10/23/2015RHS422, lecture 11 Introduction: Introduction: Réhabilitation Procédures RHS 422 Lecture 1 Dr. Afaf A.M Shaheen

10/23/2015RHS422, lecture 12 Outlines Outlines Rehabilitation Rehabilitation Assistive aids of walking (canes, crutches, walkers, wheelchair) Assistive aids of walking (canes, crutches, walkers, wheelchair) Orthosis or braces (upper limb, lower limb, spinal, cervical orthosis) Orthosis or braces (upper limb, lower limb, spinal, cervical orthosis) Prosthesis (upper limb, lower limb) Prosthesis (upper limb, lower limb)

10/23/2015RHS422, lecture 13 Definition of rehabilitation “The active participation of a disabled person and others to reduce the impact of disease and disability on daily life”

10/23/2015RHS422, lecture 14 Principles of rehabilitation  Assess impact of disease on patient’s life  at levels of function, skill and independence  Set goals  Especially restoration of independence  relevant to patient’s priorities  realistic

10/23/2015RHS422, lecture 15 Assistive Technology Any device, tool, or system which increases, increases, maintains, maintains, or improves or improves the functional capabilities of individuals with disabilities

10/23/2015RHS422, lecture 16 Assistive aids of walking Canes Canes crutches crutches walkers walkers wheelchair wheelchair

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10/23/2015RHS422, lecture 110 Orthosis = braces  To correct and support deformities in the spines of children.  Galen ( ): who first used the words of scoliosis, lordosis and kyphosis  Used dynamic bracing and an exercise program to treat spinal deformity. History of orthotic treatment

10/23/2015RHS422, lecture 111  Throughout the nineteenth century the Europeans developed devices fashioned from steel, leather and plaster, designed to correct deformities of the spine.  The modern era of orthotic treatment for spinal deformities began with the development of Milwaukee brace (cervico-thoraco-lumbo-sacral orthosis).  Braces offer a safe, non-invasive way to prevent further problems or to help you heal from a current condition (e.g. surgery)

10/23/2015RHS422, lecture 112  The use of braces is widely accepted.  They are effective tools in the treatment of spinal, upper limb and lower limb disorders.  In fact more than 99% of orthopedic physicians advocate using them. Generally a brace does three things: 1.Immobilize spine during healing 2.Stabilizes injured areas 3.Controls by restricting movement

10/23/2015RHS422, lecture 113  Braces can be worn on any section of the spine (cervical, thoracic, lumber, and sacral) and named for the area of the spine to which they are applied.

10/23/2015RHS422, lecture 114 Types of orthosis (braces) 1)Lower limb orthosis 2)Upper limb orthosis 3)Spinal orthosis

10/23/2015RHS422, lecture 115 Extremity orthoses are devices applied externally to restore or improve functional and structural characteristics of musculoskeletal and nervous systems. devices applied externally to restore or improve functional and structural characteristics of musculoskeletal and nervous systems.  In general musculoskeletal problems include those resulting from trauma, sports, and work related injuries

10/23/2015RHS422, lecture 116 Neurological problems such as stroke, traumatic brain injury (TBI), cerebral palsy (CP), spinal cord injury (SCI), arthritic conditions and peripheral nerve injury

10/23/2015RHS422, lecture 117

10/23/2015RHS422, lecture 118 Functions of Prosthesis Functions of Prosthesis  Restores function (Weight Bearing)  Restores Shape ( Cosmetic )

10/23/2015RHS422, lecture 119 Ideal Orthosis / Prosthesis  Functional  Fits well  Light in weight  Easy to use  Cosmetically acceptable  Easily maintained/repaired  Ideally locally manufactured

10/23/2015RHS422, lecture 120 Rehabilitation team Therapists, surgeon, nurse, social worker/care manager, consultant in rehabilitation, prosthetist, clinical psychologist or counselor and carer. Therapists, surgeon, nurse, social worker/care manager, consultant in rehabilitation, prosthetist, clinical psychologist or counselor and carer.