Fizjoterapia Obok slidera Oparzenia

Fizjoterapia po oparzeniach – cele i metody

Ten tekst przeczytasz w 2 min.

Urazy oparzeniowe mogą się wiązać z poważnymi powikłaniami, w tym również z trwałymi dysfunkcjami ruchu. Z tego względu rehabilitacja ruchowa to niezwykle istotny element procesu rekonwalescencji po oparzeniach. Jakie działania obejmuje i jakie są jej cele?

Cele rehabilitacji u pacjentów po oparzeniach

Urazy termiczne mogą prowadzić do dysfunkcji narządu ruchu. Czynnikami sprzyjającymi tego rodzaju powikłaniom są ciężki stan ogólny pacjenta, spinający charakter tkanki martwiczej, obrzęk kończyny, która uległa urazowi, długotrwały okres leczenia oraz przykurczający charakter blizny.

Celem rehabilitacji ruchowej pacjenta po oparzeniu jest nie tylko zapobieganie deformacjom stawowym i przykurczom, ale również innym powikłaniom, takim jak zaniki mięśniowe, powikłania oddechowe, odleżyny. Rehabilitacja przyspiesza ponadto proces gojenia rany oparzeniowej i wpływa na uelastycznienie blizny,co ma znaczenie nie tylko ze względów zdrowotnych, ale również kosmetycznych.

Podstawowe metody rehabilitacji po urazach oparzeniowych to: leczenie ułożeniowe, kinezyterapia, fizykoterapia, presoterapia.

Okres choroby oparzeniowej a metody rehabilitacji

Rehabilitacja powinna być wdrażana już w pierwszych dobach po urazie, natomiast jej metody powinny być dostosowane do okresów choroby oparzeniowej,a także do stanu i możliwości pacjenta. W okresie wstrząsu pooparzeniowego należy stosować jedynie rehabilitację bierną (leczenie ułożeniowe). W okresie reakcji katabolicznej oprócz leczenia ułożeniowego wdraża się również ćwiczenia bierne, bierno-czynne i czynne, których celem jest odciążenie zagrożonych przykurczami stawów. Stosuje się również ćwiczenia izometryczne i oddechowe. W okresie reakcji anabolicznej (regeneracji) dołącza się ćwiczenia bloczkowe, manualne i ogólnousprawniające, a także zabiegi fizykoterapeutyczne i presoterapię. Regenerację blizn należy wspierać w tym okresie wcierkami z maści lub żeli na blizny oraz opatrunkami żelowymi.

Fizykoterapia w leczeniu oparzeń

Zabiegi fizykoterapeutyczne mają zapobiegać obkurczaniu się blizny po oparzeniu i powstawaniu przykurczów. Podstawowe metody fizykoterapii, które wykorzystuje się w leczeniu oparzeń, obejmują:

  • terapię ultradźwiękową,
  • fonoforezę,
  • jonoforezę,
  • biostymulację laserową,
  • magnetoledoterapię,
  • presoterapię.

Oczekiwany efekt fizykoterapii to rozluźnienie, uelastycznienie i zmiękczenie blizny.

W przypadku pacjentów z oparzeniami dróg oddechowych istotna jest fizjoterapia oddechowa mająca na celu utrzymanie prawidłowej wentylacji płuc, zwiększenie siły mięśni oddechowych oraz zapobieganie przykurczom mięśni klatki piersiowej w okolicy urazu.

Źródło: J. Białożyt, „Zasady postępowania fizjoterapeutycznego u chorych po urazie termicznym”, „Chirurgia Plastyczna i Oparzenia” 2019, 7(1): 29-35.

Przeczytaj także: Jak pandemia koronawirusa wpłynęła na opiekę nad pacjentami z cukrzycą?

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Chirurgia Plastyczna i Oparzenia”:

2 260 thoughts on “Fizjoterapia po oparzeniach – cele i metody

  1. Buy insulin without a prescription and save some cash Cheap diabetes medication online
    – how can I find it?
    Diabetes drugs now with the convenience of home delivery
    and low prices. The future is now! Where to buy diabetes medication online

  2. Three genes were identified as candidate disease modifiers that may interact with the primary mutation to affect disease progression how many inches does viagra give you 8 We examined the effect of differences between the groups in the control of blood pressure by adding the mean arterial pressure during treatment as a time dependent covariate in the Cox model and comparing the effect of losartan estimated by this model with that estimated by the primary analysis

  3. I intended to compose you a very little observation to help give thanks the moment again on the wonderful strategies you’ve documented at this time. It has been simply particularly generous with people like you to allow unhampered all that a number of people could have offered for sale for an electronic book to get some cash on their own, chiefly since you might well have done it if you ever considered necessary. Those thoughts additionally served like a easy way to fully grasp the rest have the same dreams the same as my very own to learn more and more in terms of this issue. I am certain there are a lot more pleasurable situations ahead for individuals who looked at your site.

