Capitotut 12 TERAPIA OCUPATIONALA 128, AcTVITATLE YE ou) 129, TERAPIE” OCUPATIONALA nv Jeo 10. Femapii G6UBATIONALA” LA zuwice ree, MeTOoRLE TEAR OCUPAO. Wale oe 480 vaasmct 128. METOBSLGGIA'BE LUCA iN 70 420 TeRAPIN Pai icici 12. TERRE PRN NUNCA 13 TRANSFERUL PACENTILOA 12. MUNCA TRANZITIONALA so | 23a anced 1 de im domeniu, Nu este cazul si comentim accast acestei terapii extraordinar de imy Sz 8 de interferenté intre TO ini de curind specifice Aceasta nu inseamni cE cele dout speci avi i exte 0 profesie care ajotl © persound cu I maxim pentru independentd $i prod Sse ajute singuri, 85 faci ce de a promova independenja sisou modificind ec te necesar, pentru acelasi scop, foloseste .activiti® pentru cresterea gi restau © ale unei perscane la nivel funcfional necesar viet adapteze net aceas- ia cu demnitate si autorespeet;igdwna %) 9p yd32009 snjnow rowyisd youuny nu aafzy 1 doos no 40 eane>yde 18 oH feud iga0p eA: 489 © no up “wouorour 2p 9 a no s1BWpI0 rpuvpso 8 19) soyezjundio tuo y20q 9p. inidiouad “rooq, op yao oun nasnayjeaa ad wound 2$ sigps0op 1u99% ‘oidod 18 winoaid ‘Sirss ‘y> Yeawls “njord wep “2 mn u voapt fxdaooe mu jesoUM sjeuue 2p advoule ve sfesspisu0s soqsrujoq, w oiniadngas o ‘mipow vo] aimdape © rajeal as nywaoe a8:0Kp eur _yDuotindnoo mdouay 2] soj2qysd eauedionsed uid go erapysuos 2s ‘aide 2 “droofonuut carey ran purdaooe gueWn vayeylenpraipur nod inasndsas eopuisdne ayjoso[y t> (tow jHUMNG| “ouEIYISd UF EweaNde aidesoy "eyfluy up axn jonRIES 1S hung up faurg addyyg orpou soy we , ]ou0Ur soydasoy" rapyotong ‘suEHUCUIN eyOso} AX [8 yiyoyooxs yrandoow w\-99 . pIstas yu DW MUMUADEE UL BYE 28 OM, OBDEY fd wrezeg audes3) “a pipsow 21dos91" OL IW WHOIS! LMNs ‘Z2L ‘od was us 16 je ayxay 9p juysiun oasyas — ‘us #5 rinplapan amuused © nnuad oxedhoduy rosuad mz>$nun goysuoy — | "Meson doas un ‘gujaies © wa4jwas ¥ 2p suvosied ‘sun eisiueM pusdepy “ 3p = ‘neq 29%) pugs eda apiyosop 1 apwyouy wamnd e nxuod ara ey 9p Pua. purnaoyey — ‘oq fd uy ued un no meYEde of wIDs pu ola — *g, pans os" ie » ysod jeuovlouny [east ayeuy row j20 o] ruusIoed oMpA Es Bjvuotlounf sidv4ai” o puos wt aise QL spar aea;01 ‘yo 16 ye jro yzeaxouwloxd gjeuoyedna0 gudnr2y « iMgnAnon s0un waswztyye ud’ yzvanos as 18 vo pleuorfouss xf yorzy eluapuadapm ey mo aveygugs runuod sisayaud 0 21 puuguun uaa, un yoadse oppor nd 9) aun ayns309u1 jaar *puganeysar fain mapas nha apSoorsouy ur44 Kinesiologie ~ foot tralarea acestora comp de TO se transforma in olpeternici in pre: ‘AOTA pune bazele si invikimantulai by specalitate, promoveaed ie ratura de specialitate 1930 cind apare maren eriad finan- de TO care erau destul de costsi- rece- ce pein «liga dt i psrarea ie Ambele con wilt, in aga fel te umaniny prin concep denotes tehnoogica SUA, ofeind meio dar (00H si se