The rehabilitation of fracture is in two stages

The rehabilitation of fracture is in two stages
The teacher's words: The rehabilitation of fracture can be divided into fracture and healed one and fracture two stages of convalescence. Heal issue, instruct patient carry on joint carry, crook sport, muscle,etc. to be long to shrink the exercise mainly, utilize and raise and suffer from the limb, physical therapy it in order to dispel swelling, prevent the contracture of muscle joint. Lay particular emphasis on initiative movement, helping hand sport and passive sport in convalescence, increase muscles and train the intensity progressively, resume harmony and dexterous. Fracture heals one and dispels swelling and prevents the goal of recovering of amyotrophy: Mainly dispel swelling, relieve pain, prevent contracture of joint and amyotrophy, strengthen the resistance of whole body, prevent complication from happening all over. The measure of rehabilitation: Initiative sports, raising and suffering from the limb, physical treatment. Initiative sport dispel edema to be most effective, most feasible and costing the minimum method like this, contribute to the intravenous and lymphocytic reflux. Carry on initiative sports at injuring the near end of limb and carrying the joint far and is fixed to need to complement the location in each sport, offer helping hand if necessary. The upper limbs should pay attention to the abarticular exhibition of shoulder, fasten and mean the crooking and stretching sports of the joint with the palm outside; The lower extremities should notice the ankle joint carrying and crooking sports. The old patient should prevent the shoulder joint adhesion and stiff even more. The fixed position of fracture carries on muscles rhythmically etc. and shrinks the exercise long, can prevent using amyotrophy of waste, and make the end of fracture pushed, help fracture to heal. Joint surface fracture often leaves over the serious joint function obstacle. In order to lighten the obstacle intensity, after fixing 2~3 weeks, if should probably take down the other fixture in short-term every day, carry on the initiative sports not weighted of damaged joint under protection, and increase the scope of activities of joint progressively, continue keeping fixed after sports. So can promote the repair of the articular cartilage, the ones that utilize corresponding joint surface grind and mould the shape in order to reduce the adhesion in the joint. Being good for limb and truck should maintain the normal activity as much as possible, should leave the bed as soon as possible if possible. Patient who must lie in bed, especially senior or weak patients, should make the setting-up exercises on the bed every day, in order to improve the whole body situation, prevent complications such as bedsore, respiratory system illness,etc.. Raising and suffering from this law of the limb helps swelling to disappear. In order to raise limbs effectively, the carrying far of limbs must be higher than the near end, the near end should be higher than the level of heart. Other physical therapy such as therapeutic treatment, ultrashort wave treatment, low frequency electricity or ultrasonic treatment. Magnetotherapy can be made into the supersession course of regenerating area of bone and strengthened. Have thinner soft tissues fracture of position ' Such as hand, foot) Suitable for treating with the magnetic field of low frequency, and deep department fracture is suitable for the ultrashort wave treatment. This law can go on outside the gypsum, but metal sheets should be forbidden while fixing. Fracture strengthens the muscular strength and trains the recovery goal of balance in convalescence: Dispel remaining swelling, softening and draft fiber tissue, increase scope of activities of joint and muscular strength, train harmony and dexterity of muscles again, resume daily viability. The measure of rehabilitation: Resume the scope of activities of joint, resume muscular strength, equilibrium to practise. Resume the scope of activities of joint and is given much trouble the joint and carried on the initiative sports of every movement axle direction, the contracture of soft draft, adherent organization. Should observe the progressive principle at the time of sports, move the range increase gradually. Movements every is repeated more all over,several times a day. Just the fixed patient could adopt initiative helping hand sports first, reduced helping hand correspondingly with increase of the scope of activities of joint later except going. Use passive sports in organizing contracture, the serious one of adhesion, for instance the passive sports of the tactics and the joint are drawn passively continuously, but passive movement direction and range should accord with dissecting and physiological function. Movements should be steady and relaxing, rhythmical, for not causing obvious pain and muscle convulsion. Complement it by other physical treatment at the same time, if some and ultraviolet can promote the calcium to deposit and ease pain to shine. Infrared ray, wax treat the auxiliary treatment that can be regarded as before manipulation, by promoting the blood circulation, soft fibrous cicatrix is organized. Resuming muscular strength increases muscles and trains the intensity progressively, it is degree that one that is with muscle is tired moderately. Can adopt hydrotherapy, massage, pulse electricity stimulating, passive sport of low frequency,etc. at the beginning, then take initiative sport as the core, can also carry on helping hand sports, and then resist and hinder the exercise. Joint activity should rely mainly on waiting for long to shrink to do exercises, so as not to aggravate the joint and react. Equilibrating and practising the organism keeps the equilibrium, depend on feeling, on the other hand still depend on the sport system and integration that the inherent posture reflects on one hand. Balanced except the persons who train control consciously, at will while doing the equilibrium to practise, should also train the subconscious equilibrium to control. (the first hospital in Jiaxing of Zhejiang Province recovers in the department and submits the article)

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