Tuesday, September 7, 2010
Musculoskeletal problems
Objectives of treatment
- Spina bifida patients to physicians' involvement in children's goal to bring the level to allow optimal mobility and may cause a range of diseases is to prevent complications.
- Numerous surgeries, long hospital stay, long-term casting calls, complicated process that requires orthotic treatment and rehabilitation process of children, families and communities isolated from the psychosocial risk of inhibitor development should be remembered every moment.
- To the level of involvement of the patient, family and the child's potential should be determined according to realistic goals, long-term treatment plan should be done with the patient should be monitored and perseverance.
- Some patients schedule wheelchair ambüle prefer to be able mind should be kept in childhood, the therapeutic ambulation overall growth and development and socialization on the positive effects due to each patient the maximum ambulation in providing effort should be.
During treatment:
1. Can not be comfortable in bed, looking at the patient's care to facilitate
2. Easy to care for patients who can not sit in the seat, but to provide balance
3. Patients can live better and can sit on their hands to ensure
4. The patient can sit up well to provide
5. Ensure patients can get up to walk
6. Conducted to ensure that patients have a good walk
7. Do not wear shoes of the patient could walk well - calluses recovery - and so wound up. Patients should be evaluated in order to solve problems, contractures, deformities and instabilities were determined for each of these solutions should be sought.
Regional Issues
- Spine problems in the treatment of non-stop destination to sit and to walk is to get a balanced posture.
- The target for the treatment of hip flexor problem postürüne outcome and may cause dislocation of unilateral pelvic and leg oblikite to prevent shortening. Flexion, standing and walking postüründe biomechanical aspects requires large energy losses and minimizes the potential for mobilization of the patient. In all cases, within the possibilities of hip and knee flexion, standing crops, or be prevented by calcaneal deformity in children is very advantageous for the extension mobilization Posture should win. Posture extension during sitting and walking in children as they can use their hands free for activities of daily life, psychosocial development and gain the advantage. Is very controversial in the treatment of hip dislocation, dislocation can be neglected in many cases.
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