{"id":12851,"date":"2019-06-07T07:09:56","date_gmt":"2019-06-07T04:09:56","guid":{"rendered":"https:\/\/alchimeia.ro\/vechi\/?page_id=12851"},"modified":"2023-05-29T17:48:25","modified_gmt":"2023-05-29T14:48:25","slug":"afectiuni-reumatismale","status":"publish","type":"page","link":"https:\/\/alchimeia.ro\/vechi\/afectiuni-tratate\/afectiuni-reumatismale\/","title":{"rendered":"Afec\u021biuni reumatismale"},"content":{"rendered":"<p><div id=\"deficiente-coloana\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:1px;--awb-border-sizes-bottom:1px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-color:#e5e4e4;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:30px;--awb-padding-bottom:30px;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h2 class=\"center\">Afec\u021biuni reumatismale<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-has-icon\" style=\"margin-left: auto;margin-right: auto;margin-bottom:30px;width:100%;max-width:50%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color4);border-color:var(--awb-color4);border-top-width:2px;\"><\/div><span class=\"icon-wrapper\" style=\"border-color:transparent;font-size:16px;width: 1.75em; height: 1.75em;border-width:2px;padding:2px;margin-top:-1px\"><i class=\"fa-dot-circle fas\" style=\"font-size: inherit;color:var(--awb-color4);\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color4);border-color:var(--awb-color4);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-2 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><p>Reumatologia este o ramur\u0103 a medicinei interne. No\u0163iunea de reumatism deriv\u0103 de la grecescul \u201erheumamatismos\u201d, care \u00eenseamn\u0103 \u201ea curge\u201d (manifest\u0103rile articulare au caracter fluxionar). Bolile reumatice se caracterizeaz\u0103 \u00een principal, prin leziuni inflamatoare sau degenerative ale \u0163esuturilor conjunctive ale articula\u0163iilor sau ale \u0163esuturilor periarticulare. Aceste boli au etiologie variata si evolu\u0163ie cronic\u0103. Din punct de vedere clinic si terapeutic, bolile reumatice se deosebesc de manifest\u0103rile pseudoreumatice ale altor boli.<br \/>\nStabilirea unui diagnostic precoce si corect precum si instituirea unui tratament adecvat sunt principalii factori de care depind, \u00een mare m\u0103sur\u0103, remisiunea sau stabilizarea procesului evolutiv al bolii, evitarea complica\u0163iilor si a sechelelor invalidante, infirmitatea prematur\u0103 a bolnavului. Un rol determinant \u00een diagnosticarea unei boli reumatice, al\u0103turi de examenul aparatului locomotor, \u00eel are examenul clinic complet al celorlalte aparate si sisteme, integrand astfel suferin\u0163a reumatic\u0103 \u00een contextul clinic general.<\/p>\n<p>La nivel mondial s-au elaborat numeroase clasific\u0103ri ale bolilor reumatice, pe baza mai multor criterii: clinic, etiologic, patogenetic. Unele dintre aceste clasific\u0103ri grupeaz\u0103 bolile reumatice baz\u00e2ndu-se pe aspecte unilaterale \u015fi f\u0103r\u0103 aplicabilitate practic\u0103. Desi termenul de reumatism a devenit aproape sinonim cu \u201esuferin\u0163a articular\u0103&#8221;, trebuie s\u0103 se precizeze totu\u015fi c\u0103 exista \u015fi forme de reumatism nearticulare (abarticulare), atunci c\u00e2nd sunt afectate \u0163esuturi conjunctive \u015fi musculare periarticulare. De aici \u015fi cea mai acceptabil\u0103 clasificare, care \u00eemparte reumatismul ca boal\u0103, \u00een doua mari categorii, \u015fi anume: articular \u015fi nearticular (sau abarticular).<\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:50px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-aligncenter\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;\" target=\"_self\" title=\"Programare Kinetoterapie\" href=\"#\" data-toggle=\"modal\" data-target=\".fusion-modal.programare\"><span class=\"fusion-button-text\">programeaz\u0103-te acum!