  4. An fascinating discussion is price comment. I believe that it’s best to write extra on this matter, it won’t be a taboo topic however usually persons are not enough to talk on such topics. To the next. Cheers

  5. I as well as my buddies happened to be reading through the great information from your website while at once I got an awful feeling I never thanked the web blog owner for those secrets. These boys were definitely for this reason excited to see them and have now in actuality been tapping into those things. We appreciate you genuinely simply thoughtful and then for using some really good useful guides most people are really desperate to know about. Our sincere apologies for not expressing appreciation to you sooner.

  6. I intended to compose you that bit of observation so as to say thanks a lot the moment again with the awesome tips you have contributed on this website. This is simply incredibly generous with you to grant freely exactly what many of us would’ve offered as an electronic book to get some dough for their own end, precisely considering the fact that you could have tried it in the event you considered necessary. The pointers in addition acted as a good way to know that many people have a similar eagerness like mine to know much more when it comes to this problem. I’m sure there are lots of more enjoyable instances in the future for individuals who see your site.

  7. I’m just commenting to let you be aware of what a remarkable encounter my daughter enjoyed going through your web page. She came to understand a lot of issues, most notably what it is like to possess an incredible giving style to let most people without hassle comprehend several hard to do things. You truly surpassed our expected results. Many thanks for churning out such productive, trustworthy, revealing and also unique guidance on your topic to Tanya.

  8. I am commenting to make you understand what a fantastic discovery my cousin’s girl enjoyed reading your webblog. She figured out several issues, which include what it is like to have an amazing coaching spirit to let other folks really easily understand chosen complicated subject matter. You actually surpassed visitors’ desires. Thank you for imparting such necessary, safe, revealing and fun tips about that topic to Gloria.

  9. I wish to show thanks to this writer just for bailing me out of this incident. As a result of looking out throughout the internet and finding thoughts which were not helpful, I assumed my life was gone. Existing without the presence of solutions to the problems you’ve sorted out by way of your entire guide is a critical case, as well as the kind which could have badly affected my career if I hadn’t noticed your blog. Your own competence and kindness in controlling a lot of stuff was important. I don’t know what I would have done if I had not come upon such a thing like this. I am able to at this point look ahead to my future. Thanks so much for the specialized and amazing help. I won’t hesitate to propose your web page to anybody who wants and needs recommendations about this subject matter.

  10. I precisely had to thank you so much all over again. I do not know the things I could possibly have tried in the absence of those tips contributed by you relating to such problem. It actually was a hard concern in my opinion, however , being able to view the specialized style you treated the issue took me to leap with contentment. Now i’m grateful for your help and pray you realize what an amazing job you were putting in instructing men and women thru your web page. I’m certain you haven’t got to know all of us.

  11. I simply desired to appreciate you once more. I’m not certain the things that I might have followed without the creative ideas provided by you regarding that situation. This has been a real frustrating issue for me personally, however , coming across the professional tactic you solved it took me to weep over happiness. Now i’m grateful for your help and as well , wish you are aware of a powerful job you have been accomplishing teaching men and women through the use of your webblog. I am sure you haven’t got to know any of us.

  12. My spouse and i felt now satisfied that Raymond managed to complete his studies through the entire ideas he got using your web pages. It is now and again perplexing to simply be handing out things that many people could have been making money from. We fully understand we need the writer to give thanks to for that. The entire illustrations you made, the easy blog menu, the friendships your site give support to instill – it’s got many fabulous, and it’s really assisting our son and the family reason why the topic is cool, and that’s particularly important. Thanks for the whole thing!

  13. I in addition to my guys were actually digesting the great secrets and techniques on your web site and quickly got a terrible suspicion I never thanked the web site owner for those strategies. All of the boys were for this reason glad to read through all of them and have in effect in reality been using those things. Many thanks for truly being quite helpful as well as for deciding on such excellent subject matter millions of individuals are really desirous to be aware of. Our own honest apologies for not expressing appreciation to you earlier.

  14. I am glad for writing to let you understand of the exceptional encounter my wife’s child experienced viewing your site. She learned too many pieces, including what it’s like to have an excellent giving mood to make folks without hassle master specific tortuous subject areas. You undoubtedly surpassed visitors’ expected results. Many thanks for showing those productive, dependable, informative and in addition cool tips on your topic to Evelyn.

  15. I found your blog website on google and check just a few of your early posts. Continue to maintain up the very good operate. I just additional up your RSS feed to my MSN News Reader. Searching for forward to studying more from you afterward!?

  16. Yesterday, while I was at work, my cousin stole my iphone and tested to see if it can survive a
    thirty foot drop, just so she can be a youtube sensation. My iPad is
    now broken and she has 83 views. I know this is entirely off topic but I had to share it with someone!

  17. Thanks a lot for sharing this with all of us you actually recognize what you’re speaking approximately!

    Bookmarked. Please additionally talk over with my site =).

