general principles and spesific methods of musculoskeletal treatment

7/24/2019 General Principles and Spesific Methods of Musculoskeletal Treatment

1/17

General Principles and

Spesific Methods ofMusculoskeletal

Treatment

Debora Lusiana Herman

11 2014 02


2/17

General Principles of Treatment

!ooperate "ith the la"s of nature

#e realistic and practical in $our treatment

Select treatment for $our patient as an

indi%idual


3/17

&orm of Treatment

Ps$cholo'ical consideration

Therapeutic dru's

(rthopaedic apparatus and appliances

Ph$sical and occupational therap$

Sur'ical manipulation

Sur'ical repair and reconstruction

)lectrical stimulation

!ontinuous passsi%e motion

*adiation therap$


4/17

Therapeutic Dru's

+nal'esics ,S+-D!hemotherapeutic

+'ent

!orticosteroid .itamin Specific Dru's


5/17

(rthopaedic +pparatus and +ppliances

*est

Support forMuscle

"eakness and/oint -nstabilit$

Pre%ention and!orrection of

Deformit$


6/17

*est

Disuse atroph$ of muscle "ith resultant 'eneralied "eakness

Disuse atroph$ of bone -ncreased calcium ecretion Deep %ein thrombosis "ith the threat of pulmonar$ embolism Decubitus ulcers

Prolon'ed andcontinuous bed

rest

Slin' 3pper limb !rutches lo"er limb*elati%e rest

To Stretch 'raduall$ soft tissue that ha%e become shortened secondar$ to alon' standin' 5oint deformit$ or dislocation

To relie%e painful muscle spasm associated "ith 5oint inflammation or in5ur$ To maintain len'th of the limb and ali'nment of fracture fra'ments in

unstable fractures of the shaft of lon' bones

!ontinuousTraction


7/17

Support for Muscle

&unctionalbraces

Spinalbraces

+dhesi%etape

strappin'


8/17

Ph$sical and (ccupational Theraph$

/oint Motion Muscle stren'th-mpro%ement ofmusculoskeletal

&unction


9/17

Sur'ical Manipulation

To correct deformit$ and to re'ain motion


10/17

Sur'ical (peration

General methods of operation 6

*epair

*elease

*esection

*econstruction

*eplacement


11/17

(peration on Muscles7 Tendons and

Li'ament

!ompartment s$ndrome

+ cut tendon is repaired b$ suture

Tendon tethered b$ adhesions

Shortened muscle that "ants to belen'thened

&asciotom$

Tenorrhaph$

Tenol$sis

Tenotom$ or Tendon len'thenin'


12/17

(peration on ,er%es

+ cut ner%e

-f the 'ap is too lar'e

Spinal ner%e root 'et continuedpressure fro a protruded

inter%ertebral disc ,er%e suture

,er%e 'raft

Laminectom$


13/17

(peration on /oints

+n opened 5oint +rthrotom$ and

eplored a remo%e a loose bod$

The elon'ated fibrous capsule of

the 5oint is ti'htened and repaired

!apsulorraph$

+lterin' or replacin' one or both

5oint surfaces +rthroplast$ *eplacement of one or both 5oint

surfaces Prosthetic 5oint

replacement

&used of bone or unite to each

other +rthrodesis


14/17

(peration on #ones

Se8uestrectom$

(steotom$

Transplantation of bone or bone'raftin'

*emo%ed a piece of infected dead bone

to !orrect either an an'ular or rotational deformit$ in a bone

*emo%al of bone from one location to other location


15/17

)lectrical Stimulation of &racture

Healin'

+s an alternati%e to bone 'raftin' to stimulate osteo'enesis in the treatmentof established non union of fractures9

: electrical s$stems6

!onstant direct current throu'h percutaneous "ire cathodes semi in%asi%e

#ri'hton

!onstant direct current throu'h implanted electrodes and po"er pack in%asi%e

D"$er and also Paterson -nducti%e !ouplin' throu'h electroma'netic coils non in%asi%e #assett and also

de Haas


16/17

!ontinuous Passi%e Motion

-ndications

+rthrotom$7 !apsulotom$7 debridement7 arthol$sis of 5oints "ith painful restriction of motions

secondar$ to post; traumatic arthritis

(pen reduction of intra articular fractures as "ll as metaph$seal and diaph$seal fractures

Patellectom$

*epair of li'ament in5uries

S$no%ectom$ for rheumatoid arthritis and hemophilic arthropat$

+rthrotom$ and drain'e for acute septic arthritis

#iolo'ical resurfacin' for a ma5or defect in a 5oint surface

Sur'ical repair of a complete laceration of a tendon

*i'id internal fiation of a metaph$seal osteotom$

Total prosthetic 5oint replacement


17/17

general principles and spesific methods of musculoskeletal treatment

Documents