuperare Medicala - Adriana Nica-3.pdfMedicala - Adriana Nica-3

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    Recuperare Medicala - Adriana Nica-3.pdf

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    89 views20 pages

    Recuperare Recuperare Medicala - Adriana Nica-3.pdfMedicala - Adriana Nica-3

    Uploaded by

    Elena Trcoski
    Recuperare Medicala - Adriana Nica-3.pdf

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    © All Rights Reserved
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    Sera ie rerenia depres coelesat eu neretardivt @ recuer seers capt de ati seer mata hd, 68 progaatic final masa. seta ete peznth cam I 0 time dine supviitot post AVC se ametoezt In proce vale fo proud dun en Is icp Broce ae roprostic ent vs, pesstind th ca de ‘A ice wari yi anliriadse, sai ales pe components der ee Teil mil de Tob fons Aza de ip Wemicks are, de semen, voli vail wi ca east! asta evolfe funcionale post AVC eonstiie biet de contrversh. Sole cae au incerat 3 examineze visa x rt Be ronan nependent nu au elit corti Iie acest 6 face Era 6 lun, Mara txoite a autor adit 8 vista rack nega reficrenunconald pin impale e: ive reeetotal mat setrc anterior AVC, nivel ct seizat de anvenanent reese omeren mal rapist din progrime de reapers stor ‘etal rs ut, ar praca ns "arable sociale set acini In exterare coacitaten de amenae @ adapae paul de lou, efortrile sole de itegrare a eo aantae asitipncante in reocrca i menfnerea statu 1 para Pni cn anu pacient ire de rede penta. evolui sacs sn les da reise dtr traci factor ra function aia. Ua prognostic teoetc bun poate afenat tea JI nie nesportv, de facto ptiosoal necontrolbi Saar wbu fa nell one de a spunde leneberen post a Sooepat cap. 10 Rooper mln safer emote CAPITOLUL 10 RECUPERAREA MEDICALA iy SUPERINTELE REUMATISMALE Abordarea acestor_ seine dn ‘ropectva respon! fretionale recat abl neces’ pent “Tapecte disfancionae somatice Cian san Pentdrumi ero ie ee seed ain ere tia em a Ot cat act ome mgs tek tee Ears ea Tf a me me saci wn i eet ee ee cra eo sam te fee sexe earns, ie same ile een, care ais cate geneatoare de disfineic gi se pose scent fn context aor manifests fiziopaologie.Inepind ex sdronmele dstose tenants $i continuind ev tblou! compet de sinrom iflamate polaica oat evident progrsi deprecierea nein somatic (locomoors, cd mu se ascizt la tcrapin medimentoasd cleie8 ! propane sgecitice de reeuprare. Desi palogeia i manifest clnce pot varie ‘omscinjele funtion sunt semndtote, 162, Oblecvele prograncor de recuperae tn sferinele reumatsmate Obicctvele prior ale pogramelor texapestice, corte eu sspectle fncional ot fonitotul drei si amelirzeafenomenelar inflata ariular gi penarteal, revenies aes cite i defen menjnerea fore ia fc diester seciowet anil cnematie, lucaes pasion ie fanlc, ‘daptarea ecient psio-emofional la linitaree stile te vila impus de aspetetedstunsionsle severe Tabloul ctinico-fincionsl Ta grupa.reumatsnelor croice {nflamatoritevdeninztnecesitte institu precoce program de ‘sciperr in bode tpl polaris reumati, ponerse, ‘egative (In special sponds anciloant) ef. In context scestor sufi programa de recuperareteuie sb mdse at evluis te la functional a lol fiipatloie,inflamate rerio ct i toleranga In teripin fzicsls» gh programel Kino de slit, ‘ompletind pin plana fencjonalaspetle erapetice mediamentome Baza de date de operre pena prognmele de recuperate se ‘organizena in content: tpl de evolu tail clinica evolu i fimefonal. Aste, tps ce decry nt liza modifcrlorpeologice gi bimeconve gf epreceren sada Fesonal din pune de vedee clnico-funeonals {tien tipo de leziune capzat: segment, tn context lajlu nematic tn destguareagestuaii colons, « remnzares progranclorieapeutice si fineonle ulizind diverse tmstode i telnicieiciente pentru a preven sua recupea lets efor atic, 216 Pear raliza acest seevege este nace un examen igs, sliicofinejiona al paral locomotor, ait pony eviden(a