članak: 1 od 1  
Acta chirurgica iugoslavica
2006, vol. 53, br. 4, str. 69-72
jezik rada: srpski
stručni članak
doi:10.2298/ACI0604069D

Lečenje rezistentnog smrznutog ramena manipulacijom, naizmeničnim interskalenskim blokom i protokolom kineziterapije 'Banjica'
Univerzitet u Beogradu, Medicinski fakultet, Institut za ortopedsko-hirurške bolesti 'Banjica'

Sažetak

Lečenje sindroma smrznutog ramena rezistentnog na fizikalan tretman veoma je složeno. Manipulaciji ukočenog ramena u anesteziji se najčešće pristupa ako nakon najmanje 3 meseca kontrolisane fizikalne terapije nije postignuto značajnije poboljšanje pokretljivosti. Međutim, u postmanipulacionom periodu je vrlo teško održati postignuto povećanje obima pokreta. Osnovni uzrok je bol, koji se javlja nakon prestanka anestezije i onemogućava optimalni fizikalni tretman. U periodu od januara 2001. do novembra 2003. godine autori su lečili 26 bolesnika sa smrznutim ramenom koje je bilo otporno na fizikalni tretman. Lečenje se sastojalo iz manipulacije ukočenog ramena u anesteziji, naizmeničnih interskalenskih blokova i protokola kineziterapije "Banjica". Na kraju lečenja je očuvano 95% elevacije i 81% spoljašnje rotacije u odnosu na imedijatne postmanipulacione vrednosti u operacionoj sali.

Ključne reči

manipulacija; naizmenični interskalenski blokovi; protokol kineziterapije "Banjica"

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