Aşil Tendon Yaralanmaları ve Erken Dönem Fonksiyonel Rehabilitasyon Uygulamaları

Year 2022, Volume: 11 Issue: 2, 825 - 831, 30.06.2022

Ali Ceylan Ertuğrul Demirdel

https://doi.org/10.37989/gumussagbil.870376

Abstract

Aşil, vücudumuzun en güçlü ve büyük kuvvetlere karşı koyabilen tendonudur. Günlük yaşam ve spor aktiviteleri sırasında görülen aşil tendon yaralanmaları, tendonun yapışma noktası olan kalkeneusun 2-6 cm proksimalindeki nispeten avasküler bölgesinde gerçekleşmektedir.
Yaralanmada cerrahi veya konservatif tedavi tercihleri hastanın yaşı, yırtığın tipi ve lokalizasyonu, hastanın mesleği, kronik hastalık gibi durumlardan etkilenmektedir. Özellikle uzun süreli atel veya alçı ile gerçekleştirilen immobilizasyonun cerrahi sonrası tercih edilmemesi ve uzun bacak alçılamasından kaçınılması gerekmektedir. İmmobilizasyonun kaslarda atrofi, adhezyon, eklem sertliği, tendonda kısalıklara neden olması fonksiyonel rehabilitasyona olan ilgiyi artırmıştır. Erken fonksiyonel rehabilitasyon cerrahi olsun veya olmasın erken dönemde ağırlık aktarma, kontrollü eklem hareket açıklığı ve her ikisinin kombinasyonu egzersizlerle dinamik bir rehabilitasyonu ve mobilizasyon sürecini içermektedir. İmmobilizasyon uygulamalarının aksine erken dönemde verilecek mobilizasyon eğitimleri (ayak bileği egzersizler, erken ağırlık taşıma aktiviteleri vb) hızlı bir fonksiyonel iyileşme sağlamakta, işe dönüşü, yaşam kalitesini ve hasta memnuniyetini olumlu etkilemektedir.
Doğru planlanıp yapılandırılan rehabilitasyon programlarının sağlığın korunması ve devam ettirilmesi ile hastalıkların önlenmesinde önem arz etmektedir. Hastanın ihtiyaçları doğrultusunda klinik becerilerini ortaya koyan ve literatürü yakından takip eden fizyoterapistlerin gözetiminde multidisipliner yaklaşımlarla gerçekleştirilecek erken dönem fonksiyonel rehabilitasyon uygulamalarının hastanın yaşam kalitesi ve aktivitelere dönüşünde oldukça önemlidir.

Keywords

Aşil tendon, Rüptür, Fonksiyonel Rehabilitasyon

Supporting Institution

Yok

Project Number

Yok

Thanks

Yapmış olduğunuz eleştiri, öneri ve tavsiyeler için teşekkür eder, iyi çalışmalar dilerim

Achilles Tendon Injuries and Early Functional Rehabilitation Practices

Abstract

Achilles is the tendon of our body that is the most powerful and capable of resisting great forces. Achilles tendon injuries observed during daily life and sports activities occur in the relatively avascular area 2-6 cm proximal to the calcaneus, the sticking point of the tendon
Surgical or conservative treatment preferences in injury are affected by conditions such as the age of the patient, the type and localization of the tear, the profession of the patient, chronic disease. Especially immobilization performed with a long-term splint or plaster should not be preferred after surgery and long-leg plaster should be avoided. The fact that immobilization causes atrophy of muscles, adhesion, joint stiffness, shortening of tendons has increased the interest in functional rehabilitation. Early functional rehabilitation with early surgical or weight transfer, controlled range of motion, and a combination of both rehabilitation and the process involves dynamic mobilization exercises. In contrast to immobilization practices, early mobilization trainings (ankle exercises, early weight bearing activities, etc.) provide a rapid functional improvement and positively affect return to work, quality of life and patient satisfaction.
Correctly planned and structured rehabilitation programs are important for maintaining and maintaining health and preventing diseases. Early functional rehabilitation practices that will be carried out with multidisciplinary approaches under the supervision of physiotherapists who demonstrate their clinical skills in accordance with the needs of the patient and closely follow the literature are very important in the return of the patient to quality of life and activities.
Keywords: Achilles Tendon, Rupture, Functional Rehabilitation

Keywords

Achilles Tendon, Rupture, Functional Rehabilitation

Project Number

Yok

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