renunte ele decenii TO se_dezvolli enorm logia de baz in asistenta de rect aproape ficcare Universtate americand avand o astfel de AOTA ca orpanizalie devine foarte itodologiile (ay Terapia ocupayionata 475 In acest capitol se vor prezenta citeva nofiuni de bead ole TO ‘les sub viziunea AOTA, Scupationalt in Europa 2 parcurs foarte grew ealea ascendeité de peste ocean, Europenit au cimas cantiatidosr in tehnicle de enoterapie fird a urmiti un concept medical imtegrativ. De ima scoala de TO 4 apirut in Amsterdam in 1954, iar ca profesie TO a Tost recunosculé tot in Olanda, de abi Se constati insi in ult {rile europer adecvati $i cu baze corespus un efort concertat de a TO ca specialtate si profesie ev seolarzare nea in ye de erpoterapie si pen orgunizate de Expertiza Capac! I, dar avind obiectiv vocational de i universitari_ 1999-2000 si 2000-2001, le la Oradea a objinut avicul i in 1999 a apanut pri lin Oradea (,Terapie Ocupa fizico"), aulori Dr Daiana si Vingil Popa 12.3) PRINCIPU IN TERAPIA OCUPATIONALA To impul liber (jocuri, sport, exeursii ets): jat astiei orice servici de TO‘ayeuuosod y rod us 96 sod 19 of wuroses “Corum feu aeAnosip ednoo Wms 2789 (2 {ouedop eur en29 Savy ait ator aye quawaRe 9p (aay) 2am Iwonos ea 2§ wound imsaoe exdnse) cod wp a syye ass9AIp cy ") edrg 0) oneyp 8 aud eo seu iB guouoduos 0 iunynsu0>) yun yor un Ezeaw0; sayroads sojpoyau 6 soqidiound voveoyde joudes ran ‘desypuny ‘orexoudeu! ‘anmuNyu) yeruidoud eBIER|eA9 v] IOP up pyouoslodnae mide, oamnytng*Y 4 yea WARD FINDSIP OA 98 > ve aind y red mew nu 2309 sonnade soquBojoporaus 1 20japoroM yonns 3p ayefo] pues jauud uy "x a ¥JOY ata ad aay ‘oxd 9p" 9u96 © yzn9919 2H0> ylUIpu} o 91g “OY, suds no tusjoed ap oles 0 18 go gyesued 9s ‘rue Wun wy ‘urodnons wp orouasSue ywuopard auedap 2d jonzap 88 OU. #9 9p snsap sajoluy ap ais -AN>oIgO wl ANE vaypou soppuusigoud es ds auajgand mo ‘dana yzosojos “abeympaue avo] ap swOBDIED a SLIOS y jorzep ef ap warege ap areusuuap anpin yeu! 30 co gonzon yn enw aantcing, 00 “pos “jelous sora al so|sueyoed wap |-98 o4nyauy axes 2d 30) i} (vannwsus) eesnpa (2 4 we eS 9saNNOOIUY axe aanMdopE awa wed nasuuamue TarepueWoaDy (p fe asporau amp ‘woyroods a¥ojoporow 18 spojour na feuomodnoas nes) yoninadro youn 2p joo] es esRoe “eh Inprarpur ye 2yoUoN 8 = opRopogsouny478 Kinesiologie— stinga misedrit performanja fizic sau soci ‘Toate aceste aeperte trebuie depistate, analizate i eu penta a se putea toe in etapa ¢ 2a A dori =f is. Se poate observa ci dorite si mevesure, oc © persoani de virsta, scxul si pregi id cu dificult fa mers poate st le ail TO apreciazs Spal de nnd af = realizarea melor de actiune, tarea obiectivelor de visi ete; preocupare de a preveni ter wy revauare, i obietvelor prope la tenenele + modiicures actor obiectie