<\/span><\/a><\/div><div class=\"fusion-modal modal fade modal-1 programare\" tabindex=\"-1\" role=\"dialog\" aria-labelledby=\"modal-heading-1\" aria-hidden=\"true\" style=\"--awb-border-color:#ebebeb;--awb-background:#f6f6f6;\"><div class=\"modal-dialog modal-lg\" role=\"document\"><div class=\"modal-content fusion-modal-content\"><div class=\"modal-header\"><button class=\"close\" type=\"button\" data-dismiss=\"modal\" aria-hidden=\"true\" aria-label=\"Close\">&times;<\/button><h3 class=\"modal-title\" id=\"modal-heading-1\" data-dismiss=\"modal\" aria-hidden=\"true\">Cerere de programare la KineticFIT Iasi<\/h3><\/div><div class=\"modal-body fusion-clearfix\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f12299-o1\" lang=\"ro-RO\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/vechi\/wp-json\/wp\/v2\/pages\/12851#wpcf7-f12299-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formular de contact\" 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acord s\u0103 primesc mesaje promo\u021bionale de la Alchimeia pe e-mail sau prin SMS\" \/><span class=\"wpcf7-list-item-label\">Sunt de acord s\u0103 primesc mesaje promo\u021bionale de la Alchimeia pe e-mail sau prin SMS<\/span><\/label><\/span><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"small\"><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-355\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-355\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">GDPR - Prin trimiterea acestui formular, consimt c\u0103 sunt de acord cu prelucrarea datelor cu caracter personal, conform Regulamentul European 2016\/679 privind protec\u021bia persoanelor fizice referitor la prelucrarea datelor cu caracter personal \u0219i libera circula\u021bie a acestor date.<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/span><br \/>\n<input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Trimite\" \/>\n<\/p><p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"120\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize alert-dismissable\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:50px;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-3\"><h2 class=\"center\">Kinetoterapia \u00een principalele sindroame reumatologice<\/h2>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-has-icon\" style=\"margin-left: auto;margin-right: auto;margin-bottom:30px;width:100%;max-width:50%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color4);border-color:var(--awb-color4);border-top-width:2px;\"><\/div><span class=\"icon-wrapper\" style=\"border-color:transparent;font-size:16px;width: 1.75em; height: 1.75em;border-width:2px;padding:2px;margin-top:-1px\"><i class=\"fa-dot-circle fas\" style=\"font-size: inherit;color:var(--awb-color4);\" aria-hidden=\"true\"><\/i><\/span><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color4);border-color:var(--awb-color4);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-4 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>Um\u0103rul reumatismal<\/h3>\n<p>Obiectivele recuper\u0103rii func\u0163ionale a um\u0103rului sunt urm\u0103toarele:<br \/>\n&#8211; combaterea durerii, obiectiv realizat mai ales prin imobiliz\u0103ri sau postur\u0103ri \u00een pozi\u0163ie func\u0163ional\u0103;<br \/>\n&#8211; refacerea\/men\u0163inerea mobilit\u0103\u0163ii, prin exerci\u0163ii pasive, active,autopasive, stretching;<br \/>\n&#8211; refacerea for\u0163ei \u015fi stabilit\u0103\u0163ii um\u0103rului, prin exerci\u0163ii cu rezisten\u0163\u0103;<br \/>\n&#8211; refacerea mi\u015fc\u0103rii controlate a um\u0103rului;<br \/>\n&#8211; men\u0163inerea sau ameliorarea abilit\u0103\u0163ii pentru gesturile zilnice, prinantrenarea \u00eentregului membru superior.