Summary.docx

**BURN REHABILITATION** **The primary purpose** of physiotherapy after simple surgeries 1. Reducing pain 2. Preventing infection 3. Improving mobility and function [\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\...

**BURN REHABILITATION** **The primary purpose** of physiotherapy after simple surgeries 1. Reducing pain 2. Preventing infection 3. Improving mobility and function [\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--] The **common cause of burns** 1. Friction 2. Chemical exposure 3. Radiation \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- The most appropriate exercise during the **early phase of burn rehabilitation is Gentle range of motion exercises** **\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** The **Rule of Nine's** help determine **the percentage of body surface area affected** in burn treatment \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- **wound closure** in burn rehabilitation is during the **Acute phase** **\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** Physiotherapy can help reduce the risk of complications after simple surgeries. **\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** In the acute phase of burn rehabilitation, passive range of motion exercises are **NOT** recommended. \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- Compartment syndrome is a potential complication of burn injuries. (Compartment syndrome is a painful buildup of pressure around your muscles.) \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- **Early mobilization is** important after simple surgeries to prevent complications such as 1. **Deep vein thrombosis** 2. **Muscle atrophy** 3. **Joint stiffness** 4. **To promote faster recovery and return to normal activities** **Three primary goals** of physiotherapy during the **chronic phase of burn** rehabilitation. 1. Improving range of motion and flexibility. 2. Enhancing strength and endurance. 3. Minimizing scar tissue formation and preventing contractures. **First-degree burn** Involves only **the epidermis** **\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** **Second-degree burn** Involves the **epidermis and part of the dermis. \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** **Third-degree burn** Involves **all layers of the skin.** **\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--** The **key components of the physiotherapy** rehabilitation plan for a **full thickness burn on the arm.** 1. **Initial Assessment:** Evaluate the extent of the burn, range of motion, pain levels, and potential complications. 2. **Wound Care:** Ensure proper wound dressing and infection control. 3. **Pain Management:** Use techniques such as TENS, gentle mobilization, and medications as needed. 4. **Edema Control:** Implement elevation, compression garments, and manual lymphatic drainage. 5. **Range of Motion Exercises:** Gradual passive and active exercises to maintain joint mobility and prevent contractures. 6. **Strengthening Exercises:** Progressive resistance exercises to rebuild muscle strength. 7. **Scar Management:** Use of silicone gels, pressure garments, and massage to minimize scar formation. 8. **Functional Training:** Activities to improve daily living skills and overall functional capacity. 9. **Psychological Support:** Provide emotional and psychological support to address any anxiety or depression related to the injury. **Cancer Rehabilitation** - **common side effect** of cancer treatment that rehabilitation aims to address Profound **fatigue** - **The type of surgery** involves the removal of the **entire breast** is **Mastectomy** The **primary goal of physiotherapy** in the **first stage** of post-operative **rotator cuff repair** rehabilitation is **Pain control and inflammation management** - The **exercise** recommended for improving shoulder mobility **post-mastectomy** is **Active range of motion (AROM)** - Early mobilization is recommended after breast cancer surgery. - Lymphedema is a potential complication after breast cancer surgery. - The sling should be worn during sleep in the initial weeks post-rotator cuff surgery. - \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- - Two benefits of oncology rehabilitation. 1. Improved endurance, strength, and range of motion. 2. Decreased pain and lessened fatigue. \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-- - **Pendulum** exercises IS **Gentle swinging of the arm to promote passive range of motion** - **Isometric strengthening Resistance** training for strengthening muscles without joint movement - **Deep breathing exercises** ARE Exercises to initiate changes in intra-abdominal and intrathoracic pressure **Case Study** - A patient has undergone a mastectomy and is experiencing decreased shoulder mobility. A basic rehabilitation plan for the first four weeks post-surgery. - **Pain Management**: Use of ice packs and prescribed medications. - **Early Mobilization**: Gentle passive and active-assisted range of motion exercises to prevent stiffness. - **Lymphedema Prevention**: Educate the patient on signs and symptoms of lymphedema and encourage deep breathing and gentle flexibility exercises. - **Postural Exercises:** Shoulder blade setting and neck range of motion exercises. - **Patient Education:** Instructions on proper sling use, pain control techniques, and the importance of avoiding heavy lifting or sudden arm movements.