si lennene cin este necesar, & chine metodlor utiliza sau neivgaea (DPanes a 3 exe descirearealeontinuarca peuie se opreste cing * aprecierea progrest aly nhiderea progr icaile de vitor. Acest momént poarti: nue le de ,descdrcare™ (discharge) si el incheie orice respon peutulu restaurvazi perform: psihiosaciale; = Identifies si ei ~ Eduet pacient interventitor posibite de’ asistere-ajutorare «pac i, organizai furniza serviaudios Susp und pzracaipe os wingOIS LENIN ree AIVNOLL¥dNOO Iald Vea. FTICOLIN “vet ‘slougngg nj sugytdoo mip “RsHEA 0u0 & duro aids “au atlnaaxa op saocu iy oo ganded ‘oyes * 18 papotyn ups — anopopsouY oarKinesiologie tinge migedrit ci, $8 0 vopseas spre scopol final si produsul tudine gia migeat umfrub sau c ete. Absorbit ia train ceed oe peemie'o dural mult mai Tungi a sctlifc, In pls, pacientl vn det. van si involustar eompensile necesae eu eae poste jun ca problenele pase de contectonre Exisl ine 0 conde de burl interes Activates ofl de terapet Terapia ccupayionales 483 rest ele 8 at seus deo sei de ie) tn sep dies : ppacient, si fe acceptati; iv fizicd gi ze recuperaren def u fie peric fie varia, = Si existe cons Exist in mod ese le_ale_ pacien adaptaiea mai sites Gradarea are re packet imbunsese cap fh vedere func de Gad. apnea de mares planar de wavy fad ey mage cx pum dr Sena lizand scule n rele eee oP nays) Aistanarea obiecteor de ~ ming Br, jcative) se pot ie de baas i ‘mele tehnici de resbap VEIANDH ap MON IS sfodwy a1ew ap jouden ,jmajsumi” snposut ys0y w dnd ‘yereim) wip ‘Sof 9p ‘sms ap ‘amore, g “axajduioa ap mason a aut : wu syesatra 2 0p RI035 ee ee ee eae n ‘aoe Te go sajatujauiq sep ‘our vay486 Kinesiologie~ stima migeivit de transfer pentru ch a fost . Ma multe amanunte neler ale, dar cu un accent activist faci cred nofericiti cici ereeazi o serie de conluzii, motiv pentru care se Repreziacl donieniul kinetoterapiei, sunt cele discutate in cuprinsul aces- Plo i el re mie «cu ula ev scopil de prevenre sav corectre a url inedpacil ize, tere 9 che ets ao bi ‘Terapia ecuposionalit 487 recuperare, bazel Je TO nemsipa- entra TO, cum ar fi de exeinplu pentru reabili: ei terapeutice tivele principale ale ET sunt 1 patologice, urtni controversele, in 1992 AQTA public: Poza AOTA Je aplicars 8 agentilor fiziei in TO". Conclozia acestui do- lor de aphicare a ager de tratament fra-aplicarea unei terapii cu Fi ule in pla ~ cildu (superficial gifsau profind srioterapia sub diverse forme do ectoterapia (st womuseulare, stimulirite ta ‘edie fieevent, curent galvanie pentru ionloforees); = hiGroterapia (whitlpoo! —"baie cu vérejri) ~ Hluidoterapia, procedeu neobis servicile de TO. Bste vorba de te de membre (a de geiu, care va foarte b tafe piel ~ masajul mania sau ea diverse apacate si sau piel| | -sujaou nus on IS