Physiotherapy and Rehabilitation Approaches in Earthquake-Related Thoracic Traumas

Öz

Thoracic traumas due to earthquakes, one of the most important natural disasters affecting human life, are common. Although thoracic traumas occur in different ways, common rib fractures may be accompanied by conditions such as pulmonary contusion and hemopneumothorax. However, impaired respiratory mechanics and pain can cause serious complications such as atelectasis and pneumonia. Physiotherapists take part in the health team working for earthquake victims in order to prevent and reduce possible disabilities that may occur, and play an important role in acute patient management such as thoracic trauma. Physiotherapy approaches after thoracic trauma include respiratory interventions such as thoracic expansion exercises and airway cleaning techniques, exercises and mobilization practices for the musculoskeletal system, and pain reduction strategies. Physiotherapy approaches after thoracic traumas are associated with clinical outcomes such as reduced mortality and pneumonia rates and shorter hospitalization.

Anahtar Kelimeler

• Disasters
• earthquake
• respiratory physiotherapy
• thoracic trauma
• rehabilitation.

Depreme Bağlı Toraks Travmalarında Fizyoterapi ve Rehabilitasyon Yaklaşımları

Öz

İnsan yaşamını etkileyen en önemli doğal afetlerden olan depremlere bağlı toraks travmaları yaygın olarak görülmektedir. Toraks travmaları farklı şekillerde ortaya çıkmakla birlikte sıklıkla ortaya çıkan kosta kırıklarına pulmoner kontüzyon, hemopnömotoraks gibi durumlar eşlik edebilir. Bununla birlikte bozulan solunum mekanikleri ve ağrı, atelektazi ve pnömoni gibi ciddi komplikasyonlar doğurabilmektedir. Fizyoterapistler oluşabilecek muhtemel engellerini önlemek ve azaltmak için depremzede bireylere yönelik çalışan sağlık ekibi içerisinde yer almakta, toraks travması gibi akut hasta yönetiminde önemli rol üstlenmektedir. Toraks travması sonrası fizyoterapi yaklaşımları arasında torakal ekspansiyon egzersizleri ve havayolu temizleme teknikleri gibi solunumsal müdahaleler, kas iskelet sistemine yönelik egzersiz ve mobilizasyon uygulamaları ile ağrı azaltma stratejileri yer almaktadır. Toraks travmaları sonrası fizyoterapi yaklaşımları mortalite ve pnömoni oranlarının azaltılması ve daha kısa süreli hastane yatışı gibi klinik sonuçlar ile ilişkilidir.

Anahtar Kelimeler

• Afetler
• deprem
• solunum fizyoterapisi
• toraks travması
• rehabilitasyon

Kaynakça

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