physiotherapy for lower limb fractures

Upload: aliprasanna

Post on 03-Apr-2018

221 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    1/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    2/35

    8

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    3/35

    2

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    4/35

    &l.l. Nsgeltkd arlbturks ga Nenu`% puhnbsgeltkd arlbturks ga Nenu`% puhnb rl`nl`n !slbrgnenlb suheuxltngjlbrgnenlb suheuxltngj Tfksk lrk begskd% stlhek njmurnks &dgjt jkkdfksk lrk begskd% stlhek njmurnks &dgjt jkkdspkbnanb pfysngtfkrlpy.pkbnanb pfysngtfkrlpy.

    Durnjc hkd rkst% auee rljck ljoek tgk `gvk`kjts%urnjc hkd rkst% auee rljck ljoek tgk `gvk`kjts%Nsg`ktrnbs &\uldrnbkps% Fl`strnjcs% Ceutkn.sg`ktrnbs &\uldrnbkps% Fl`strnjcs% Ceutkn.Lbtnvk gr Xksnstkd kxkrbnsk tg uppkr en`hbtnvk gr Xksnstkd kxkrbnsk tg uppkr en`hCrldule wkncft hklrnjc &latkr n``ghnenzltngjrldule wkncft hklrnjc &latkr n``ghnenzltngjpkrngd.krngd.Na plnj stnee pkrsnsts? fklt tfkrlpya plnj stnee pkrsnsts? fklt tfkrlpy

    &l.l. Nsgeltkd arlbturks ga Nenu`% puhnbsgeltkd arlbturks ga Nenu`% puhnb rl`nl`n !slbrgnenlb suheuxltngjlbrgnenlb suheuxltngjTfksk lrk begskd% stlhek njmurnks &dgjt jkkdfksk lrk begskd% stlhek njmurnks &dgjt jkkdspkbnanb pfysngtfkrlpy.pkbnanb pfysngtfkrlpy.Durnjc hkd rkst% auee rljck ljoek tgk `gvk`kjts%urnjc hkd rkst% auee rljck ljoek tgk `gvk`kjts%Nsg`ktrnbs &\uldrnbkps% Fl`strnjcs% Ceutkn.sg`ktrnbs &\uldrnbkps% Fl`strnjcs% Ceutkn.

    Lbtnvk gr Xksnstkd kxkrbnsk tg uppkr en`hbtnvk gr Xksnstkd kxkrbnsk tg uppkr en`h Crldule wkncft hklrnjc &latkr n``ghnenzltngjrldule wkncft hklrnjc &latkr n``ghnenzltngjpkrngd.krngd. Na plnj stnee pkrsnsts? fklt tfkrlpya plnj stnee pkrsnsts? fklt tfkrlpy

    4

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    5/35

    &h. Arlbturk ga pkevns wntf dnsruptngj gah. Arlbturk ga pkevns wntf dnsruptngj gapkevnb rnjckevnb rnjcBgjskrvltnvk Trklt`kjtgjskrvltnvk Trklt`kjt

    Durnjc n``ghnenzltngj% nt ns ls sl`k enok nsgeltkdurnjc n``ghnenzltngj% nt ns ls sl`k enok nsgeltkdarlbturks garlbturks ga nenu`enu`% puhnbpuhnb rl`nl`n ! slbrgnenlbslbrgnenlbsuheuxltngjuheuxltngjDurnjc @ghnenzltngj% njntnleey% `ghnenty !urnjc @ghnenzltngj% njntnleey% `ghnenty !strkjctfkjnjc Kx tg egwkr en`hstrkjctfkjnjc Kx tg egwkr en`hsYrgcrkss tg snttnjc ! lssnstkd stljdnjcrgcrkss tg snttnjc ! lssnstkd stljdnjcSkncft hklrnjc ! wleonjc nj plrleeke hlrs &8kncft hklrnjc ! wleonjc nj plrleeke hlrs &8-2 dly.dly.

    &h. Arlbturk ga pkevns wntf dnsruptngj gah. Arlbturk ga pkevns wntf dnsruptngj gapkevnb rnjckevnb rnjcBgjskrvltnvk Trklt`kjtgjskrvltnvk Trklt`kjt

    Durnjc n``ghnenzltngj% nt ns ls sl`k enok nsgeltkdurnjc n``ghnenzltngj% nt ns ls sl`k enok nsgeltkdarlbturks garlbturks ga nenu`enu`% puhnbpuhnb rl`nl`n ! slbrgnenlbslbrgnenlbsuheuxltngjuheuxltngj Durnjc @ghnenzltngj% njntnleey% `ghnenty !urnjc @ghnenzltngj% njntnleey% `ghnenty !strkjctfkjnjc Kx tg egwkr en`hstrkjctfkjnjc Kx tg egwkr en`hs Yrgcrkss tg snttnjc ! lssnstkd stljdnjcrgcrkss tg snttnjc ! lssnstkd stljdnjc Skncft hklrnjc ! wleonjc nj plrleeke hlrs &8kncft hklrnjc ! wleonjc nj plrleeke hlrs &8-2 dly.dly.

