Physiotherapy in Surgical Conditions PDF

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ExhilaratingHeliotrope3532

Uploaded by ExhilaratingHeliotrope3532

كلية بونا

Dr Mohammed Alhakimi

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physiotherapy surgical conditions medical treatment healthcare

Summary

This document is lecture notes on physiotherapy in surgical conditions, outlining common complications, such as respiratory and circulatory issues, pressure sores, muscle weakness, coordination problems, and gait issues. It also covers common operations and the general roles of physiotherapy, including prevention and treatment of complications. The document also covers specific techniques like posture drainage, incentive spirometer, percussion, and the management of edema, pain, and other issues. Various exercises and modalities are mentioned.

Full Transcript

Physiotherapy in surgical conditions Dr Mohammed Alhakimi Most common copmlications: 1-Respiratory complications as: -Weakness of the respiratory muscles. -Chest deformity {Flat chest}. -Limited the chest expansion. -Reduce the ventilation and lungs vital capacity. -Collection the...

Physiotherapy in surgical conditions Dr Mohammed Alhakimi Most common copmlications: 1-Respiratory complications as: -Weakness of the respiratory muscles. -Chest deformity {Flat chest}. -Limited the chest expansion. -Reduce the ventilation and lungs vital capacity. -Collection the secretion. -Reduce the endurance. -Pneumonia. 2-Circulatory complications as: -DVT. -Hydrostatic hypotension. 3-Pressure sores and edema. 4-The pain and Muscles weakness. 5-The muscle spasm and limited the ROM. 6-The deformities {Contractures}. 9-Reduce the coordination. 10-Reduce the balance. 11-Gait problems. 12-Myocardial infarction. 13-Asthma or chronic obstructive airway diseases. 14-Postoperative fever. 15-Infection. 16-Haemorrhage. 17-Bowel and urinary problems Common operations: 1-Gastrectomy and intestinal surgeries. 2-Liver surgery. 3-Renal surgeries. 4-Spleenectomy. 5-Chest wall surgeries. 6-Herniotmy. general roles of physiotherapy: General roles of physiotherapy for the general surgery conditions including: A-Prevent the main complications postoperative. B-Treatment the complications postoperative if present. 1-Prevent or treatment the respiratory complications by chest physiotherapy as: -Posture drainage -Vibration and shaking. -Huffing and coughing. -Vibration and shaking. -Bre-Early ambulation. -Bad mobility. -Incentive spirometer. Percussion: Prevent DVT: -Circulation exercise. -Elevation / suspension. -Compression stockings. -General breathing exercises. -Calf /ankle pumps. -Early ambulation. 3-Prevent or treatment the bed sores by: -Change the position. -Correct position and used the cushion. Treatment the bed sores if present including: -Laser therapy. -I.R -HVPC. -Ultraviolet 4-Prevent or remove the edema by: -Correct the position. -Elevation. -Use the bandage. *Treatment the edema if present including: -Elevation. -Drainage exercise. -Lymphatic drainage massage. -Vasotrain 5-Prevent or treatment the hydrostatic hypotension by: -Gradual change of position and use pillows. -Tilting table. 6-Improve the functional ability as : -Bed mobility. -Transfers from supine to side lying position. -Transfers from supine to sitting position. -Transfers from sitting to standing position. -Transfers from supine to wheel chair management. 7-Prevent or treatment the muscles weakness by: -Passive ROM exercises, active assisted or free active exercises the type according to the condition. -F.S if is allowed. *Treatment the muscle weakness if present including: -Strengthening exercises. 8-Maintain the ROM by: -ROM exercises. 9-Prevent or correct the deformities {Contractures} by: -Correct the position. -Use splints. *Correct the deformities if present including: -Stretching exercise. -Orthosis. -Modalities that allowed to use as hot back, I.R , U.S , S.W.D. 10-Maintain or correct the Posture by: -Correct Posture exercise. -visual feed back by mirror. -The splint. 11-Maintain or improvement the coordination by: -CIMT. -Coordination exercise. 12-Maintain or improvement the balance by: A)Static balance exercise as -Positioning from the more stability to the less stability. -Pelvic lateral bending exercise. -Equilibrum reflex exercise. -Others exercise. B)Dynamic balance exercise as -Circular gait exercise toward the affected side. -Gait training between the barrier. -Others exercises. 13-Early ambulation and gait rehabilitation by: -The physiotherapist should be evaluate the following before the gait training: A-The muscle strength. B-The weight bearing. C-The balance and coordination. D-Select or description the assistive gait devices if needs. 14-Treatment others problems as: -The pain. -The inflammatory signs. -The adhesion and scar tissues. -Others. Thank you...

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