수부(손) 재활 Hand Rehabilitation

목차

1. Treatment Goals
2. Edema Control
3. Tissue Healing
4. Pain Management
5. Muscle Reeducation
6. Range of Motion
7. Heat Modalities
8. Muscle Strengthening & Endurance
9. Hand Protection
10. Overuse Syndrome
11. After Reconstruction Surgery
12. Flexor Tendon Injuries
13. Flexor Tendon Mechanism
14. Tendon Nutrition
15. Tendon Healing
16. Postoperative Protocol for Primary Flexor Tendon Repair
17. Early Phase: 1 to 4 Weeks
18. Early Intermediate Phase: 4 to 6 Weeks
19. Intermediate Phase: 6 to 8 Weeks
20. Late Phase: 8 to 12 Weeks
21. Flexor tendon repair
22. Extensor Tendon Injuries
23. Orthotics
24. Ulnar Nerve Palsy Splint
25. Rheumatoid Arthritis
26. Hypersensitivity
27. Sensory Reeducation

본문내용

•Reduced lymphatic & vessel drainage
•Chronic edema → fibrosis of joint, muscle, fascial planes, vessel and nerve, stiffness, increased infection
•Initial positioning
–Rest position, intrinsic-plus position
–Hand above elbow, elbow above shoulder
–Elbow – relatively extended if possible
•Elevation for 3~5 days
•ROM exercise as soon as possible
•Decongestive massage: distal → proximal
•Elastic wrap, glove, sleeve
•Intermittent pneumatic compression pump
–50mmHg, 30~60 min at a time
–Only if the extremity is pain-free

참고 자료

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