10/23/2015RHS422, lecture 11 Introduction: Introduction: Réhabilitation Procédures RHS 422 Lecture...

04/20/2304/20/23 RHS422, lecture 1RHS422, lecture 1 11

Introduction:Introduction: Réhabilitation Réhabilitation ProcéduresProcédures

RHS 422RHS 422

Lecture 1Lecture 1

Dr. Afaf A.M ShaheenDr. Afaf A.M Shaheen


OutlinesOutlinesRehabilitation Rehabilitation Assistive aids of walking (canes, crutches, Assistive aids of walking (canes, crutches,

walkers, wheelchair)walkers, wheelchair)Orthosis or braces (upper limb, lower limb, Orthosis or braces (upper limb, lower limb,

spinal, cervical orthosis)spinal, cervical orthosis)Prosthesis (upper limb, lower limb)Prosthesis (upper limb, lower limb)


Definition of Definition of rehabilitationrehabilitation

““The active participation of a The active participation of a

disabled person and others to disabled person and others to

reduce the impact of disease and reduce the impact of disease and

disability on daily life”disability on daily life”


Principles of Principles of rehabilitationrehabilitation Assess impact of disease on patient’s Assess impact of disease on patient’s lifelife at levels of function, skill and at levels of function, skill and

independenceindependence

Set goalsSet goals Especially restoration of independenceEspecially restoration of independence relevant to patient’s prioritiesrelevant to patient’s priorities realisticrealistic


Assistive TechnologyAssistive Technology

Any device, tool, or system which Any device, tool, or system which

increases, increases,

maintains, maintains,

or improves or improves

the functional capabilities of individuals the functional capabilities of individuals

with disabilitieswith disabilities


Assistive aids of walkingAssistive aids of walking

CanesCanes crutchescrutches walkerswalkers wheelchairwheelchair


Orthosis = bracesOrthosis = braces To correct and support deformities in the To correct and support deformities in the

spines of children .spines of children . Galen Galen (131-201):(131-201): who first used the words who first used the words

of scoliosis, of scoliosis, lordosislordosis and and kyphosiskyphosis Used Used dynamic bracing and an exercise dynamic bracing and an exercise

program to treat spinal deformity.program to treat spinal deformity.

History of orthotic treatmentHistory of orthotic treatment


Throughout the nineteenth century the Throughout the nineteenth century the Europeans developed devices fashioned from Europeans developed devices fashioned from steel, leather and plaster, designed to correct steel, leather and plaster, designed to correct deformities of the spine.deformities of the spine.

The modern era of orthotic treatment for spinal The modern era of orthotic treatment for spinal deformities began with the development of deformities began with the development of Milwaukee braceMilwaukee brace (cervico-thoraco-lumbo-sacral (cervico-thoraco-lumbo-sacral orthosis).orthosis).

Braces offer a Braces offer a safe, non-invasivesafe, non-invasive way to prevent way to prevent further problems or to help you heal from a further problems or to help you heal from a current condition (e.g. surgery) current condition (e.g. surgery)


The use of braces is widely accepted. The use of braces is widely accepted. They are They are effectiveeffective tools in the treatment tools in the treatment

of of spinal,spinal, upper limb and lower limb upper limb and lower limb disorders.disorders.

In fact more than In fact more than 99%99% of orthopedic of orthopedic physicians advocate using them. physicians advocate using them. Generally a brace does three things:Generally a brace does three things:

1.1. Immobilize spine during healingImmobilize spine during healing

2.2. Stabilizes injured areasStabilizes injured areas

3.3. Controls by restricting movementControls by restricting movement


Braces can be worn on any Braces can be worn on any section of the spine (cervical, section of the spine (cervical, thoracic, lumber, and sacral) and thoracic, lumber, and sacral) and named for the area of the spine to named for the area of the spine to which they are appliedwhich they are applied..


Types of orthosis (braces)Types of orthosis (braces)

1)1) Lower limb orthosisLower limb orthosis

2)2) Upper limb orthosisUpper limb orthosis

3)3) Spinal orthosisSpinal orthosis


Extremity orthoses areExtremity orthoses are

devices applied externally to restore or improve devices applied externally to restore or improve functional and structural characteristics of functional and structural characteristics of musculoskeletal and nervous systems.musculoskeletal and nervous systems.

In general musculoskeletal problems include In general musculoskeletal problems include those resulting from those resulting from trauma,trauma, sports, and work sports, and work related injuriesrelated injuries


Neurological problems such as Neurological problems such as

stroke, stroke,

traumatic brain injury (TBI), traumatic brain injury (TBI),

cerebral palsy (CP), cerebral palsy (CP),

spinal cord injury (SCI), spinal cord injury (SCI),

arthritic conditions arthritic conditions

and peripheral nerve injuryand peripheral nerve injury


Functions of ProsthesisFunctions of Prosthesis

Restores functionRestores function (Weight Bearing) (Weight Bearing)

Restores Shape ( Cosmetic )Restores Shape ( Cosmetic )


Ideal Orthosis / Ideal Orthosis / ProsthesisProsthesis

FunctionalFunctional Fits wellFits well Light in weightLight in weight Easy to useEasy to use Cosmetically acceptableCosmetically acceptable Easily maintained/repairedEasily maintained/repaired Ideally locally manufacturedIdeally locally manufactured


Rehabilitation teamRehabilitation team

Therapists, surgeon, nurse, social Therapists, surgeon, nurse, social worker/care manager, consultant worker/care manager, consultant in rehabilitation, prosthetist, in rehabilitation, prosthetist, clinical psychologist or counselor clinical psychologist or counselor and carer. and carer.

10/23/2015RHS422, lecture 11 Introduction: Introduction: Réhabilitation Procédures RHS 422 Lecture...

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