    ;

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    6/35

    Ygsturle trlnjnjc agr aujbtngjle `gvk`kjts enokgsturle trlnjnjc agr aujbtngjle `gvk`kjts enoksnttnjc% ckttnjc up% turjnjc tg hk tlucftnttnjc% ckttnjc up% turjnjc tg hk tlucft Yrgegjckd prgjk eynjc wntf nsgeltkd fnprgegjckd prgjk eynjc wntf nsgeltkd fnpkxtkjsngj &agr fnp aekxgr tncftjkss.xtkjsngj &agr fnp aekxgr tncftjkss.

    Yltnkjt sfgued lttlnj auee aujbtngj wntfnj 6ltnkjt sfgued lttlnj auee aujbtngj wntfnj 6-

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    7/35

    3

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    8/35

    6

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    9/35

    Durnjc N``ghnenzltngjurnjc N``ghnenzltngj Ldkqultk bfkst pfysngtfkrlpy tg lvgnddkqultk bfkst pfysngtfkrlpy tg lvgndrkspnrltgry bg`penbltngjskspnrltgry bg`penbltngjs Bfkbo tg lssurk bgrrkbt pgsntngjnjc ga tfk en`hfkbo tg lssurk bgrrkbt pgsntngjnjc ga tfk en`h&lvgnd rgtltngjs.lvgnd rgtltngjs.

    Ljoek tgk `gvk`kjts ljd rksnstnvk Kx tg gtfkrjoek tgk `gvk`kjts ljd rksnstnvk Kx tg gtfkrmgnjtsgnjtsRtrgjc nsg`ktrnbs tg \uldrnbkps% Fl`strnjcs%trgjc nsg`ktrnbs tg \uldrnbkps% Fl`strnjcs%fnp kxtkjsgrs ! lhdubtgrsnp kxtkjsgrs ! lhdubtgrs

    Durnjc N``ghnenzltngjurnjc N``ghnenzltngjLdkqultk bfkst pfysngtfkrlpy tg lvgnddkqultk bfkst pfysngtfkrlpy tg lvgndrkspnrltgry bg`penbltngjskspnrltgry bg`penbltngjsBfkbo tg lssurk bgrrkbt pgsntngjnjc ga tfk en`hfkbo tg lssurk bgrrkbt pgsntngjnjc ga tfk en`h&lvgnd rgtltngjs.lvgnd rgtltngjs.

    Ljoek tgk `gvk`kjts ljd rksnstnvk Kx tg gtfkrjoek tgk `gvk`kjts ljd rksnstnvk Kx tg gtfkrmgnjtsgnjts Rtrgjc nsg`ktrnbs tg \uldrnbkps% Fl`strnjcs%trgjc nsg`ktrnbs tg \uldrnbkps% Fl`strnjcs%fnp kxtkjsgrs ! lhdubtgrsnp kxtkjsgrs ! lhdubtgrs

    >

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    10/35

    Njntnltk klrey ojkk `ghnenzltngjjntnltk klrey ojkk `ghnenzltngj Njntnltk snttnjc nj tfk hkd lt klrenkstjntnltk snttnjc nj tfk hkd lt klrenkst Rntk ga sokektle trlbtngj pnj sfgued gatkj hkntk ga sokektle trlbtngj pnj sfgued gatkj hknjspkbtkd agr njakbtngj'jspkbtkd agr njakbtngj'egsskjnjcgsskjnjc

    Njntnltk klrey ojkk `ghnenzltngjjntnltk klrey ojkk `ghnenzltngjNjntnltk snttnjc nj tfk hkd lt klrenkstjntnltk snttnjc nj tfk hkd lt klrenkst

    Rntk ga sokektle trlbtngj pnj sfgued gatkj hkntk ga sokektle trlbtngj pnj sfgued gatkj hknjspkbtkd agr njakbtngj'jspkbtkd agr njakbtngj'egsskjnjcgsskjnjc

