PHYSIOTHERAPY

Aims of Physiotherapy Regarding Fractures

Aims of Physiotherapy Regarding Fractures

Fracture and its symptoms

Fracture is a violation of the anatomical integrity of the bone due to injury, in the area of fracture, usually formed by a hematoma, with an open fracture blood pours into the wound, infection with a rapid turnaround. Multiple fractures (a few bones in one person) are often accompanied by shock.

Fracture is characterized by the following symptoms: pain, dysfunction, deformity, abnormal mobility, crepitation fragments. The pain occurs at the time of trauma and increases sharply when attempting active and passive movements. On examination, the patients' the most painful part was detected by palpation or effleurage (gentle) on the axis of the limb. In some cases, pain expressed mild, such as fracture of the vertebral bodies. Violation of the function under certain fractures appears bright (as in hip fracture victim cannot move his/her leg), but sometimes this feature neharakteren, when impacted fractures of the shoulder, for example, the function of limbs suffered enough. When one of the parallel fractures of bones (metatarsal, metacarpal, fibula), this feature is missing. Deformation of the limb appears at a bias of the fragments.

Mobility in an unusual place (Pathological) is one of the reliable signs of fracture. By Holding one hand central end and a second gently lifting the peripheral end, we can easily able to establish the presence of movements out of the joints. When periarticular fractures pathological mobility of the fragments is missing. Crepitus occurs at a bias of contiguous fragments of bone. Specifically, crepitus at the victim with broken shoulder cannot be identified, as this may damage the surrounding tissues, blood vessels, nerve trunks, remove splinters. We should identify the pulsation of peripheral vascular disease, the state of skin sensitivity to the distal limb. If you suspect damage to the bones must determine the length of limb shortening to identify it. Length measured from shoulder acromial ridge to the outer condyle of humerus, forearm - from elbow to the styloid process, the lower limb - on the greater trochanter to the femoral condyle of external or outer ankle. Limb volume was measured in symmetrical sections at some distance from the bony protrusion (condyles). X-ray clarifies the nature of the fracture (type, displacement of fragments). Make sure you Perform X-rays in two projections with the capture of nearby joints. Required volume of radiological investigation determined only after a detailed clinical examination of the victim. In some cases (fractures, fractures wrist and feet) without X-ray an accurate diagnosis impossible.

Treatment through physiotherapy

Physical therapy should be begun after 2-day 5 of injury. Depending on the formation of callus it is divided into 3 periods, which are fractures of long bones are distributed in time roughly as follows. In the first period (first 10 days after injury) after reduction and immobilization in the clinical picture is dominated by pain, swelling and muscle spasm. For pain relief, elimination of edema and resorption of hemorrhage and the acceleration of bone regeneration is used the ...