Can knee joint stiffness go to rehabilitation center after fract
Publish: 2021-05-12 13:21:37
1. It is suggested that you go to the local regular hospital, depending on the needs of the disease, you can try to use traditional Chinese medicine fumigation combined with functional exercise and passive exercise, which is helpful to the recovery of joint function.
2. The situation you described is not suitable for squatting, which is a bit "advanced", and should be carried out according to the following steps:
1. Sit by the bed, bend your knees, straighten, and healthy limbs can help, that is, press in front or behind your ankles, so that when you can't bear the pain, you can't hold your breath for 10 seconds to prevent visceral injury, If you make a sound, you won't hold your breath. Repeated, 5-10 minutes each time, 4-5 times a day, according to the patient's situation can be increased or decreased
2. If the knee joint cannot be straightened, it should be pressed by the doctor or the patient himself on the bed, and the family members should not be pressed to prevent further fracture. After 7-10 days, the flexion and extension range of motion should be improved significantly, and the flexion should reach at least 90% °， Because 90 ° You can sit in the toilet, straighten 0 °~ five ° Between - 5 °~- ten ° Fracture patients do not require a negative extension angle
3. Lie on the back of the bed, with the thigh perpendicular to the bed surface (with the help of others or with the patient's hands). In this case, bend and extend the knee joint. Because of long-term bedridden, the muscle strength decreases obviously. When the patient bends and extends, the lower leg may not be in the same plane with the thigh, that is, swing left and right to draw an arc. We must avoid this situation, and prefer to move slowly, Also try to ensure that the whole process of leg flexion and extension and thigh in the same plane. This movement can not only practice the range of motion of the knee joint, but also exercise the muscle strength, but also can't hold breath
4. Lie on your back on the bed, with your thighs full of strength, and you only need to work without exercise. Practice the muscle strength of knee extensors such as quadriceps femoris. Supine on the bed, clamp legs, exercise adctor muscle strength
5. When the knee range of motion and muscle strength exercises have made certain progress, you can hold double crutches or stand with the help of others for about 10 days (from the beginning of exercise), not too long, to prevent long-term bed rest, leading to postural hypotension, manifested as nausea and fainting
the above is the main stage of bed exercise
then there are all kinds of standing exercises: eating crutches to stand, standing against the wall, properly releasing crutches under the protection of others, standing away from the wall. This process lasts for 1-2 days, until the patient has no nausea and syncope reaction, he can walk on the ground
in the practice of walking on flat ground, we must pay attention to the protection, eat double crutches (not single crutches), protect others, keep the ground smooth, anti-skid, no water, and stick to it every day. Pay attention to the walking posture, such as whether the toes are forward, whether the head is raised and the chest is held up. It is very clear that the family members think that the patient can exercise on his own at this stage, relax the monitoring, easily fall down and fracture again, or develop a bad posture, and walk unsightly in the future, even affect the function
when walking on the flat ground for about 7-10 days, step walking can be carried out, and ramp walking can also be added ring this period. The steps are from low to high, from one step to two steps (one step and two steps: when the affected foot steps up, the healthy foot steps up one step, that is, the normal step). At the same time, you can squat
so far, the patient has basically recovered. At this time, the patient can be appropriately consolidated, and sandbag exercise, horse stance exercise and one foot standing exercise can be added until the completion of daily life. If accompanied by neurological symptoms, rehabilitation treatment is needed
there was no heredity. I wish you a speedy recovery
1. Sit by the bed, bend your knees, straighten, and healthy limbs can help, that is, press in front or behind your ankles, so that when you can't bear the pain, you can't hold your breath for 10 seconds to prevent visceral injury, If you make a sound, you won't hold your breath. Repeated, 5-10 minutes each time, 4-5 times a day, according to the patient's situation can be increased or decreased
2. If the knee joint cannot be straightened, it should be pressed by the doctor or the patient himself on the bed, and the family members should not be pressed to prevent further fracture. After 7-10 days, the flexion and extension range of motion should be improved significantly, and the flexion should reach at least 90% °， Because 90 ° You can sit in the toilet, straighten 0 °~ five ° Between - 5 °~- ten ° Fracture patients do not require a negative extension angle
3. Lie on the back of the bed, with the thigh perpendicular to the bed surface (with the help of others or with the patient's hands). In this case, bend and extend the knee joint. Because of long-term bedridden, the muscle strength decreases obviously. When the patient bends and extends, the lower leg may not be in the same plane with the thigh, that is, swing left and right to draw an arc. We must avoid this situation, and prefer to move slowly, Also try to ensure that the whole process of leg flexion and extension and thigh in the same plane. This movement can not only practice the range of motion of the knee joint, but also exercise the muscle strength, but also can't hold breath