asaqgis a8 “ung eu ug ‘ajaid ad osady as azo aonsujaou my soriseya 239 pursojoy ‘anrz0p ns 2od aropurn oar ‘pdje ‘uso, ‘sdiyj8 “Jou Sonseyd wip areuorloazuo> puny “ope aus 2p epowt 0 ¥9 EpIsuOD aI up aued 9095 earezqpo arwovoxey, (comer oaeagy 0 ua vluyys— aeopoysauayIdentidicsres vatdainda perforant” Kinesiologie~ coreeta A. um profesor cit parapleg sur Kd merge sf wrijeasc’ Penirw acest 5. Bi evaluarea despre care, a de bad al mun se eles a nal isi va aleetniseoe © younur uy area wworsed puprndnaas “n> a)s9 HAA Ie [RdlouNd indoss ¥> sndisoq, ‘OL mupeo wip yasas #8 foun sojasIAAKp aI Ezeq 90h 1 sweporo) goseaqgs® 9m oun (uud Ars) ut arsaadxa “(HM) p soy w aswiadnaas ap tuesfoxd wsa00 °¢Z6| : punpens* y voind se oxo; " Bunspunee-y0Ht" 2p jo un CURT eeopn nimadesay dove no enjard 96 wvig> mustwop uIP ,JojuDs9W 18 10/9 -daouos ap wunuop 180} 8 XIX "298 BO wHULIay d mimeo “winoe eUpd aaniEaP 2499 up eapan amd es uno ma Ronda gxajdtod au 0p QL, pugo tounge se1y9 uP sod a6-npaguyuons axoUEjON UIP ynoqst wadnse stoM wARIED aj20 uy IS EIU aS LUND eB Gon Nid veges ter youoyindnco vidoe -payte 8 ramp soqnaden 9 oy ‘onus sjeporeur vt usquimos no yeaa ‘asndoud jenaoi vj sndns uy PA HKD! igintyysap ynsunoued ad "u oq Bares op vB 7182 ,SUD luewiopad 9 fap qupro un nnuad oe 35 nj midan gonpuoa Ys sie “ynos usuLa} od aumyoyap swouoxduied ajemuona ays}2}99_ 97 hunssise ul aplnniojsd wuszaxiot 10N waisa0r “B [nupeo ur zesa.au ghuspuodopur 9p np voaulp “aod 9p sjuauodwo> 3jzoe Bitapina and mp TA ft nies) ghueuoduit suvur ne 90 easnaygual iS ‘ayduioxg op ‘yqurraud sms cet 2p BURITEG yu nes grmazapsN wap auos © soul 95 (oq9ed 16 30D) onav0ay,-odfedn20 nqozas aundond epunees (wer 19 resist y rod [2 GY 9p 10104 spsy 1euy. ny auto afuaroyep wwe © ru s1anip raseygose 02 (319 veguds “elgiND “ane jewuojied op ale Bex 700 Bp ape utd vajozar as 19 iyikuaya acy “uajsed yse08 nnuad 9jeioads joulion pully HEHANO asioxyp nay 2180} nos “uneos-yed) ansoysuRt (yeqHo} 9p 2 Jojsad ap saue eavonqjsies munud aanso92u yuns awa}goxd#Se9}20y (Coro royndaon aiirzod eiworep naqipitaa op ausayqord ‘omoundns 2jauquious nayuad wo) uneds uIP gygel R| 9498 FIOM Bs ~ sv © ronpuos 4s eigaus eo eimdepe audord eurbeus no ofsour VE puieus ug ands wip |tuajsueN ehuuMsN no goes — (awunrgr “e4i0)) axgiogs xf areas 2p seuyou tog! ad x6 aod 2d aqnor no poumeas outg szazyyqou ES alonty gS — papas ofS —apSojoysaury clKinesiologie- 494 de sereditare pentra ea ap ~ starea aparatul ne, de a evita ajutor pentru exe- le sivaceidentele, de $i cin ‘cutarea unor manopere; Terapia ocupationalé 495 { le locul de munca pumctus respectarea standardelor ete, anulei WH fc pacientilor i un exemply de poate fae facut de Scopurile pe care gi le propune WH sunt deos notiv pera care sa si dezvolit aoeasié ~ 58 