apaciteafunconala estan pe sopmentle interests, it i pen & Sonsui progrele de recuperate fijiona8, inegind. pert locomotor in unaten organism, Corea fiopatlope i fanctonale infamy aura orere acura + peroniculrt — — —atttie anaes ———— Le sym nnee — ||| | reducerea nivel fietonal, ‘Acestepusologi su fn simpomele cenale ini dures eu su ft decompensre roresiva inane, eae trebie nterpcat fntran contest bipolar dire ~ dafungi impundnd i claborwea bietivelr facial or an a gre ee 10 Points reumati i tat tacos ee fe re elie ove, cu dros pls ae opr) kal snl nce « slomint fii (oe etnies i af cme bi ncn Fa ms mi pss iil sete ot eae i ol devotee Se oa i sail teboe 98 ema coe gta cenit te Reo ARA) asi side td eee Malaga alae pe sins es Att tte ltt eel = ain el a acrid pm ‘sau sinovita), ‘ on ce lie mini, co afeee sr apne suite rosie mace es sim tele cn esa Sm neti Fe min ile we a ‘tnt ka mai pugin de 5% dintre noresai; " me _ ali eriogee tice tll cw ciao eco ‘Rie ow tt RTT a deel on sti ol it cece 4 at deine Sie ese eee ee tile i nea leaner pec ieee snes tage pra Gm exe rota ie meng die) sede POE ar mur atest a ate apie ah scan), oleh soci oud, wines, eG Ge aeanerngee owes vu lr (opin sinc an a ce dap # ttn at uli cope 10 Recgeraren ann ene rvnate amen dames specie ct ogame & EASES exit ila mai ak J ook i cle mal mu SS re ga coipemaent cm oe as teint ea de aiciae svt a ia peqesiv a. deforma, devi ezaxdior,cus feh sr ate compte nt amen SA mc Zi, cl evi deo iit wee ‘pendent atm cla alo iinet fe ot ct ald sep ou SA PO cra fe epee poem tings & ‘eatpera eparatut oeono1F me aap gnc a polite’ scm eas Ana vt. fx cnt el espns So a fea, coe pst feet fcc Se iio. ‘onal san dete atric "Ciacaren cinco funcion ete nea de fete & rr sitie; AE aie ace pot fest dar Ares SP fedoveen mob atioalaes ree cxpaciaea de ae ins sis i = re pat sean cu seine auton ‘Ciaicare in fefiede stare Stil Lpresoce: Sa si xn tins SacI ez oteaporozis ‘Sti moder: iil oa sa sat oH aru posi deere wom acta oil eno alte Sew nese ws as Ae te ancitr ance ati Aeon eats de len ale pion mek extaatclre (oodulgtensinoit 2 siemens _Recrar tet Sta seer = Osteoproa i dstruile cau gi cara sunt vile atigai “Dafoomaea ata co bloat, device vl sa vipeeneste dari fvoch suas ea, ~ Atrofemusclrh marca ents Prez de nad 9 tnosiovite. Stal 1V termina Chitral fSsves arta nebo, Tratamental inti ESTEE at ees eet tens nn eee sen soma foi a sm ti oil mo Settee am ee se a sap mat ee ees le Aisgere aniclrtinapinenradiologica evideniach “microg st i, i cea te sie ta tanay ese Ke ang eters onterwn a ssa io hed gh coer cae saree cin eps aa se aah a ht SORTS ste os om ee 20 cael pacientelor peste 50 de ani (psrioads de climacterim sau poscimacterian), Terapia fiat entr dure: - se poate aca train farmacsogich aalgetie, antinflamatoare nesteroiiene 6 teria kal. [es pocienft xv poi renaiokh se pot prescre die anuj de procedar, um af: mas, TENS, bidroeape, pci de aldara sau ghea, ulvasune -metode ewe se alg In fincie de Froprieile Tizilogice gi terapeuce, itu anvmit moment de lie. Apticain de clldutToel sau sistemic oe foloseste cu grt, vind in vedere efectele fermice sitemice, modierte metabolice, ‘vasculare fy nivel expla, seul de fem intacelular. Crete acl Saguin analionsea condfile metbolic, lar popula de leucocis, concent de anor activi colagenazsor se stueszt fay riicae, ay aco siti) de ceajie inlamatrs se rz spliaia de. caldut local, pein tical de exacetare a procesu ngestv. Sto laboriose, comparative difeite procera demonstrat ef numa ultasonetl ug sk feszeses structive de profinzime. In principal acste metde actionea anlgetic n special TENS-l pnt-n mecaism newro-snedat (eon de module a dare pin “eontolul poi). Durer pote fi ameloraa tpinaplicajie de ‘dur local, spestical.In general aplcatile ee pot cools dure, ar sunt ma re detoletat dato react vasoconsretoare rclungit, ‘eurodvcere gral de mobili. Hai paral elds pei namele superiare Inferior, dosul