2 lecture PT and surgical conditions.pdf

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...