<\/p>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare sunt:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii\n<ul>\n<li>prin adoptarea unor posturi (flexia, extensia, abduc\u0163ia, rota\u0163ia)<\/li>\n<li>prin mobilizari pasive (mobilizarea articula\u0163iei sternoclaviculare, mobilizarea articula\u0163iei acromioclaviculare, mobilizarea articula<br \/>\n\u0163iei scapulotoracice, mobiliz\u0103rile articula\u0163iei scapulohumerale)<\/li>\n<li>prin mobiliz\u0103ri autopasive<\/li>\n<li>exerci\u0163iile tip Codman<\/li>\n<li>mobiliz\u0103ri active (exerci\u0163ii) libere pentru cre\u015fterea mobilit\u0103\u0163ii<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea for\u0163ei musculare\n<ul>\n<li>exerci\u0163ii statice, izometrice<\/li>\n<li>exerci\u0163ii cu rezisten\u0163\u0103<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea stabilit\u0103\u0163ii, mi\u015fc\u0103rii controlate \u015fi abilit\u0103\u0163ii.\n<ul>\n<li>sporturi terapeutice \u2013 \u00eenot, tenis de mas\u0103\/c\u00e2mp, badminton, volei,baschet.<\/li>\n<li>terapie ocupa\u0163ional\u0103 \u2013 lustruit, \u015flefuit pe suprafe\u0163e verticale\/orizontale, instala\u0163ii cu manivele, etc..<\/li>\n<li>kinetoterapie (exerci\u0163ii pentru musculatura scapular\u0103, exerci\u0163ii pentru musculatura scapulohumeral\u0103)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-5 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>Cotul reumatismal<\/h3>\n<p>Obiectivele recuper\u0103rii func\u0163ionale a cotului sunt:<br \/>\n&#8211; combaterea durerii, obiectiv realizat prin pozi\u0163ion\u0103ri, postur\u0103ri \u00eenlimite func\u0163ionale, exerci\u0163ii autopasive \u015fi pasivoactive;<br \/>\n&#8211; refacerea mobilit\u0103\u0163ii \u00een limitele func\u0163ionale \u015fi apoi normale, prinexerci\u0163ii autopasive, active, stretching;<br \/>\n&#8211; refacerea for\u0163ei \u015fi a stabilit\u0103\u0163ii articulare, prin exerci\u0163ii active curezisten\u0163\u0103 \u015fi exerci\u0163ii gestuale \u015fi de \u00eendem\u00e2nare.<\/p>\n<p>Principiile de reeducare func\u0163ional\u0103 a cotului sunt:<br \/>\n&#8211; nu se mobilizeaz\u0103 cotul inflamat. Acesta va fi imobilizat \u00een atel\u0103, care se va scoate \u00een timpul nop\u0163ii.<br \/>\n&#8211; nu se efectueaz\u0103 mobiliz\u0103ri pasive, numai autopasive.<br \/>\n&#8211; nu se va \u00eenc\u0103rca m\u00e2na cu greut\u0103\u0163i pentru recuperarea extensiei,acestea duc\u00e2nd la cre\u015fterea hipertoniei mu\u015fchilor flexori.<br \/>\n&#8211; nu se fac exerci\u0163ii analitice intense, deoarece pot reap\u0103rea reac\u0163iile inflamatorii.<br \/>\n&#8211; in recuperarea cotului este util\u0103 reeducarea global\u0103 a membruluisuperior, orientat\u0103 c\u0103tre gesturile uzuale, antren\u00e2nd obligatoriu um\u0103rul \u015fi m\u00e2na.<br \/>\n&#8211; este obligatorie men\u0163inerea mobilit\u0103\u0163ii articula\u0163iilor neafectate (um\u0103r-pumn-m\u00e2na), prin mi\u015fc\u0103ri pasive, activopasive \u015fi active.<br \/>\n&#8211; se va asocia terapia ocupa\u0163ional\u0103<\/p>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare sunt:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii\n<ul>\n<li>prin adoptarea unor posturi (flexia, extensia, prona\u0163ie\/supina\u0163ie)<\/li>\n<li>prin mobilizari pasive (flexie, decompresiunea articula\u0163iei cotului, extensie, pronosupina\u0163ie)<\/li>\n<li>prin mobiliz\u0103ri autopasive (cu ajutorul scripe<span class=\"a\">\u0163<\/span><span class=\"a\"><span class=\"a\">ilor, cu ajutorul unui konetoterapeut, autopasiv <\/span><\/span>f\u0103r\u0103 ajutor extern)<\/li>\n<li>\n<div class=\"ff8\"><span class=\"a\">prin mi<\/span><span class=\"a\">\u015f<\/span><span class=\"a\">c<\/span><span class=\"a\">\u0103<\/span><span class=\"a\"><span class=\"a\">ri active &#8211; r<\/span><\/span>eprezint\u0103 baza kinetoterapiei \u00een afectarea cotului (reumatismal\u0103<span class=\"a\">, <\/span><span class=\"a\">posttraumatic<\/span>\u0103 \u2013 pentru cre\u015fterea mobilit\u0103\u0163ii).