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Authors
Advisor(s)
Abstract(s)
Introdução: A artroplastia total do joelho deve ser aplicada quando todas as
outras técnicas convencionais falham ou não são suficientes. A prótese a aplicar
depende da lesão e do estado do joelho, procurando-se sempre conservar o mais
possível a arquitetura do joelho, preservando o osso. Por se tratar de uma patologia
muito agressiva, devem ser tomadas todas as medidas terapêuticas para que a
recuperação seja rápida e com sucesso. O sucesso da cirurgia é avaliado pela ausência
de dor e recuperação funcional do joelho num curto espaço de tempo. O objetivo do
trabalho é analisar quais os métodos de reabilitação funcional do joelho em casos de
prótese total desta articulação.
Metodologia: Foi efetuada uma pesquisa nas bibliotecas eletrónicas, mais
especificamente na Pubmed e B-on, com os seguintes descritores, reabilitação funcional
do joelho, prótese total do joelho, exercícios isométricos joelho, exercícios isotónicos
joelho, mobilização contínua motora do joelho, exercícios de alongamento joelho,
crioterapia joelho e hidroterapia foram obtidos 800 artigos e após leitura dos abstracts, e
aplicação dos critérios de inclusão e exclusão, restaram cinco, que incorporaram a
análise final deste estudo.
Resultados: Os resultados sugerem que os doentes que são submetidos a uma
prótese total do joelho são considerados excelentes quando o doente consegue 90
O
de
flexão do joelho, referem também que o programa na resistência de treino de força
muscular é um método eficaz para combater os deficits dos membros inferiores e a
crioterapia resulta em alguns benefícios, nomeadamente na redução do edema e alívio
da dor.
Conclusão: Existem diversas metodologias terapêuticas e nenhuma delas é mais
relevante do que outra, devendo estas ser aplicadas em conjunto, num protocolo de
recuperação que engloba todos os meios disponíveis.
Palavras-chave: Artroplastia total do joelho, prótese total do joelho, reabilitação
funcional.
ABSTRACT Introduction: The total knee arthroplasty should be applied when all other conventional techniques fail or are not sufficient. The prosthesis to be applied depends on the state of lesion and the knee, always seeking to preserve as much as possible the design of the knee, while preserving the bone. Because it is a very aggressive disease, should be made of all therapeutic measures for the recovery is fast and successfully. The success of surgery is assessed by the absence of pain and functional recovery of the knee in a short time. The aim of this stufy is analise the functional rehabilitation of knee in total prosthesis. Methodology: A survey was done in electronic libraries, specifically in Pubmed and B-on, with the following descriptors, functional rehabilitation of the knee, total knee prosthesis, knee isometric, isotonic knee exercises, knee motor continued mobilization, stretching exercises knee, cryotherapy and hydrotherapy knee were obtained 800 after reading the articles and abstracts, and application of inclusion and exclusion criteria, left five, who entered the final analysis of this study. Results: The results suggest that patients undergoing a total knee prosthesis are considered excellent when the patient can 90o of knee flexion, also report that the program of resistance training on muscle strength is an effective method to combat the deficits of the lower limbs and cryotherapy has resulted in small improvements particularly in reducing edema and pain relief. Conclusion: There are several therapeutic methodologies and none is more important than another, which should be implemented together in a protocol recovery that encompasses all available means. Keywords: total knee arthroplasty, knee total prosthesis, functional rehabilitation.
ABSTRACT Introduction: The total knee arthroplasty should be applied when all other conventional techniques fail or are not sufficient. The prosthesis to be applied depends on the state of lesion and the knee, always seeking to preserve as much as possible the design of the knee, while preserving the bone. Because it is a very aggressive disease, should be made of all therapeutic measures for the recovery is fast and successfully. The success of surgery is assessed by the absence of pain and functional recovery of the knee in a short time. The aim of this stufy is analise the functional rehabilitation of knee in total prosthesis. Methodology: A survey was done in electronic libraries, specifically in Pubmed and B-on, with the following descriptors, functional rehabilitation of the knee, total knee prosthesis, knee isometric, isotonic knee exercises, knee motor continued mobilization, stretching exercises knee, cryotherapy and hydrotherapy knee were obtained 800 after reading the articles and abstracts, and application of inclusion and exclusion criteria, left five, who entered the final analysis of this study. Results: The results suggest that patients undergoing a total knee prosthesis are considered excellent when the patient can 90o of knee flexion, also report that the program of resistance training on muscle strength is an effective method to combat the deficits of the lower limbs and cryotherapy has resulted in small improvements particularly in reducing edema and pain relief. Conclusion: There are several therapeutic methodologies and none is more important than another, which should be implemented together in a protocol recovery that encompasses all available means. Keywords: total knee arthroplasty, knee total prosthesis, functional rehabilitation.
Description
Curso de mestrado em enfermagem de reabilitação
Keywords
Artroplastia do joelho Prótese do joelho Reabilitação Revisão Arthroplasty, replacement, knee Knee prosthesis Rehabilitation Review
Pedagogical Context
Citation
Publisher
Instituto Politécnico de Viseu, Escola Superior de Saúde de Viseu