PRINCIPLE OF REHABILITATION & COMPLICATION PREVENTION AFTER MUSCULOSKELETAL TRAUMA

Pamudji Utomo, Hillan Akbar
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Abstract

Rehabilitation plays a major role to maximize outcome and prevent complications following musculoskeletal trauma and its interventions. It is reported in several studies that mortality risk in patients not receiving rehabilitation was higher compared with patients who received one. The key principles include adequate pain management, anti-infection measures, early ambulation and physical therapy, establishing proper milestones and goals, well-communicated multi-disciplinary approach, and the establishment of standardized and personalized treatment protocol. Early mobilization is supported, as long as wound healing has been taken into consideration. Holistic approach to ensure both physical and psychosocial well-being is recommended, along with special care for geriatric and paediatric populations. Furthermore, alternative medicines such as acupuncture and meditation are currently gaining popularity and subsequently advocated as adjunct therapies.
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肌肉骨骼创伤后康复原则及并发症预防
在肌肉骨骼创伤及其干预措施后,康复在最大限度地提高预后和预防并发症方面起着重要作用。据几项研究报道,未接受康复治疗的患者的死亡风险高于接受康复治疗的患者。主要原则包括适当的疼痛管理,抗感染措施,早期活动和物理治疗,建立适当的里程碑和目标,良好的沟通多学科方法,以及建立标准化和个性化的治疗方案。只要考虑到伤口愈合,就支持早期动员。建议采取整体方法,确保身体和心理健康,同时为老年和儿科人群提供特别护理。此外,针灸和冥想等替代药物目前越来越受欢迎,随后被提倡作为辅助疗法。
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