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Functional Rehabilitation
 
 

Musculo-skeletal problems

     
    These may affect muscles, joints, tendons, ligaments and/or nerves. Usually result of trauma or develop over time due to overuse.

Some examples include fractures, cut tendon, joint subluxation or dislocation, carpal tunnel injury, tennis elbow, back pain, neck and shoulder pain, etc.

Treatment may involve:
   
  • Immobilization of injured parts in an appropriate position, such as splints, to allow for healing. Splints maybe used and maybe static or dynamic, depending on the injury. Different injuries would have different protocol for time of wearing the splints and duration required.
  • Physiotherapy modalities would be engaged to promote soft tissue healing and reduction of pain.
  • Passive mobilization would be required if there is joint stiffness or contracture, in order to maintain joint range of movement. Myofascial release would also be useful.
  • Active mobilization as soon as possible would be needed to maintain active range of mobililsation and reduce complications, such as Disuse Atrophy.
  • Strengthening of injured limbs would be needed to restore strength and balanced use of whole body and prevent compensatory weakness or deformity.
  • Gait training and balance and advanced balance training is required for lower limb involvement.
  • Upper limb coordination and finger dexterity is required for upper limb and hand injury.
  • Functional training will be conducted for optimal function. (such as walking, standing, stooping, squatting, reaching, running, balancing, climbing, eye-hand or eye-hand-foot coordination, finger dexterity, pushing, pulling, lifting, carrying, etc.)
    Some conditions are chronic, and have long term dysfunction, such as spinal injury resulting in paraplegia/tetraplegia, or chronic back and neck pain. These, apart from rehabilitation for restoring and maintaining function, would have further needs, such as:
   
  • Recommendation of assistive devices, e.g. wheelchair (manual/powered, both hands/unilateral etc), hoists, hospital beds, cushions/mattress for prevention of pressure sores, bath chair/shower stretcher, feeding aids, micro-switch, standing equipment, etc.
  • Recommendation of consumables, e.g. for incontinence, for wound care, for feeding, etc.
  • Modification of environment, including home, work and/or leisure.
  • Recommendation of care and attention.
  • Psychological support.
  • Case Management.
     
     
 

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