cal rimin metodele favorite pens relucerea drei combats redr aieulse, pend dsfjurarea ‘ieroaa a proramelor de kintoeape. Este de refinte& pares de Corp cla pote induce apriia elem, la mad su la pico. Un Sistem considera empire dar care are explicafe Hziologict poate fi nit este vorba de apical alternative alec, eae rede durerea shredoarea, dar favorizeazd apa edemul Prevenireaafetirir artculae ga deformirior ‘Acet obi se ellazaa pein postr decorecie cu caracter preventv gi ullzarea de ale su orteze, Atela do reps ume evenirea deformirior i reducereaslctrlor mecnice, elizind pin ‘epausl articular ameloarenfenomenelor tice gi vind feet moderat anageti. Chia gi microtaumatsmele, prin repetre, pe o eticulie ma Ingabid pot induce modifies fziopaoogice progresive atcular gt evaiulr. Atl lia dial pena mfg, pn sa genunchi ete ‘haicaté in pseu st dup interven coretvlortopeico chiurials (xem: exn ea ponte Fi flo inirmitet, solid program de hnobiizare eal, de solicitare muscular i exerci mah complexe tea antenarea coordonai tabi gestae ~ alti neces I Prameti iia pent prebersiane mulfneional normals ‘Ala este reaizatt in seojiunea de evtezare steric cocupajonld; ea poste i realiala din difeite material pele, We imctlice, matrseteoformabie, tele dn fee gps, Persoans care nec tla su otra eles ab of de anatonsie funtion, ‘lomezanica de traps ocpaioal, pent cunoaytere seni tule a unghiuslor fepefonale. Tose acest nin ft vor perme “Eopare uno pate speitie kr boinas,asoind un anu ip folletre ct erie Je unis in daca erotic volt pent Fnterven, a covecin san modifin wear diverse aspecte puolgice somatice ‘Bxemple de stele de reps Pentnt nnd, seepal litt este de relizare 9 repausulsi avicule i posite fancionalé co poral In 10-15" donnie, ex Imoderat lexi eget. Aces repaus umes “realizen unui fet aii; ona lami rin reps ail SS contctrle defile sau dezvoltarea pio viiose, Combate grag eri tendomelor Nexorilor deg ‘Doct atin este itl nuns la entclin pumas, tla poate etinst pnt n zona mde plats degetle bere. fela de repaus octue exe ine tb ona duteroes, ed nacifet nflaatr, dae deforma nie. Prin a se urmirege Imenfnerea port fineonale ancuae si amciorrearescict {nflanator. Din punct de vedere biomeeanic pin iindeea muchlor intinset gi itefineres arcurlor palmar, combate devia de tp bite, deformaile de police, mana in “pit de lebtde’, degetal in Sputoita” ete Atelt ete pet suport pe © mink cu deforms inedible, de eee nial exe necesarlcoretiaetopedico-chrwpiealt apo utliaren onze - Peni membrlnfror ele ma eevente rez ate sunt ele ie enc ee ene oe 5M, et a Lif como ann me a enema _ sealer extensei complete, sa delta progres ia pent pci {blest ponte vari) penta corectaes axl gambiae ee rom role lex se pk li ele ovate soeind propane exec rice, care st combalb powsiv contacto (Enemplu mash thio-gambir) gt defommaes ie ates i tela sera e ip iva stat a 7-10 sie, sind slcrenproresit acl, Cad articulaile sun fn 2 ona tls de reps 3 pate ulzn 24724 oe, uneo chi cnet itgrtaten tegomentul; wtp own tele a ncapen Atl de epaus eno pun etl In spell Ie vrei eu dstucje sea aricark gt dre feo cont tredicaments. "rea in polaita yeumatidh este afecllt zona cervical se tized an colo Minera pent subiizacloana cecal pic aa Ten np orl sau in cond.cerea atonal a afta glenn su pci, se pot comands panto dat pees protects mss contra Miloacerlnice ufone pentru mers sie onceteice sat consicrate mloue tatonle entra dearer tila porta, pet 0 parte din en rata fii etal gimetol. Ele sunt eprezeniae de: rj canada apnoea de mere u rei sa pte pia sa stan saan de mers pen a rue azeul mane pe gn inflate regia porn, cost, umes i et ees mijlone wince ajtoare revine ce mai des specinut Se eeoerr, eumatlogt sau etpedl dr, a apensrart polar eumatote gt mesiull de fn. cae ePanotarh aes mia fanionale, mifoseste sete, Snail inital de wilizare. Fecha de exert petra Inetnerea st

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