Rehabilitation of limb fracture.docVIP

 PAGE \* MERGEFORMAT 4 Rehabilitation of limb fracture Author: Zhang Xuefeng Song Shu-ling Wang Guining Various types of fractures, including open fractures, and closed fracture, affecting the joints and does not affect the joints, stable and unstable has been properly processed, are appropriate for rehabilitation therapy. Rehabilitation principles: to ensure that a fixed solid and reliable; body fixed and training must be carried out simultaneously to prevent the occurrence of brake syndrome; rehabilitation training in the different stages of fracture healing have different priorities. Rehabilitation after fracture can be divided into two general conduct: A healing period (fixed period) Fracture fixation or traction by reduction 2-3 days after the injury response begins to recede, reduce swelling and pain, that is should begin rehabilitation therapy at this time Limbs swelling, pain, unstable fracture line, easy to re-shift, therefore, this period The main purpose of the training to facilitate the swelling and stabilize fractures. The main form of training, Limbs isometric muscle contraction. 1.1 The isometric muscle contraction training, which should slow pace of efforts to make the greatest contraction, and then relax, training three times a day, every 5-10 minutes, preferably without causing muscle fatigue. 1.2 Limbs proximal and distal joints are not fixed, so the direction of active movement of the arm should be shoulder abduction, external rotation, and the metacarpophalangeal joint flexion, leg note the active range of motion of ankle dorsiflexion. 1.3 are not weight-bearing active exercise at a fixed 1-3 weeks, if possible, remove the fixture should be short the next day, in the damage under the protection of the active joints are not weight-bearing exercise and gradually increase the range of activities. 1.4 normal exercise and respiratory training contralateral limbs and trunk normal training and activities to improve body position to preven