<\/div>\n<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea for\u0163ei musculare\n<ul>\n<li>tonifierea musculaturii flexoare<\/li>\n<li>tonifierea musculaturii extensoare<\/li>\n<li>tonifierea musculaturii supinatoare<\/li>\n<li>tonifierea musculaturii pronatoare<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea stabilit\u0103\u0163ii, mi\u015fc\u0103rii controlate \u015fi abilit\u0103\u0163ii.\n<ul>\n<li>\n<div class=\"ff11\"><span class=\"a\">terapia ocupa<\/span><span class=\"a\">\u0163<\/span><span class=\"a\">ional<\/span><span class=\"a\">\u0103 &#8211; c<\/span><span class=\"a\">ondi<\/span><span class=\"a\">\u0163<\/span><span class=\"a\">ia de baz<\/span><span class=\"a\">\u0103 <\/span><span class=\"a\">\u00een alegerea modalit<\/span><span class=\"a\">\u0103\u0163<\/span><span class=\"a\">ii concrete de terapie <\/span><span class=\"a\">ocupa<\/span><span class=\"a\">\u0163<\/span><span class=\"a\">ional<\/span><span class=\"a\">\u0103 <\/span><span class=\"a\">= solicitare \u00een repet<\/span><span class=\"a\">\u0103<\/span><span class=\"a\">ri multiple a unei amplitudini de mi<\/span><span class=\"a\">\u015f<\/span><span class=\"a\">care c\u00e2t <\/span><span class=\"a\">mai mare<\/span><\/div>\n<\/li>\n<li>\n<div class=\"ff11\"><span class=\"a\">sporturi terapeutice\u00a0 <\/span><span class=\"a\">\u2013 \u00eenot, basket, tenis de mas<\/span><span class=\"a\">\u0103<\/span><\/div>\n<\/li>\n<li>kinetoterapie (exerci\u0163ii pentru flexori, extensori, supinatori, pronatori)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-6 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>M\u00e2na reumatismal\u0103<\/h3>\n<p>Obiectivele recuper\u0103rii func\u0163ionale a m\u00e2inii sunt:<br \/>\n&#8211; reducerea durerii;<br \/>\n&#8211; men\u0163inerea\/ cre\u015fterea mobilit\u0103\u0163ii articulare;<br \/>\n&#8211; men\u0163inerea\/ cre\u015fterea for\u0163ei musculare \u015fi stabilit\u0103\u0163ii m\u00e2inii;<br \/>\n&#8211; prevenirea\/ corectarea deforma\u0163iilor \u015fi dezax\u0103rilor articulare;<br \/>\n&#8211; minimalizarea efectului deform\u0103rilor articulare;<br \/>\n&#8211; men\u0163inerea, dezvoltarea \u015fi perfec\u0163ionarea abilit\u0103\u0163ii \u00een diferitele forme de prehensiune;<br \/>\n&#8211; men\u0163inerea\/ cre\u015fterea capacit\u0103\u0163ii de desf\u0103\u015furare a ADL-urilor.<\/p>\n<p>La pacien\u0163ii cu deficit de prehensiune, scopul final al kinetoterapiei \u00eel constituie restabilirea c\u00e2t mai complet\u0103 a capacit\u0103\u0163ii func\u0163ionale pierdute, precum \u015fi dezvoltarea unor mecanisme compensatoare care s\u0103 asigure subiectului posibilitatea de autoservire, de munc\u0103 \u015fi de independen\u0163\u0103 economic\u0103 \u015fi social\u0103<br \/>\nAceste obiective sunt valabile at\u00e2t \u00een fazele acute, c\u00e2t \u015fi \u00een celelalte faze, at\u00e2t \u00een formele inflamatorii, indiferent de stadiul de evolu\u0163ie, c\u00e2t<br \/>\n\u015fi \u00een celedegenerative. \u00centotdeauna se vor utiliza tehnici \u015fi mijloace potrivite \u015fi adaptate de la caz la caz.<\/p>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare sunt:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii\n<ul>\n<li>prin adoptarea unor posturi<\/li>\n<li>prin mobilizari pasive<\/li>\n<li>prin mobiliz\u0103ri autopasive<\/li>\n<li>prin mi\u015fc\u0103ri active<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea for\u0163ei musculare\n<ul>\n<li>refacerea for\u0163ei musculare a policelui<\/li>\n<li>refacerea for\u0163ei musculare a celorlalte degete<\/li>\n<li>refacerea abilit\u0103\u0163ii m\u00e2inii<\/li>\n<li>tonifierea musculaturii pronatoare<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea stabilit\u0103\u0163ii, mi\u015fc\u0103rii controlate \u015fi abilit\u0103\u0163ii.