realzeze 0almipy 4 your andionzed 0 pusedeu foxo grosoqeye row “(puso =p eenpoHRA) Tay mp aueds aucioes 0 = (uisry diva fo poruaunasuy) YAY" ingens ene eho jaw stio9 Hara eousoid xdeup pupae 2jawauod Sago a gznasiusouoo #6 amp wreadord un goIpe CM) , Sue Guumu-vse aIs9 0, |IBojopowm e g20q 2p BHIAEdOD en Figuopeoy 40s 29 * yorpee v-s wre fe ssoy snidao0 a) pe|dioo aneones Oo TH ound 9p 1 vomodnoot mune ¥ 2p ayo. ooioed ‘youd 58 9p peouad 0 wag, ouigo ny ryuoised ye puna 9p moo} HL JED AMsEIsop awed mrad nt Has FUPEO UL "eye ae uno ey jnwuoysed vojenqesuodses ezenouosd:498 Kinesiologie— stinfa miycdrit ‘mare a proceselor cognitive, referindu-s cecuri etc, utuizaer Tansportunior m comun, acfiuni recreative el.) are (a se veden cap Inportanti informare gi anurie: n actole obignuite ale’ viet m ‘ack fe gurd decd! daci flexia cotului lui este de 40" sau 70" tant si stim daci se poate urca si poate cobori singur din pat decit touti swita de jce_care ince lash lucra "es nu forja muscular, mu ton cular gi nici controlul motor, ci act haina, poate deschide wn se tina eéc., vom obfine un. tablow mult mai elocvent asupra caps sionale, asupra gradului de independenfi gi in, consecinjé a nevoilor de recu- perare imediat 2.Ca mijloc sa metodd terapeutic’, de recuperare ADL igi imparte pROntaytemeommEAM entree de TO nists orga nizate 0 mare varietale de aplicare a diverselor ADL. ndtati replat gradul de lependeni* 9 independ de @ realiaa ADL-urile. Cova tunele ADL-uri sau a inabilttit de a Je perfonma bine s¢ face diferenja'intre jevoia de ajulor" fn primal caz gi ynevoia de indrumare sb invijar in cel eral doilea iposibi privé ca rezultat at unor mari inva iatea de a realiza unele ADL-vri, de asemenea mu trebvie Un pacient cu o lombosacralg’ 499 ne aratd nivelul de performan{a alu de pomie, de la care progresele sau regresele pot fi masurate: oticlror modificii.ce trebuie Ricute in ac- Iclasci un program absolut concret de r0- cesta are la baz exeeutarea repetati a insisi ADL-ulvi det. este perfect) gi ‘eepent planal de terapie ocuy lupa cum se srite, obligatori paci cere o adevaralé stategie de Iucnu care ‘mai independengi, fat, spre exer cegil ui sau care pot fi Ex. Faptul cl 0 pacienté ow poi cul de cusut in pense di iB reumatoidd nu va mai putea fine digital dar va putea aves o- prehensi ‘aceeasi bolnavi’ nu va mei putes manipula Octet mare cu 0 toart, ct doar o cratit cu dou tart trebule aceeplate ca atare *"Se vor ‘digital, Ti prin- ‘Se vor inmagina gi confectiona o serie de piese ajutitoare peniny oxe- ‘eutarea unor ADLoui (vezi mai departe) + Persoanele din jurul pacientului (familie, ingrijtoral ete) vor fi ine consid ajutorul pe care il vor da paciontulul Programul de luerw se va incepe cu recuperares ADL- urior mai usor de restabilit pentru