Therapeutic physical training with injuries of musculoskeletal system

Pages: 1 2 3

Any traumatic injury of locomotive apparatus is accompanied not only by local reactions, but also a General nervous-reflex reaction of the organism with the change of vital functions. So it is treated as common disease called traumatic disease. Directly after the injury, the most severe manifestations of traumatic disease are: fainting, collapse, traumatic shock. Fainting is a momentary loss of consciousness due to acute (short-lived) anemia, brain damage due to reflex spasm its vessels. The collapse is sudden lack of energy, i.e., the sharp weakening of the heart activity associated with acute blood loss, pain, anesthesia, intoxication. Traumatic shock - sharp oppression of basic vital processes of the organism under the influence of the strongest pain syndrome. In shock disturbed function of the regulating system - endocrine and nervous, which leads to deterioration of the cardiovascular, respiratory and oxygen starvation, from which again suffer the Central nervous system. Clinical manifestation of shock begins with a short-phase excitation, changing phase braking (patient while maintaining consciousness indifferent to the environment); falling of arterial and venous blood pressure, weaken and quickens the pulse, appear pale skin and a cold sweat.
In traumatic injuries of musculoskeletal system that requires bed rest and immobilization, develop functional changes in all organism: insomnia, irritability, decreased function of internal organs, loss of appetite, impaired metabolism. Prolonged immobilization leads to muscle atrophy, limitation of motion in fixed joints, decreasing the amount of calcium in the bones and synovial fluid in the joints, which causes osteoporosis (brittle bones), a rapid deterioration in the supply of cartilage, lowering their elasticity. Due to malnutrition in the bag of the joints and surrounding tissues develop cicatrices; covering the joints, the skin loses its elasticity, and sometimes spaevaet to be in fiber, bands and joint bag. These secondary post-traumatic changes in the joints of the fingers, elbow, shoulder, knee and other joints can occur without immobilization, if they are long term will be no movement.
To traumatic injuries of musculoskeletal system, which is applied therapeutic physical culture, include bone fractures, injuries of tissues (muscles, ligaments, tendons), injuries of joints, sprains, wounds *.
Fractures are without bias and with the displacement of bone fragments. Regardless of the nature of the fracture treatment is based on three principles: the comparison of the fragments, keeping them in the right position to complete the consolidation (accretion) and restore limb function. The fragments are mapped open method - operative or private - overlay skeletal or lipoplasties traction, and manual correction. When a private method fragments are held by imposing tyres, plaster bandages, Ilizarov and others, and in the open procedure with metal rods, plates, nails (introduction nutricote), wood screws, screws, bolts, bone pins and transplants. Fractures can grow together primary healing (well mapped fragments form a small bone spur) or secondary healing (formed extensive bone spur).
Depending on the location and nature of the fracture time consolidation of tubular bones primary healing different-from 3 weeks to 2-3 months. When a delayed consolidation necessary immobilization 6 months.

* All this damage (their essence and treatment) described in the course of sports medicine, so here are just some additional information.