\n<ul>\n<li>terapia ocupa\u0163ional\u0103 \u2013 condi\u0163ia de baz\u0103\u00a0\u00een alegerea modalit\u0103\u0163ii concrete de terapie\u00a0ocupa\u0163ional\u0103\u00a0= solicitare \u00een repet\u0103ri multiple a unei amplitudini de mi\u015fcare c\u00e2t\u00a0mai mare<\/li>\n<li>sporturi terapeutice\u00a0\u00a0\u2013 \u00eenot, basket, tenis de mas\u0103<\/li>\n<li>kinetoterapie<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-7 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>\u015eoldul reumatismal<\/h3>\n<p>Aproape toate afec\u0163iunile \u015foldului evolueaz\u0103 spre coxartroz\u0103 secundar\u0103, care determin\u0103 disfunc\u0163ionalit\u0103\u0163i de susten\u0163ie, mi\u015fcare \u015fi coordonare, la mers. \u00cen \u00eentocmirea programului, kinetoterapeutul trebuie s\u0103 \u0163in\u0103 seama de stadiul clinic \u015fi anatomofunc\u0163ional al bolii.<\/p>\n<p>Obiectivele recuper\u0103ri func\u0163ionale a \u015foldului sunt urm\u0103toarele:<br \/>\n&#8211; sc\u0103derea durerii \u015fi inflama\u0163iei,<br \/>\n&#8211; cre\u015fterea stabilit\u0103\u0163ii;<br \/>\n&#8211; cre\u015fterea mobilit\u0103\u0163ii;<br \/>\n&#8211; cre\u015fterea gradului de coordonare \u015fi echilibru la mers.<\/p>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare sunt:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii\n<ul>\n<li>reeducarea flexiei<\/li>\n<li>reeducarea extensiei<\/li>\n<li>reeducarea abductiei<\/li>\n<li>refacerea abductiei<\/li>\n<li>reeducarea rotatiei<\/li>\n<li>tractiuni specifice<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea for\u0163ei musculare\n<ul>\n<li>tonifierea musculaturii flexoare<\/li>\n<li>tonifierea musculaturii extensoare<\/li>\n<li>tonifierea musculaturii abductoare<\/li>\n<li>tonifierea musculaturii rotatorii interne<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea abilit\u0103\u0163ii, stabilit\u0103\u0163ii \u015fi mi\u015fc\u0103rii controlate\n<ul>\n<li>refacerea stabilitatii contralaterale<\/li>\n<li>refacerea controlului muscular si abilitatii<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-8 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>Genunchiul reumatismal<\/h3>\n<p>Obiectivele, metodele \u015fi mijloacele programului kinetic de recuperare aafec\u0163iunilor reumatismale ale genunchiului depind de tipul afec\u0163iunii, dar<br \/>\n\u015fi destadiul evolutiv al acesteia.<\/p>\n<p>Obiectivele recuper\u0103ri func\u0163ionale a genunchiului sunt urm\u0103toarele:<\/p>\n<p><strong>a. \u00een reumatismele inflamatorii<\/strong><br \/>\nObiective:<\/p>\n<ul>\n<li>calmarea durerilor<\/li>\n<li>prevenirea instal\u0103rii unui genu flexum ireductibil<\/li>\n<li>men\u0163inerea\/ cre\u015fterea amplitudinii de mi\u015fcare<\/li>\n<li>echilibrarea for\u0163ei musculare a extensorilor \u015fi flexorilor genunchiului<\/li>\n<li>asigurarea stabilit\u0103\u0163ii genunchiului.<\/li>\n<\/ul>\n<p><strong>b. \u00een gonartroze<\/strong><br \/>\nObiective:<\/p>\n<ul>\n<li>prevenirea instal\u0103rii unui genu flexum ireductibil<\/li>\n<li>echilibrarea for\u0163ei musculare a extensorilor \u015fi flexorilor genunchiului<\/li>\n<li>men\u0163inerea \/ cre\u015fterea amplitudinii de mi\u015fcare<\/li>\n<li>asigurarea stabilita\u0163ii genunchiului<\/li>\n<li>refacerea controlului muscular dinamic pentru mers.