recuperare kineto1

Download recuperare kineto1

If you can't read please download the document

Post on 07-Dec-2014

287 views

Category:

Documents

8 download

Embed Size (px)

DESCRIPTION

RECUPERAREAMEDICALĂ LADOMICILIULBOLNAVULUI

TRANSCRIPT

Tudor Sbenghe

EDITURA MEDICAL

RECUPERARE A MEDICAL LA DOMICILIUL BOLNAVULUI

Dr. TUDOR SBENGHE

RECUPERAREA MEDICAL LA DOMICILIUL BOLNAVULUIpentru medicul de familie

EDITI:RA MEDICAL BucurcW , 1996

Coperta de: ADRIAN CONSTANTINESCU

CUPRINSEa 7II

Cuvdnt tntradneR.' .................................................................................................. Cap. I Recaperarea medical/1 (d et i ni r y continue, limit) ............................ Cap. II Prableme de recuperare medlcal tn afectiunile reumatice .......... II.1 YOlranrrlaremnaraidfi(PR) ...................................... ............................... II.I I DiagnosticulcliNCO-functional ......................................................... I112 Asistenta in PR Iadomiciliu .......................... ............................... II.1.2.1 Terdpia medicamenmasa .................................................. I I .1 2 2 Tmtamcnml fizical ............................................................ 11.1 2 3 Kinctolesapia ................................................................... 11.1 .2 4 Terapia ocupationala ....................................................... I I I 2 5 Tratmnentulortopcdochimrgieal... .................................... IL2 5ponditna anBllopoiermd (SA) .......................................................... 112.1 Diaanosticulclinico-lunctlonal . 112 2 Asistenm in SA la domieiliu ........................................................... If.2.2. 1 Tempfa edueationala .. ..................................................... 112 2 1 Tempia medicamenloasa ................................................ 112 2.3 Tcrapia fizicala ............................. ............................... 112 2 ,4 Kineziterapia ................................................................... I ( 2 2.5 Terapiaocnpationala ....................... ............................... IL3 Coxartroza ........................... .................................................................. 113.1 Diagnostic clinico-functlonal .......................................................... 11.3. 2 Asistenta coxartrozei domicil in ........... ........................... 1 1 3 i 1 Stanlcprccoxatice .......................................................... I13 2 2 Coxartrozasecundara instalata gi ncop ata ................... 11 3 2 3 Coxartroza secundara operala ..... ............................... 11.4 Gonartro_a ........................ ..................................................................... 114.1 Diagnosticul asistentagonarlmzei Ia domioilln ...................... 114.1.1 Stadiulprcartrozic ........................................................... iL4.12 Stadia atM1rozic (Propriu-zisj ..........................................

lame drepturile editorials apag inin exdusicimtelidimrii Medicale Pubhcatla estc mama inreaislmta a hditurii Mcvtieule fund pmlciola integnul do I pislalia inmrna 5t intemalionala Oricc ralonficarc a conllnatului in alara limitalor accvnr Icgi 51 a permisiunii cdilorilnr este inmrnsa 5i pasibila de pedupsa. am e31 luau eslc valabil panto) once repmduarc - inteamla sau Partialm WI !Meat de mijloace Onultiplicari . traducer mlaofllman. Iran. su mri pe dischele ac-I'.

20 21 22 24 26 29 31 39 42 43 44 46 48 48 50 52 60 61 62 ti4 65 68 75 84 84 85 86 92 92 99 101 V01 104 106 107

Redactor de carte: Lilian Pelresca Tehnoredactor: Primavera Cimpean Secretar de redaclie: Mario Neam(

Cap III

Probleme de recllperare medicala l a sechelele posttraumatice ale aparamlui locomotor ...................................... .................................

III .I Aspccmgenemle .. ....... . . I l l Principii ale asislentei la dnmiciliu ...................................................... III .3 Sechete al e naumatisma6o osoe ................................................... I11 3_1 Nncesul de rcgencrarcosoasd ...................................................... 11132COmplicatli determinate de aparmulgipsat _ _ __ ....................... III 3. 3 Unlnerea carJelor 4 bastonului .................................................... III 3. 4 Smdromnl algoneurodlslmfie poslttaumafc ..............................

