The technique of medical physical culture burns

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Rational organization of treatment with burn disease involves the correct alternation of the state of rest and physical activity. In the appointment of medical physical culture, one should proceed from the motor mode, as prescribed by the doctor.
Strict bed rest requires, as a rule, full of peace. Exceptionally permitted movement with small amplitude in the distal extremities, and passive movements performed with the help of a practitioner. This mode is prescribed only in case of severe General condition of the patient (for example, in the period of burn shock) and for a short period. At the first signs of clinical improvement of the condition of the patient, they are sent to bed.
Bed provides for a stay of the patient in bed. Forbid him to get up and walk. In this period shows exercises that are performed in the original provisions of lying or sitting for upper and lower extremities, for strengthening the muscles, abdominals, and so on
Bed rest should be considered as a temporary measure, promoting mobilization of reserve opportunities of an organism, therefore, with the increase should gradually expand the motor activity of the patient.
When translated into pruposely the regime most of the day time the patient is in bed, but he is allowed to perform elements of self-service (toilet, meals, and so on), to walk in the house, to do exercises in the original provisions of sitting and standing.
Free, or sparing mode provides optimal volume of motor activity of the patient, based on the maximum functionality of the basic life-supporting systems of the body.
Physiotherapy appointed immediately after removing the patient from a state of shock. Because the remains severe, with the purpose of prophylaxis of pneumonia several times a day, use of respiratory static exercises with emphasis on breath (the breath through the nose, long exhale through the mouth).
In acute stages toxemia and septicotoxemia solved the problem of normalization of the activity of the Central nervous system, prevention of complications from internal organs, improve the function of breathing and circulation and trophic processes in the damaged tissues, the preservation of mobility in joints damaged segments of the body and to prevent violations of the functions in the affected limbs. To solve these tasks 3-4-day appointed breathing exercises and exercises for small joints performed actively and passively (with the help of a practitioner). Complex restorative exercises contraindicated, especially with deep extensive burns and severe clinical condition, as they cause great strain cardiovascular and respiratory systems, greatly increase the already elevated basal metabolism.
Many people with deep and extensive superficial burns noted respiratory and cardiovascular failure, therefore, breathing exercises should be included in the complex of therapeutic exercises. However, applying them, you should be careful, because if the wrong dosage the patient may occur hyperventilation syndrome (dizziness, nausea, spasms cerebral and coronary vessels, and so on). To avoid this static breathing exercises are best performed with plastic tubes with capacity from 500 to 800 ml with smooth inner surface.