<\/li>\n<\/ul>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii\n<ul>\n<li>reeducarea flexiei<\/li>\n<li>reedicarea extensiei<\/li>\n<li>reeducarea rotatiei<\/li>\n<li>reeducarea alunecarii tibiei pe femur<\/li>\n<li>refacerea mobilitatii rotulei<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea for\u0163ei musculare\n<ul>\n<li>tonifierea musculaturii extensoare<\/li>\n<li>tonifierea musculatorii flexoare<\/li>\n<\/ul>\n<\/li>\n<li>Refacerea stabilit\u0103\u0163ii, mi\u015fc\u0103rii controlate \u015fi abilit\u0103\u0163ii\n<ul>\n<li>obtinerea stabilitatii pasive<\/li>\n<li>obtinerea stabilitatii active<\/li>\n<li>exercitii pentru refacerea stabilitatii colaterale<\/li>\n<li>exercitii pentru controlul muscular si abilitate<\/li>\n<li>terapia ocupationala &#8211; \u00eenot, ciclism, ma\u015fini cu pedale, baschet, volei, activit\u0103\u0163i la diverse utilaje ac\u0163ionate cu pedal\u0103 \u00eenalt\u0103 (strung, \u015flefuit).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-9 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>Piciorul reumatismal<\/h3>\n<p>Leziunile localizate la nivelul piciorului pot fi caracteristice anumitor afec\u0163iuni sau pot reprezenta forme particulare de debut ale altora.<br \/>\nCauzele leziunilor localizate la nivelul piciorului, degetelor acestuia \u015fi gleznei sunt multiple. Dintre acestea amintim: artritele reumatismale,<br \/>\nprocesele degenerative, tulbur\u0103rile statice, algoneurodistrofiile simpatice, traumatismele, infec\u0163iile, tumorile, reumatismele abarticulare, bolile metabolice cu localizare \u015fi articular\u0103, tulbur\u0103ri de static\u0103 a piciorului (picior plat, scobit).<\/p>\n<p>Obiectivele kinetoterapiei, tehnicile \u015fi metodele de recuperare:<\/p>\n<ul>\n<li>Refacerea mobilit\u0103\u0163ii<\/li>\n<li>Refacerea for\u0163ei musculare<\/li>\n<li>Refacerea stabilit\u0103\u0163ii, mi\u015fc\u0103rii controlate \u015fi abilit\u0103\u0163ii.<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:30px;margin-bottom:30px;width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#999999;border-color:#999999;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-10 awb-text-cols fusion-text-columns-2\" style=\"--awb-columns:2;--awb-column-spacing:2em;--awb-column-min-width:100px;\"><h3>Patologia reumatismal\u0103 a coloanei vertebrale<\/h3>\n<p>Obiective generale de de recuperare sunt:<\/p>\n<ul>\n<li>combaterea durerii<\/li>\n<li>corectarea dezechilibrelor musculare \u00eentre agoni\u015fti \u015fi antagoni\u015fti<\/li>\n<li>restabilirea controlului adecvat al mi\u015fc\u0103rii<\/li>\n<li>profilaxia recidivelor<\/li>\n<\/ul>\n<p>Mijloacele de tratament \u00een afec\u0163iunile discovertebrale sunt:<\/p>\n<ul>\n<li>tratament igieno-postural<\/li>\n<li>tratament medicamentos<\/li>\n<li>tratament fizical (electroterapia, masajul, hidrotermoterapia, kinetoterapia)<\/li>\n<li>tratament chirurgical (principala interven\u0163ie operatorie la care se recurge \u00een hernia de disc lombar\u0103 este laminectomia decompresiv\u0103)<\/li>\n<li>tratament balnear<\/li>\n<\/ul>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-bottom:50px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-aligncenter\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button-border-radius-top-left:0;--button-border-radius-top-right:0;--button-border-radius-bottom-right:0;--button-border-radius-bottom-left:0;\" target=\"_self\" title=\"Programare Kinetoterapie\" href=\"#\" data-toggle=\"modal\" data-target=\".fusion-modal.programare\"><span class=\"fusion-button-text\">programeaz\u0103-te acum!<\/span><\/a><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":343,"featured_media":0,"parent":4548,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/12851"}],"collection":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/users\/343"}],"replies":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/comments?post=12851"}],"version-history":[{"count":0,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/12851\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/pages\/4548"}],"wp:attachment":[{"href":"https:\/\/alchimeia.ro\/vechi\/wp-json\/wp\/v2\/media?parent=12851"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}