ISBN 973-39-0281-0

11I.4 Secbele ale traamattsnrulal articular ................................................ III 4_1 I.imitalea mobilitlii aniculare .................................................... III ,421nstabilRama auicuIara .............................................................. N Serhele afe trauma/WI/Lam muscular ..................................................... I I U - I SCChelcnmeculatepoxltmumaticeindirecte ................................. III .52 Sechele muscnlare pnsnraumadac directe .............................. 111.5 2.1 Mimita calcara ........................................................................ III . 5 2 2 Delilah/nine muscular ................................................................ III . c 23ISChcmia mnsculam .................................................................. II15 2 4 Atrofia muswlara ....................................................................... 1 11.6 Sedre/e/e generalc posinmmoatice .......................................... III 6.I T Ibua ri l c ps ai c c ..................................................................... 111.621ulburarilemetabolice . III b3 Tulhuranlc fizice .......................................................... Cop. l I Probleme de e c uera

III 111 113 116 116 120 121 121 121 122 122 . 123 124 125 130 131 132 138 138

re medicalC]n afee4imi neurologice

.........

IV . I Henriple8ia .............................................................................................. IV.1.1 Leziunea de Driven motor central .............................................. IV . I 2 Evaluarea fungionala a hemiplcgicului ..................................... IV _I 2 I Apreaerea stmil Mice generale .................................. IV.1.22Stareamembrelor Mutate i i reeuporarealei (spasticitatea dispraxia, incoerdonarea, tulburarile de sensibi litate_pamlizia) ............................................................ IV .1 23 Tulbumrnle de eommlica(ie ........................................ IV. 1 2 4'rulhurarile emolinnalc;i menalc ................................... IV.12.5 Tulburarile sGnaeriene ................................................. IV I 2 6 DiGcultai in asisteata dc rwuperare a hemiplegicilor 1\2Yarapla%ille .............................................................................................. IV 2.1 Paraplegiile prin afeaarea neuronului motor ecnlml .............. 9V22 Paraplegiile prin afeelarea neumnului molar perifcric ............ I A ' 2 3 A.sistenta de rccuperare la dnmicdirr a pamplegicului ........ I V 2 . t tteeducama paraplee r lenhri Ia par I V . 2 3 2 Rcedu p nrca pamplegicului din 5ezdnd ...................... IV 2 3 3 Rc,cduc. ma paiaplowcului pentru c ,oslaGsm si mrrs IV . 3 p a r k n r s.......................................................................................................... o nl s a a J .............................................................................................................. IV 3.1 Clinica pall:insenismului ............................................................. IN' Furepatelomaoniapakinsonismnlui .......................................... IV 3 3 Asistenta recupemtaric is domidliu in parkinsonism ............. Cap - f - Probleme de recr perare m dicalln a 4 g i u n i l e pulmonare grantee V.ID

139 195 156 156 157 157 158 159 162 164 167 169 172 173 175 177 I84 186 186 189 194

rolewil d mne ob.cavctitn IDI'OJ .......................................... V 1 . 1 y lnanismedc pmduccrc ................................................................. V.1 211feadc sindrumalui obsbmtiv .................................................i S t t l m c l

V. I 3 Manna lmselt _Rcc ale DVO 4

.. ..................................................

u p e r u abolnaviloreuDVO . . _ . .__. V.14ASistenladeiec ra V.1,4_1lndepmareafaclorilorde rev bmnhopulmonari ............. V.1.4.2Coredamaracmnlorparologicicxtrapnlmonari do introtitan e sau agravare a DVO .......................................... V.1.4.3Detobmucliabronsica .............................. ..................... V l 4 4 Scadelea cnsudui trentilaiiei gi toni5erea musculaturii team-atom ............................................. ....................... V.L4.5 Armliorarcad'aihutieiintrapnlmonarea aura ini : V.1 46 Readaptama la efort ........................................................ V.1,4 ] RMmctti a s n c i o - p rn f l c n al a ................. ...................... V2 F a V i a r t p a t lamrlc r IcYk (D V Ip .............................................. V 2 1 C I f areaboller eu FA I R ..._. .. . _ _ .. ......................... V. 2 . 2 Disfunc{ionablatcain DVR .............................. ...................... V,23 Caeca DVR - .............................. V2 4Rewpemre.emedicalaladomicilivapaeienlilorcuDVR ................... V3 Dnjrnepa ventllatorie mixt .................................................................... V 3.1 Pncumocnniozcle ........................................................................ V 3 2 Sindmamele postblberculoase ................................................ Cap. I Prubleme de recuperare medicalpIn afeelipaile cardiovesculare . 9 I Cardiopmiauchemidicrvnra6 ~ ................................. g .................................................. VI1.1 Controlnlfuctonlordena _.. . VL12ASpecleedncalionale .................................................................... V1.13 Actir Hama firical rcantrenarealaefort ......... ....................... VI.13.I Llkctele antrenamenmlui la efort ............................... VL2