Коррекция контрактур, вызванных артритом

---

HealthWiki > Реабилитация детей с ограниченными возможностями здоровья > ГЛАВА 16: Ювенильный артрит > Коррекция контрактур, вызванных артритом

---

В этой главе:

 

В этой главе:

• ГЛАВА 16: Ювенильный артрит: Хронический артрит у детей
• Как его распознать?
• Дополнительная информация о ювенильном артрите
• Лечение ювенильного артрита
• Покой и правильное положение тела
• Упражнения и движение
• Упражнения без движения
• Постепенное усложнение упражнений при артрите коленного сустава у ребенка
• Тренировка пораженного артритом коленного сустава в процессе повседневной активности
• Упражнения на сохранение полного объема движений в суставах для детей, страдающих артритом
• «Парение в воздухе» – приспособления для расслабления и облегчения движений в суставах при болях
• Коррекция контрактур, вызванных артритом
• Самодельные тянущие приспособления для разгибания суставов
• Коррекция контрактур тазобедренных суставов, пораженных артритом
• Учитесь двигаться и улыбаться (история Терезы)

For general information on the cause, prevention, and correction of contractures, see Chapter 8. Range-of-motion and strengthening exercises will help prevent or correct early contractures (see Chapter 42). For severe contractures, stretching aids or casts may be needed (see Chapter 59). However, when using casts or other aids to straighten contractures, it is very important to continue exercises without motion to strengthen the muscles that straighten the limb.

PRECAUTIONS FOR CASTING AN ARTHRITIC LIMB

1. First examine the joint for signs of dislocation. Try moving the bones forward and backward and from side to side.
ПРЕДОСТЕРЕЖЕНИЕ! If the joint is partly dislocated or very loose, it is best not to use casts or stretching devices, as these can increase the dislocation. It is better to continue with the exercises, taking care not to force the joint.

2. If there are no signs of dislocation, little by little straighten the joint as far as is possible without causing much pain.

LIKE THIS			NOT LIKE THIS
	Lift with your hand behind the knee to keep the bones correctly in place, like this.			dislocated joint
			ПРЕДОСТЕРЕЖЕНИЕ! Do not pull like this, or you may dislocate the joint.

3. With the joint as straight as you can get it without too much pain, carefully cast the leg.
Until the cast dries, apply steady pressure here so that the bones keep their right locations and the joint stays straightened.
4. As long as the cast is in place, do without-motion exercises several times a day. This helps keep the straightening muscles strong.
Tighten this muscle. Look! When I tighten it, I can feel it jump here. You can cut a hole above the kneecap to be sure it moves when she tightens her muscles.
5. Every 2 days remove the cast, apply heat and do range-of-motion exercises, bending and straightening the leg little by little. Then gently stretch the leg a little more, and put on another cast.
ВАЖНО! It is best to replace the cast completely rather than to use wedges with the same cast, because of the risk of dislocation.

Inez Sanchez Nov. 4 Nov. 8 Nov. 12 Nov. 17 Nov. 22

6. Continue straightening the leg with new casts every 2 days until it is completely straight or does not straighten more. Keep a record of the progress like this (see Chapter 5). This way you can tell when the leg is no longer getting straighter and it is time to stop using casts.

This page was updated:15 ноя 2023