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    11/35

    Durnjc @ghnenzltngjurnjc @ghnenzltngj Skncft trljsakrs ! hrnka pkrngds ga auee wkncftkncft trljsakrs ! hrnka pkrngds ga auee wkncfthklrnjc gj laakbtkd ekc&wfkj ASH leegwkd.klrnjc gj laakbtkd ekc&wfkj ASH leegwkd. Ykrngds ga prgjk eynjc% agur pgnjt ojkkenjc !krngds ga prgjk eynjc% agur pgnjt ojkkenjc !ojkk wleonjc lrk kxtrk`key uskaue ls prkjkk wleonjc lrk kxtrk`key uskaue ls prk-

    wkncft hklrnjc Kxkncft hklrnjc KxOjkke stljdnjc tg hk prgcrksskd tg ojkkejkke stljdnjc tg hk prgcrksskd tg ojkkewleonjcleonjcYXK Kx tg \uldrnbkps% Fl`strnjcs% CeutknXK Kx tg \uldrnbkps% Fl`strnjcs% CeutknHy 6y 6-

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    12/35

    Durnjc N``ghnenzltngj &

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    13/35

    Durnjc @ghnenzltngj &latkr

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    14/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    15/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    16/35

    Bgjskrvltnvk ! pgst surcnblegjskrvltnvk ! pgst surcnblerkflhnentltngj ns sl`k ls nj Arlbturkkflhnentltngj ns sl`k ls nj Arlbturkjkbo ga Ak`urkbo ga Ak`urBgjskrvltnvk ! pgst surcnblegjskrvltnvk ! pgst surcnblerkflhnentltngj ns sl`k ls nj Arlbturkkflhnentltngj ns sl`k ls nj Arlbturkjkbo ga Ak`urkbo ga Ak`ur

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    17/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    18/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    19/35

    Durnjc N``ghnenzltngjurnjc N``ghnenzltngjRl`k ls nj arlbturk jkbo gal`k ls nj arlbturk jkbo gaAk`urk`ur

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    20/35

    Durnjc @ghnenzltngjurnjc @ghnenzltngj Klrey ojkk `ghnenzltngj ! nsg`ktrnbs tglrey ojkk `ghnenzltngj ! nsg`ktrnbs tg\uldrnbkps ! Fl`strnjcs &Rokektle trlbtngj?uldrnbkps ! Fl`strnjcs &Rokektle trlbtngj?uptg

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    21/35

    89g`agrtlhek ojkk aekxngj hkygjd >9 &hy 4hy 4-1Skkos.kkos.

    Durnjc @ghnenzltngj &latkr < Skko.urnjc @ghnenzltngj &latkr < Skko.Crldule% rkelxkd plssnvk ojkk `ghnenzltngjsrldule% rkelxkd plssnvk ojkk `ghnenzltngjsTfkr`gtfkrlpy gr brygtfkrlpy tg rkdubk plnjfkr`gtfkrlpy gr brygtfkrlpy tg rkdubk plnjBgjtrgeekd `ghnenzltngjs usnjc BY@gjtrgeekd `ghnenzltngjs usnjc BY@Rkea lssnstkd rkelxkd ojkk swnjcs &snttnjc lt tfkkea lssnstkd rkelxkd ojkk swnjcs &snttnjc lt tfkkdck ga tfk hkd ! gpkrltkd ekc suppgrtkd hydck ga tfk hkd ! gpkrltkd ekc suppgrtkd hytfk cggd ekc.fk cggd ekc.

    JSH brutbf wleonjcSH brutbf wleonjc Bg`agrtlhek ojkk aekxngj hkygjd >9g`agrtlhek ojkk aekxngj hkygjd >9 &hy 4hy 4-1Skkos.kkos.

    82

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    24/35

    Lee prgcrl``ks `ldk vncgrgus tg clnjee prgcrl``ks `ldk vncgrgus tg clnj`lxn`u` XG@ ! strkjctflxn`u` XG@ ! strkjctf YSH ns njntnltkd latkr > wkkosSH ns njntnltkd latkr > wkkos ASH ns pkr`nttkd hy 6SH ns pkr`nttkd hy 6- wkkosSH ns njntnltkd latkr > wkkosASH ns pkr`nttkd hy 6SH ns pkr`nttkd hy 6-

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    25/35

    8;

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    26/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    27/35

    &l.[jdnspelbkd Arlbturks &Yelstkr blst agrl.[jdnspelbkd Arlbturks &Yelstkr blst agr2-4 Skkos.Skkos. Rtltnb \uldrnbkps wntfnj tfk YGY wntf lssnstkd REXtltnb \uldrnbkps wntfnj tfk YGY wntf lssnstkd REXnjntnltkd n``kdnltkeyjntnltkd n``kdnltkey