    We could have a link alternate arrangement among us

    Look into my web-site 먹튀검증

  18. Superb blog! Do you have any recommendations for aspiring writers?
    I’m hoping to start my own website soon but I’m a
    little lost on everything. Would you recommend starting with
    a free platform like WordPress or go for a paid option? There are so many choices out there
    that I’m totally confused .. Any ideas? Kudos!

    Feel free to visit my blog … 소액결제현금화

  19. I am also writing to let you know what a perfect discovery our princess obtained reading through your webblog. She picked up many things, which include how it is like to have a very effective giving heart to make many more just have an understanding of a number of specialized subject areas. You truly did more than visitors’ desires. Thank you for distributing those warm and friendly, healthy, revealing and even fun thoughts on this topic to Tanya.

  20. An attention-grabbing discussion is price comment. I believe that it is best to write more on this subject, it may not be a taboo topic but usually people are not enough to talk on such topics. To the next. Cheers

  21. An fascinating dialogue is price comment. I believe that you should write more on this matter, it may not be a taboo topic but typically persons are not sufficient to talk on such topics. To the next. Cheers

  22. A powerful share, I just given this onto a colleague who was doing a bit of analysis on this. And he in reality purchased me breakfast because I discovered it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I really feel strongly about it and love studying extra on this topic. If possible, as you become experience, would you thoughts updating your blog with more particulars? It is highly helpful for me. Big thumb up for this blog submit!

  23. Hola! I’ve been following your weblog for some time now
    and finally got the courage to go ahead and give you a shout out from Humble
    Texas! Just wanted to tell you keep up the great work!

  24. Howdy! Would you mind if I share your blog with my
    zynga group? There’s a lot of people that I think would really enjoy your content.
    Please let me know. Thank you

  25. An outstanding share! I’ve just forwarded this onto a colleague who has
    been conducting a little research on this. And he in fact bought me lunch simply because I discovered it for him…
    lol. So allow me to reword this…. Thanks for the meal!!
    But yeah, thanx for spending the time to discuss this topic here on your web page.

  26. Quietum Plus is a 100% natural supplement designed to address ear ringing and other hearing issues. This formula uses only the best in class and natural ingredients to achieve desired results.

  27. Just wish to say your article is as surprising.
    The clarity in your post is just great and i could assume you are an expert
    on this subject. Well with your permission allow me to grab
    your RSS feed to keep up to date with forthcoming post.
    Thanks a million and please continue the gratifying work.

  28. Undeniably believe that which you stated.

    Your favorite justification appeared to be on the web the simplest thing to be aware of.
    I say to you, I certainly get annoyed while people consider worries that they plainly do not know about.
    You managed to hit the nail upon the top and defined out the whole thing without having side effect , people
    can take a signal. Will likely be back to get
    more. Thanks

  29. I don’t know if it’s just me or if everyone else encountering problems with your site.
    It seems like some of the text in your content are running
    off the screen. Can somebody else please provide feedback and let me know if this is happening to them as
    well? This could be a problem with my web browser because I’ve had this happen before.
    Appreciate it

  30. Excellent blog right here! Additionally your website so much up very fast! What host are you using? Can I get your associate link for your host? I desire my web site loaded up as quickly as yours lol

  31. Claritox Pro™ is a natural dietary supplement that is formulated to support brain health and promote a healthy balance system to prevent dizziness, risk injuries, and disability. This formulation is made using naturally sourced and effective ingredients that are mixed in the right way and in the right amounts to deliver effective results.

  32. Amiclear is a dietary supplement designed to support healthy blood sugar levels and assist with glucose metabolism. It contains eight proprietary blends of ingredients that have been clinically proven to be effective.

  33. Dentitox Pro is a liquid dietary solution created as a serum to support healthy gums and teeth. Dentitox Pro formula is made in the best natural way with unique, powerful botanical ingredients that can support healthy teeth.

  34. Metabo Flex is a nutritional formula that enhances metabolic flexibility by awakening the calorie-burning switch in the body. The supplement is designed to target the underlying causes of stubborn weight gain utilizing a special “miracle plant” from Cambodia that can melt fat 24/7.

  35. SonoVive is an all-natural supplement made to address the root cause of tinnitus and other inflammatory effects on the brain and promises to reduce tinnitus, improve hearing, and provide peace of mind. SonoVive is is a scientifically verified 10-second hack that allows users to hear crystal-clear at maximum volume. The 100% natural mix recipe improves the ear-brain link with eight natural ingredients. The treatment consists of easy-to-use pills that can be added to one’s daily routine to improve hearing health, reduce tinnitus, and maintain a sharp mind and razor-sharp focus.

  36. Greetings from Carolina! I’m bored to tears at work so I decided to browse your website on my iphone during lunch break.
    I enjoy the information you provide here and can’t wait to
    take a look when I get home. I’m amazed at how quick your blog loaded on my cell
    phone .. I’m not even using WIFI, just 3G ..
    Anyhow, good blog!

  37. Elevate your vitality with Alpha Tonic – the natural solution to supercharge your testosterone levels. When you follow our guidance, experience improved physical performance