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2017, vol. 70, br. 1-2, str. 58-61
Značaj fizikalne terapije u lečenju posttraumatskih kontraktura zgloba lakta kod dece
aUniverzitet u Novom Sadu, Medicinski fakultet, Katedra za fiziologiju
bUniverzitet u Novom Sadu, Medicinski fakultet, Institut za zdravstvenu zaštitu dece i omladine

e-adresamaja_bogdan@yahoo.com
Ključne reči: lakatni zglob; povrede lakta; kontrakture; fizikalna terapija; dete; ishod lečenja; opseg pokreta; okupaciona terapija; imobilizacija; neurološki deficiti
Sažetak
Uvod. Prelomi lakta čine 7-9% svih preloma kod dece, dok su suprakondilarni prelomi ramene kosti najčešći prelomi u predelu lakta. Većina ovih preloma se dešava kod dece uzrasta 5-8 godina. Lečenje povreda lakta. Ortopedsko lečenje povreda lakta uključuje konzervativní i/ili hirurški tretman, a ishod je mnogo bolji kod dece nego kod odraslih. Faktori koji određuju nastanak kontrakture lakta su ozbiljnost povrede, intraartikularna oštećenja i dužina imobilizacije. Literatura je još uvek ograničena po pitanju vremena potrebnog za uspostavljanje adekvatnog obima pokreta u zglobu lakta nakon nastale kontrakture. Komplikacije povreda lakta. Neurološki deficiti se mogu tretirati konzervativno elektrostimulacijom, vitaminskom terapijom i intenzivnim aktivnim vežbama. Fizikalna terapija kontrakture lakta. Neki autori su pokazali da, u nekomplikovanim slučajevima suprakondilarnih preloma lakta, fizikalna terapija nije potrebna da bi se postigao adekvatan obim pokreta. S druge strane, prema preporukama vodiča, pacijente sa posttraumatskom imobilizacijom lakta i smanjenom pokretljivošću u zglobu trebalo bi lečiti radnom i fizikalnom terapijom što je pre moguće posle perioda imobilizacije. Naučno je dokazano da kombinovani aktivni i pasivni terapijski programi značajno poboljšavaju obim pokreta u zglobu lakta. Zaključak. Terapijski pristup kontrakturi lakta trebalo bi da bude individualan, pažljivo i prikladno doziran, uz praćenje patogenetskih i kinezioloških poremećaja. Međutim, doktori treba da budu svesni da više pažnje treba posvetiti prevenciji kontrakture.
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O članku

jezik rada: engleski
vrsta rada: saopštenje
DOI: 10.2298/MPNS1702058B
objavljen u SCIndeksu: 02.02.2017.

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