a creste increderea pacientl tatea lui de recuperare, vilateajoor 9p jwordanes aed amdepy — 927 Ty igisoduat nes yfoysp runs oe man 2m [to Buigon_ ap STENT tos ppp} panaty vhayys — anioqorsoury, ossu Kinesiologie ~ la migedrit Terapia ccuparional 503 pen sewunele lor cu 12.9. TERAPIE OCUPATIONALA IN $COLI wea de TO in gc siderai extrem deyropt en am HEH OEM OTL wee ® (OL. ap veIe sugas erway “un 9x9 wn yO. YODA Nd Vidvaal “11°21 wi}go ung aneyp apa fousja pzPa0%0 10Us a am uguiou 9p pun) aqeatds wy rev ‘mogpat 9 soooaud yew yg0 swowee wy wen) HE EIMsidop aIngan aUOREIES msLEOW (oIy asd 16 9 ‘oy twat raoanp ual amuyisd #8 aor 2 nda) vainpiaid) und axeydupezap ap jnwosptns op reunuctap 20180104 isd 1§ aorzy ajeuorloury sewoedenut no asvomuys OUNSIBA aUROSIDg "| 0s nyouortodnoe mdoiay woo1e9 f aja100ygWN uIP BUR ju ayuouoduio> 95304 1 ane ‘epese "aENyEAg eupsout » op of 19 “euewopsod jap oLmuaAuL ® ap FRUNU MU SIU {5H} BS JOA oIsD HN ‘afBUOHFoUN yoat09 Bas sf pwuaye ap ugstoap warenyess a1se ustsg ‘ds a0jep guwoiqard o 2189 JoumNsagA D| OY, 9p werd mun wareyde 1S wane -goje a0asnoep azvdnaoaid gisesoe wyigeaydxo aisy “(uon2ag peau joroods. Mojonowag Suormprossy kdeioyy jouowedn209 wououy) sunesiad 35908 ‘gjoads atfoas 0 azafumyun FS JwsaD0u SES &_YLOW #9 Imad} up #8 soupep aywod og .ojouusiga gpi09e 0 Oy ase ad elucLoduy an ‘ory, apa 16 38 ‘sonetumenssod 9/508 y2 98 auRo Hy “Tosudses ese nfo sape (eu jauvusiod ¥> ant 9g wadeou gzea]nun> SHER ue 9p $9 ‘ised uns Yguondeon no ajaucosiod wip qe awed Go mEIE ayousHENS ue ap 96 a1sad upaieg HHP 9p 96-4, S1eA = 1 OP FL-09 POM BIABA = JUE 39 S-Sy (puoul wAjezEIG) rae 2p 09 atsad 2 prepisuos 9s nycuoxo aids ejuriy ul “souuaA nuoaoud fe ‘nfoagjont ‘aezadnoas ap of apoio vhenyS — a1Soqoysouny, vos312 iologie — stinga migcarit Capitotiult 13 nd miei Aigurine EXERCITIUL AEROBIC SI ual (uerind din picioae gi wring : ANTRENAMENTUL LA EFORT* area balansului). in cadrul act rafloe, sonmasi ce 0 Vill, Usitizare terapeutiod 1. Stir pen scop (wie a face mit vase 2. Stiri-cu obiective previse terupeutice DezANTRENAREA |. TEHNICA EXERCITILOR AERO:(eon #09 ‘gounoutos! “puoos!) ayfzenuoo ap diy 20 — -») wduoa (p-£) Bintan, (6-2) yuna ‘eve}poue oreoay ap uy soa sompou 18 mn ais@ amo 9d seu WO “py SIME © sauop 9g ‘smipaur 48 x ad (inyasea jnsunpuy) auurzunyoud wip ( ap piyomp 2d foto nD yzoasosd ag “ou sand sorwowta 222 (19 emyseid) sez. s ByoueHfodn2o exderoy pup ny 9p 0198p tuosorf od yoredo swayz0d un nayuad ,pjoyfuoss aponanoo” 2p nude YXINY “E21 aoe ina sy TapoNz © OL : 7 a atie08 © 9389 91°21 “By Uy “oroUE up rode eset 1 a aps fins ~ ayfoqorsoury,506 ie~ sina miyeirit Teropia ocupajionala 307 12.12. TRANSFERUL PACIENTILOR e scan sau in pot sau invers, tc. Nu di in rizbo piersKinesiologie— stinga misedrit sos