    Skncft hklrnjc wntf brutbf wleonjc stlrtkd arg`kncft hklrnjc wntf brutbf wleonjc stlrtkd arg`8jdd dlylyYGY ns rk`gvkd latkr 4GY ns rk`gvkd latkr 4-1 wkkos ! ojkk aekxngjwkkos ! ojkk aekxngjnjntnltkd usnjc BY@jntnltkd usnjc BY@Na plnj stnee pkrsnsts? fklt tfkrlpy gr brygtfkrlpya plnj stnee pkrsnsts? fklt tfkrlpy gr brygtfkrlpyBgrrkbt wkncft hklrnjc ! clnt tg lvgnd en`pgrrkbt wkncft hklrnjc ! clnt tg lvgnd en`p

    &l.[jdnspelbkd Arlbturks &Yelstkr blst agrl.[jdnspelbkd Arlbturks &Yelstkr blst agr2-4 Skkos.Skkos.Rtltnb \uldrnbkps wntfnj tfk YGY wntf lssnstkd REXtltnb \uldrnbkps wntfnj tfk YGY wntf lssnstkd REXnjntnltkd n``kdnltkeyjntnltkd n``kdnltkeySkncft hklrnjc wntf brutbf wleonjc stlrtkd arg`kncft hklrnjc wntf brutbf wleonjc stlrtkd arg`8jdd dlyly

    YGY ns rk`gvkd latkr 4GY ns rk`gvkd latkr 4-1 wkkos ! ojkk aekxngjwkkos ! ojkk aekxngjnjntnltkd usnjc BY@jntnltkd usnjc BY@ Na plnj stnee pkrsnsts? fklt tfkrlpy gr brygtfkrlpya plnj stnee pkrsnsts? fklt tfkrlpy gr brygtfkrlpy Bgrrkbt wkncft hklrnjc ! clnt tg lvgnd en`pgrrkbt wkncft hklrnjc ! clnt tg lvgnd en`p

    83

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    28/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    29/35

    Durnjc @ghnenzltngj &

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    30/35

    &b.Bg``njutkd Arlbturks &Yltkeekbtg`y.b.Bg``njutkd Arlbturks &Yltkeekbtg`y.

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    31/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    32/35

    2rdd Skkokko Lssnstkd lbtnvk `gvk`kjts wntf crldultkdssnstkd lbtnvk `gvk`kjts wntf crldultkdwkncft hklrnjckncft hklrnjc Yltnkjts trkltkd wntf YGY? JSH albnentltks tg cktltnkjts trkltkd wntf YGY? JSH albnentltks tg ckthlbo tg wgro ls blst ns bgjtnjukd uptg 1 wkkoslbo tg wgro ls blst ns bgjtnjukd uptg 1 wkkos

    Kx prgcrl``k `ldk vncgrgus hy 1 wkkosx prgcrl``k `ldk vncgrgus hy 1 wkkosFydrgtfkrlpy tg n`prgvk `ghnenty ! strkjctfydrgtfkrlpy tg n`prgvk `ghnenty ! strkjctfNjtkjsnvk YXK prgcrl``k agr \uldrnbkps%jtkjsnvk YXK prgcrl``k agr \uldrnbkps%Fl`strnjcs% Ceutknl`strnjcs% CeutknYrgpkr clnt trlnjnjcrgpkr clnt trlnjnjc

    2rdd SkkokkoLssnstkd lbtnvk `gvk`kjts wntf crldultkdssnstkd lbtnvk `gvk`kjts wntf crldultkdwkncft hklrnjckncft hklrnjcYltnkjts trkltkd wntf YGY? JSH albnentltks tg cktltnkjts trkltkd wntf YGY? JSH albnentltks tg ckthlbo tg wgro ls blst ns bgjtnjukd uptg 1 wkkoslbo tg wgro ls blst ns bgjtnjukd uptg 1 wkkos

    Kx prgcrl``k `ldk vncgrgus hy 1 wkkosx prgcrl``k `ldk vncgrgus hy 1 wkkos Fydrgtfkrlpy tg n`prgvk `ghnenty ! strkjctfydrgtfkrlpy tg n`prgvk `ghnenty ! strkjctf Njtkjsnvk YXK prgcrl``k agr \uldrnbkps%jtkjsnvk YXK prgcrl``k agr \uldrnbkps%Fl`strnjcs% Ceutknl`strnjcs% Ceutkn Yrgpkr clnt trlnjnjcrgpkr clnt trlnjnjc

    28

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    33/35

    22

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    34/35

  • 7/29/2019 Physiotherapy for Lower Limb Fractures

    35/35