Common Orthopaedic Injuries and Physiotherapy and Rehabilitation Needs Following Earthquakes

Abstract

Earthquakes have caused death and injury of millions of people in the past. Most injuries that require treatment after earthquakes are orthopaedic in nature. The most common orthopaedic injuries are soft tissue injuries, mostly caused by contusion and lacerations. Providing physiotherapy and rehabilitation services in the early period after earthquakes is important in improving the functional level of earthquake victims and reducing the long-term burden on the health system. Physiotherapists take an active role in many stages such as fracture rehabilitation, amputation rehabilitation, rehabilitation in spinal cord injury, prevention of pressure ulcers, prevention of thromboembolism, prevention of negative effects of long-term immobilization, positioning techniques, counselling before, during, and after surgery. Although there is no consensus on which protocols are the most effective in the rehabilitation of earthquake victims, there are many suggested approaches. Tele-rehabilitation is also recommended to support the rehabilitation process, facilitate information sharing and reach earthquake victims in more distant locations. In addition, training physiotherapists and physiotherapist candidates on trauma and disaster management can be beneficial in managing the post-earthquake process

Keywords

• Natural disasters
• earthquakes
• injury
• orthopaedics
• rehabilitation.

Depremlerden Sonra Sık Görülen Ortopedik Yaralanmalar ve Fizyoterapi ve Rehabilitasyon İhtiyaçları

Abstract

Depremler geçmişte milyonlarca insanın ölümüne ve yaralanmasına neden olmuştur. Depremlerden sonra tedavi gerektiren çoğu yaralanma ortopedik kaynaklıdır. En sık meydana gelen ortopedik yaralanmalar, çoğunlukla ezilme ve kesiklerden oluşan yumuşak doku yaralanmaları ve kırıklardır. Deprem sonrasında fizyoterapi ve rehabilitasyon hizmetinin erken dönemde sağlanması, depremzedelerin fonksiyonel düzeyinin iyileştirilmesi ve sağlık sistemi üzerinde uzun dönemde oluşacak yükün azaltılmasında önemlidir. Fizyoterapistler, kırık rehabilitasyonu, amputasyon rehabilitasyonu, spinal kord yaralanmasında rehabilitasyon, bası yaralarının önlenmesi, tromboembolizmin önlenmesi, uzun süreli immobilizasyonun olumsuz etkilerinin önlenmesi, pozisyonlama teknikleri, ameliyat öncesinde, sırasında ve sonrasında danışmanlık gibi birçok aşamada etkin rol alır. Depremzedelerin rehabilitasyonunda hangi protokollerin en etkili olduğuna ilişkin fikir birliği olmamakla birlikte önerilen birçok yaklaşım bulunmaktadır. Rehabilitasyon sürecinin desteklenmesi, bilgi paylaşımının kolaylaştırılması ve daha uzak merkezlerdeki depremzedelere ulaşmak için tele-rehabilitasyon uygulamaları da önerilmektedir. Ayrıca fizyoterapistlere ve fizyoterapist adaylarına travma ve afet yönetimine ilişkin eğitim verilmesi de deprem sonrası sürecin yönetilmesinde yararlı olabilir.

Keywords

• Doğal afetler
• depremler
• yaralanma
• ortopedi
• rehabilitasyon.

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