Physiotherapy is important who suffered injuries in the column
Marrow injuries are becoming more frequent, car accidents, gunshot wounds, falls, shallow water dives and physical aggressions have been the main causes ranging from transient trauma, from which the patient recovers completely, incomplete lesions where the progressive return of motor functions is possible, but difficult to determine how long this will occur until a complete section, the patient may become paralyzed below the level of the traumatic injury.
Such lesions have a variable prognosis and may cause partial or total loss of motor and sensitivity, and depending on the injured spinal level, the individual may become paraplegic or quadriplegic. > Tetraplegia results in loss of function of the upper limbs as well as the trunk, lower limbs. Paraplegia refers to the loss of the functions of thoracic, lumbar and sacral segments of the spinal cord, and may or may not have a compromised trunk, lower limbs.
The level of the lesion determines its severity, the higher the its consequences, and there may also be difficulties in speech, swallowing, urinary, fecal and respiratory complications, which is the major cause of mortality and morbidity in quadriplegic patients.
A long rehabilitation process is necessary, actions that often do not lead the cure, but the adaptation of the individual to his new condition. This requires an accurate evaluation in order to detect all the dysfunctions and still the remaining potential functions. All of these actions go beyond damage prevention, but mainly aim at improving the quality of life. In addition, a team that involves several health professionals is essential to encompass all the care and needs of these patients and should be started in the acute phase.
Physiotherapy plays an essential and totally indispensable role in the care of these patients, must be intense, whether it is the victim of an incomplete injury, or quadriplegic, since it mainly aims at the prevention of deformities, maximization of muscular and respiratory function, promotion of functional independence and, if possible, return to gait, with or without assistance. Among the resources available in the area we have:
Kinesioterapia encompasses exercises and stretches, performed slowly and smoothly, in order to prevent deformities, stiffness and loss of mobility. These activities stimulate the patient's autonomy as much as possible, and when it is not possible to perform independently, the physiotherapist tries to adapt, performing with assistance or passively. Muscular strengthening should be initiated in the preserved musculature, so that the individual will be able to perform his activities, such as touching a wheelchair, performing transfers, postural changes (lying down, sitting, rolling ...), driving vehicles, playing sports, performing hygiene, wandering with help, or any other activity that is present in each patient's daily life.
Balance training should also be included in the recovery process, in order to provide better trunk control. Orthostatism, or standing position, should be performed gradually so that the body adapts, this brings benefits to the circulation, breathing, and breathing. functioning of the organs. Initially it can be carried out with the help of an orthostatic board (kind of stretcher-stretcher) that rises gradually until the vertical positioning is complete.
Functional electrical stimulation may be beneficial to promote a contraction of paralyzed or weakened muscles, there is a recruitment of muscle fibers, which may lead to an increase in performance.
Therefore, it is the physiotherapist's role to assist in the recovery of these patients, with the purpose of preventing complications and making it as independent as possible, always counting on the support and participation of all the family, friends and a competent multidisciplinary team in the process of rehabilitation. It is worth remembering that many people think that the success of the treatment is achieved only when the patient is able to walk again, but each achievement is already a big step.
According to experts, small deviations in the curvature of the penis are normal. However, when this condition is severe, it may be an indication of peyronie's disease. This condition causes the penis to stand up, to the side or down and can cause health complications. Recently it became public information that the actor Alexandre Frota was diagnosed with peyronie's disease.
Understanding autoimmune diseases The goal of the immune system is to defend the body from invading microorganisms. When the immune system attacks the cells and tissues of the body itself, an autoimmune disorder occurs. Many of these diseases have the same symptoms, such as fatigue, dizziness and low fever.