4. Lie on your back on the bed, with your thighs full of strength, and you only need to work without exercise. Practice the muscle strength of knee extensors such as quadriceps femoris. Supine on the bed, clamp legs, exercise adctor muscle strength
5. When the knee range of motion and muscle strength exercises have made certain progress, you can hold double crutches or stand with the help of others for about 10 days (from the beginning of exercise), not too long, to prevent long-term bed rest, leading to postural hypotension, manifested as nausea and fainting
the above is the main stage of bed exercise
then there are all kinds of standing exercises: eating crutches to stand, standing against the wall, properly releasing crutches under the protection of others, standing away from the wall. This process lasts for 1-2 days, until the patient has no nausea and syncope reaction, he can walk on the ground
in the practice of walking on flat ground, we must pay attention to the protection, eat double crutches (not single crutches), protect others, keep the ground smooth, anti-skid, no water, and stick to it every day. Pay attention to the walking posture, such as whether the toes are forward, whether the head is raised and the chest is held up. It is very clear that the family members think that the patient can exercise on his own at this stage, relax the monitoring, easily fall down and fracture again, or develop a bad posture, and walk unsightly in the future, even affect the function
when walking on the flat ground for about 7-10 days, step walking can be carried out, and ramp walking can also be added ring this period. The steps are from low to high, from one step to two steps (one step and two steps: when the affected foot steps up, the healthy foot steps up one step, that is, the normal step). At the same time, you can squat
so far, the patient has basically recovered. At this time, the patient can be appropriately consolidated, and sandbag exercise, horse stance exercise and one foot standing exercise can be added until the completion of daily life. If accompanied by neurological symptoms, rehabilitation treatment is needed
there was no heredity. I wish you a speedy recovery
3. Whether it is thigh fracture or leg or patella fracture, the knee joint will suffer from adhesion and muscle atrophy more or less after operation. Open adhesion is a painful process, it can be said that as long as not afraid of pain, joint function angle can be restored in place
the best time to open the adhesions is 3 to 7 days after the operation. At this time, there is only slight adhesions and it is easy to separate. The doctor will usually open the adhesions for the patients at one time. However, because of the patient's pain, serious fracture injury or some concerns of the doctor, it may be wrong. Three months is also a good time to recover the functional position. The following rehabilitation methods can be done:
1. CPM is done in the rehabilitation department of the hospital. This machine is used to fix your leg and thigh, and the knee joint is bent by the machine. The angle, angle and speed can be adjusted. In the early days, especially when the knee is not flexible, the effect is very good, can prevent adhesion. But once the adhesion is formed, the machine seems to be unable to bind the legs, and it is easy to rebound after pressing
2. Or sitting or lying, leg hanging, fixed thigh, with good leg or weight pressure near the ankle, rhythmic pressure, also can be assisted by others. It is effective when the bending angle is more than 90 degrees, but most patients get up to escape because of pain
3. The patient is lying in bed face down, with other people fixing the thigh with one hand and wrapping the arm around the calf with the other hand. Use the shoulder and arm force, and pay attention to the shoulder and upper arm force (never push with the palm, it is not safe), and slowly rece the angle. This method is the most effective and safe. Most doctors will also use this method to remove the drowsiness manually, but the process is more intense, and the patient will be very painful, and can compress the angle of 5-10 degrees each time
4. Press down with waist force or self gravity, kneel for a little longer, knee tired, naturally go down. Kneeling pressure is generally used when the included angle is less than 90 degrees. You can make a self-made goniometer to see the progress every day
5. When the hand can reach the ankle, this method is the most effective, which can hold the bad leg almost the same as the good leg
while compressing the angle, you should also pay attention to straightening the leg. Each method is suitable for different angles, but in the process of 100 to 80 degrees, it is found that what methods are not suck. Besides the angle, the mobility and muscle strength are also very important, even the strength of a good leg is very important
if you don't have any activity in a month, the adhesion has grown well. It's a very painful process to pull apart the adhesion. You must have a full psychological preparation in advance. When it's really unbearable, you can take a painkiller, and you must refuel!
