Physical therapy for diseases of musculoskeletal system

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It is recommended that the following scheme of restoration of joint function for preschool children:
1st month: 1-2 weeks - passive movements and massage, then switches the active movement, but without the load on the leg;
2nd month: active movement and a massage then a control x-ray at satisfactory replacement is appointed dosed walking with support or with crutches, for 3-4 hours a day, it is recommended that still riding a tricycle;
3rd month: learn to walk without crutches, and full load on a limb. Massage continue every day.
In children of older age, if the function of the hip joint is not restored, is surgical correction of congenital dislocation of the hip, then you must commit the operated extremity of 10 to 15 days, and if there were additional operations, commit time increases up to 3-6 weeks.
After removal of plaster the basic method of treatment is long-term and systematic therapeutic exercise, to the fullest possible restoration of joint function.
Different classes with children, are still going to surgery and has already had her. Most of these classes is at home, so parents should have a presentation about them.
In the preoperative period, you must apply stretching exercises shortened muscles, primarily those that drive thighs together, and to strengthen weakened sharply group gluteal muscles. It is very important to teach the child the ability to relax certain muscle groups involved in the movements of the hip joint.
Driven exercises featured in congenital hip dislocation:
1. Ex. floor. lying on the back. Breeding feet in hand 10-12 times.
2. Ex. floor. standing on his good leg, side to a chair, put on his injured leg. Squat, bending healthy leg 6-8 times.
3. Ex. floor. standing on the bed, holding hands on the back. At the same time to spread his legs apart, lowering them from the bed, as if sitting on her horse, 4-6 times (Fig. 12).
4. Ex. floor. standing up, holding his hands behind his chair, feet maximum divorced, heel touching. Squats 4-6 times.
5. Ex. floor. lying on his stomach. Lifting the legs (the affected leg with adult 10-12 times.
6. Ex. floor. standing on all fours, one leg maximum straightened with a focus on the toe (leg and torso, they form a straight line). Bending healthy feet to the limit in the hip and knee joints while sliding the patient legs back 4-6 times.
7. Ex. floor. lying on his stomach. Lifting (extension) aching legs, bent at the knee 10 - 12 times.
8. Ex. floor. lying on your side, on the healthy side. Abstraction aching legs, straight or bent at the knee, 8-10 times.
9. Ex. floor. standing by the chair, holding his back. Abstraction ill legs, is possible with resistance provided to adults, 6-8 times.
10. Ex. floor. lying on your back, feet up, hands cover the hips. Consistently relax the muscles of the feet, legs and hips, 8-10 times.
Besides it is necessary to apply special tonic and breathing exercises, widely using balls, gymnastic sticks and other inventory.
In the postoperative period movements in the hip joint is very limited. Therefore, it is strongly prohibited to use such exercises that can cause children pain.
The main goal of the classes is the increase of the amplitude of movements in the operated joint. This is achieved using the passive movements and special ukladani, gradual inclusion of active movements, training of the first walk on crutches, and then without crutches. Complexes of exercises to build strictly individually, to follow advices of doctors in prescribing children from hospital. In addition, classes house should be held regularly, in consultation with your doctor and trainer of physical therapy clinic.