2-physiotherapy for fractures.ppt

8/20/2019 2-physiotherapy for fractures.ppt

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Physicaltherapy forfractures


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Fracture• Fractures or loss of continuity in the

substance of a bone are a commonoccurrence and represent considerabletreatment time and nancial costs inthe accident and emergency room

• It is interruption of anatomical corticalcontinuity of the bone cortex . Or lossof continuity of bone cortex.

• it is the breakdown of the bone intotwo or more pieces .


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The fractures are classied into:

• Simple and compound fractures.

• Stable and unstable fracture.

• isplaced and undisplaced.

• !omplete or incomplete fractures.

• "ccording to the shape of fracture line#trans$erse% obli&ue% spiral% comminuted andbutter'y ( .

• )athological% stress% traumatic fractures


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Common Types of Fractures


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iagnosis of fractures

• *istory

•

!linical picture #pain% deformity% creaptus%swelling% loss of function% loss ofmotion+..(

• ,xaminations and special signs and tests

• In$estigations


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"ssessment of the cases

• "ssess the a-ected area #exposeand hind area(

• "ssess the total region• "ssess the related areas

• "ssess the whole limb

• "ssess the total body


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The complication of

fracturesGeneral complications

/ hemorrhage0/ infections

1/ shock

2/ fat embolism

3/ crush syndrome

4/ bed ridden complications


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5ocal complications

• 6one healing complication

• 7earby 8oints

• 9essels

• 7er$es

• uscles

• 5igament and tendons


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anagements of fracturesThere are three stages in the management of

fractures:

• Reduction: manipulation of the bone to itscorrect anatomical position

• Immobilization: a means of holding the bone

in the correct reduced position• Rehabilitation: returning the person to as full

function as possible after the trauma ordisease

)h i l th


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)hysical therapy programduring immobili;ation period

. To pre$ent respiratory complications <

/ breathing exercises.

/ postural drainage

/ teach patient the correct way of cough andhu-

0. To pre$ent circulatory complications <

/ circulatory exercises

/ ele$ation if a$ailable

/ gentle massage if a$ailable

1. To pre$ent sti-ness% weakness = atrophy of thefree parts < >O exercises

/ strengthening exercises


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2. To delay and pre$ent weakness of immobili;ed parts <static = isometric exercises

3/ to pre$ent bed source .

/ changing position e$ery 0 hours / alternating air mattress

/ alternating water mattress

/ alternating pressure mattress

4/ balance ex and co/ordination ex

?/ propriocepti$e ex

@/ postural correction ex

A/ positioning in bed


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B/ treatment of complication ifpresents

/treatment of other physicaldisorders if presents

0/ preparing for ambulation bystrengthen the crutch muscle% andexplain the gait with assisti$ede$ices


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)hysical therapy program after immobili;ation

• Problem solving approach

• Strengthening ex for weak ms

•

Stretching ex for tight structures• obili;ing ex for limited >O in certain 8oint

• 6alance ex and co/ordination ex

• )ropriocepti$e ex

•

Cait training with and without assisti$e de$ices• Orthoses and prostheses

• Functional rehab.


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CKC EXERCIE !"#$% P#$ &

'#$( e)g)/ mini/s&uats

/ leg press/ step/ups

/ proprioception training

/ stationary bicycle


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)sychological rehab."nd occupational

therapy may beneed

7.6


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Also The rehabilitation is a

complicated process dependon all the team work

members


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2-physiotherapy for fractures.ppt

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