the best time to open the adhesions is 3 to 7 days after the operation. At this time, there is only slight adhesions and it is easy to separate. The doctor will usually open the adhesions for the patients at one time. However, because of the patient's pain, serious fracture injury or some concerns of the doctor, it may be wrong. Three months is also a good time to recover the functional position. The following rehabilitation methods can be done:
1. CPM is done in the rehabilitation department of the hospital. This machine is used to fix your leg and thigh, and the knee joint is bent by the machine. The angle, angle and speed can be adjusted. In the early days, especially when the knee is not flexible, the effect is very good, can prevent adhesion. But once the adhesion is formed, the machine seems to be unable to bind the legs, and it is easy to rebound after pressing
2. Or sitting or lying, leg hanging, fixed thigh, with good leg or weight pressure near the ankle, rhythmic pressure, also can be assisted by others. It is effective when the bending angle is more than 90 degrees, but most patients get up to escape because of pain
3. The patient is lying in bed face down, with other people fixing the thigh with one hand and wrapping the arm around the calf with the other hand. Use the shoulder and arm force, and pay attention to the shoulder and upper arm force (never push with the palm, it is not safe), and slowly rece the angle. This method is the most effective and safe. Most doctors will also use this method to remove the drowsiness manually, but the process is more intense, and the patient will be very painful, and can compress the angle of 5-10 degrees each time
4. Press down with waist force or self gravity, kneel for a little longer, knee tired, naturally go down. Kneeling pressure is generally used when the included angle is less than 90 degrees. You can make a self-made goniometer to see the progress every day
5. When the hand can reach the ankle, this method is the most effective, which can hold the bad leg almost the same as the good leg
while compressing the angle, you should also pay attention to straightening the leg. Each method is suitable for different angles, but in the process of 100 to 80 degrees, it is found that what methods are not suck. Besides the angle, the mobility and muscle strength are also very important, even the strength of a good leg is very important
if you don't have any activity in a month, the adhesion has grown well. It's a very painful process to pull apart the adhesion. You must have a full psychological preparation in advance. When it's really unbearable, you can take a painkiller, and you must refuel!
4. If the initial fracture position is good, it should have reached the clinical healing standard, and the external fixation can be removed
as for exercise, generally, you should not carry weight exercise, sit on the edge of the bed, press the right leg on the left leg slowly, apply hot compress, and wash with traditional Chinese medicine, if the pain is not severe, you should insist on exercise
as for exercise, generally, you should not carry weight exercise, sit on the edge of the bed, press the right leg on the left leg slowly, apply hot compress, and wash with traditional Chinese medicine, if the pain is not severe, you should insist on exercise
5. 1. To ensure that the fracture can recover function as much as possible, rection plus necessary fixation is the key. Post care should also focus on fixed to deal with. First of all, after fracture, we should often check whether the fixation is too loose or too tight. If it is too loose, we should go to the hospital to find a doctor to tie it tightly. If it is too tight, it will affect the blood circulation of the limbs, so we should go to the hospital to find a doctor to deal with it. The affected limb should move as little as possible, and the blood circulation of fingers should be observed. If numbness occurs, the fixation is too tight
it's better to eat a light diet, eat more calcium containing foods such as bean procts, seafood and milk, eat more fresh fruits and bask in the sun, which can supplement vitamin D and help to absorb calcium.
it's better to eat a light diet, eat more calcium containing foods such as bean procts, seafood and milk, eat more fresh fruits and bask in the sun, which can supplement vitamin D and help to absorb calcium.
6. Fu 2 rehabilitation is not about breaking legs. It's about using Guan song as the leading technique to train and use instruments. At the same time, the pain will be minimized. Generally controlled in four pain, are tolerable, if the adhesion is not particularly heavy, almost painless, hope to help you.
7. After trauma has been using plaster, now remove, at the beginning will not adapt, but you can exercise properly, at the same time can massage the surrounding muscles
8. Generally speaking, I can basically recover. My fracture is much more serious than yours. I also have legs, big and small. Now the bending angle is the same as the normal leg
there must be a certain process of rehabilitation. We should persist in it. We should practice squatting every day, bend a little, and fracture for a year. There should be no big problem with the long bones. We should practice more, for fear of pain, ha ha.
there must be a certain process of rehabilitation. We should persist in it. We should practice squatting every day, bend a little, and fracture for a year. There should be no big problem with the long bones. We should practice more, for fear of pain, ha ha.
9. If it doesn't get better for a long time, you need to take a film to exclude bone lesions. Or go to a regular hospital to check which link affects the activity, and then make a treatment plan
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