Help The Disable People - Facebook Group - Ayo Gabung..

Sering kali kita jumpai orang-orang cacat. kadang ada yang cacat sejak lahir, maupun karena sesuatu hal mereka menjadi cacat. ada sebagian dari mereka yang mampudan segera mendapatkan perawatan. tapi tidak sedikit pula yang karena kurangnya informasi, sehingga kecacatan mereka menjadi lebih parah.
Tugas kita sebgai manusia, adalah untuk saling membantu. bantuan tidak selalu berarti uang, tetapi walau hanya dengan berbagi informasi tentang apa yang kita tau, kita akan dapat meringankan mereka.
sebagai contoh;
1. Dokter, teman-teman yang beprofesi sebagai dokter, bisa sharing info tentang cara-cara mencegah kecacatan, dan obat yang diperlukan.
2. OP, teman-teman yang berprofesi sebagai OP (Prosthetist Orthotist) bisa sharing info tentang penggunaan alat-alat bantu prosthesis dan orthosis. sehingga kecacatan bisa dikoreksi ataupun dicegah
3. Fisioterapi, bisa sharing info tentang perawatan dengan metode fisio
4. Okupasi Terapi, sharing info tentang terapi okupasi yang diperlukan
5. Perawat, sharing info tentang perawatan "disable people"
6. Bidan, sharing info tentang melahirkan yang benar, karena banyak kecacatan yang mungkin terjadi karena kekurang tauan kita
7. profesi yang lain, sharing info dan ide, semua infomasi diperlukan dari semua pihak.
8. Orang Umum, bisa sharing tentang masalah yang dihadapi, sehingga bisa didskusikan, dan medapatkan solusi terbaik
9. Orang-orang Cacat "the Disable People", bisa sharing dan meminta info maupun advised tentang kesulitan yang dihadapi.

Bukankan dengan cara ini kita bisa membantu mereka?
kita juga bisa saling belajar dan menambah pengetahuan.

Kalau bukan Kita, Siapa Lagi???

Mari bergabung dan berusaha membantu orang-orang cacat dengan kemampuan yang kita miliki. Dengan diskusi dan sharing info, kita bisa membantu mereka. Join with us. help the disable people.
Gabung dan share dengan teman teman yang lain di Facebook.



Ayoo gabung

"Help The Disable People" Facebook Group


Regards,
Nur Rachmat
Prosthetist Orthotist





enjoy the stuff from www.pipos.co.cc

→ Help The Disable People - Facebook Group - Ayo Gabung..

Dislocation & Subluxation

Definition
Dislocation is Condition where bones that usually meet at a joint, have completely lost contact with each other at the joint surface and are displaced. The most often dislocated joint are the shoulder, patella-femoral and ankle. While Subluxation, is partial dislocation of one of the bones of a joint. According to nature cause subluxation may happen to any joint. It can be shoulder Subluxation, patellar Subluxation, vertebral Subluxation, atlantoaxial Subluxation, hip Subluxation, etc.

Causes
Many causes, such as: Congenital, Trauma, Chronic osteoarthritis,Occupational hazards, Muscular weakness,Incorrect weight lifting, Lack of rest, etc

Signs & Symptoms
Sudden pain in the joint, swelling of the joint, Deformity of the joint, the joint may not function or painful, Nerves and blood vessels that pass near the joint may be damaged.

Orthotic Treatment
The treatment will be depends on the location of Dislocation or Subluxation. The main principle is to realign the joint. Hip abduction orthoses and Hip stabilization orthoses are use to provides appropriate anatomical alignment to positions the head of the femur in the acetabulum allowing for the ligaments, bone, and surrounding musculature to heal.
For knee joint dislocation or subluxation, prescribe the Knee Orthosis, either free knee or lock knee, depend on severity of Subluxation. For Ankle dislocation or subluxation, Solid Ankle Foot Orthosis is used.
Shoulder Stabilizer aids in prevention of excessive extension and abduction of the shoulder. Elbow orthosis for the elbow joint dislocation or subluxation. Thumb Immobilizer Orthosis, For Spine, Soft Orthosis or hard orthosis can be options, depending on the level and severity, such as TLSO, CTLSO, Hard Collar, and Soft Collar.
Complications

If not treated, Upper Limb Joint dislocation or subluxation may lead to: Medial rotational contracture of shouler joint, Vaglus deformity of elbow, Swan neck deformity finger. While in lower limb: Shortening, Lengthening, Genu Recurvatum. It may also affect the spine, such as Kyphosis Scoliosis.
Orthotic Treatment post complication
If the complication happens, then, the treatment is not only on the dislocation or subluxation of joint, but also to treat the contracture and deformity which arises due to untreated problems.

→ Dislocation & Subluxation

Orthotic Treatment Management of Contracture

Definition
A contracture is a shortening of a muscle or tendon in the human body in response to stress exerted on that muscle or tendon. Contractures can occur at any joint of the body.

Causes:
Muscle imbalance, Immobilization of joint, Trauma, injury, disease, Nerve injury, stroke, damage to muscle, tendon, or ligament, burn, etc.

Sign & Symptoms:
Significant loss of motion, Pain, the joint can’t be move in its full Range of Motion.

Complication:
If not treated complication may lead to deformity, such as Pes Equinus, Dupuytren's deformity, Scoliosis, etc. Leg length discrepancy may also occur.

Orthotic treatment:
Orthotic treatment of severe contracture is usually post-operative treatment, to maintain to surgically corrected contractures. In mild to moderate contracture, sometime surgical intervention is not necessary. Orthotic treatment can be prescribed side by side with physiotherapy treatment. In some cases, serial static orthosis, static motion block or dynamic motion block orthosis can be prescribe to reduce the contracture. It is better to use long lever arm in the application of orthosis, to achieve better pressure distribution.

The objective of orthotic intervention should be follow, those are:

• to reduce or correct contracture
• to provide stability
• To stop movement in the direction of contracture, but allow the movement opposite to contracture
The contracture patient may need serial type of orthosis according to location of contracture. For lower limb: AFO, KO, KAFO, HKAFO etc. For upper limb: EWHO, EO, Wrist resting hand orthosis, etc.

→ Orthotic Treatment Management of Contracture

Orthotic Treatment Management of Lordosis

Definition
Increased posterior concavity of the lumbar and cervical curves. giving a "swayback" appearance.

Causes
The cause of lordosis is unknown. However, lordosis may be associated with poor posture, a congenital (present at birth) problem with the vertebrae, neuromuscular problems, back surgery, or a hip problem.

Signs & Symptoms
Prominence of the buttocks. pain at lumbar region. When lying on the back on a hard surface, someone with a large degree of lordosis will have a space beneath the lower back and the surface

Orthotic Treatment
Treatment of Lordosis is depending on the age of patient, cause of lordosis, apical vertebrae and the magnitude of the lordotic Cobb’s angle. Types of Orthosis for lordosis treatment: Soft orthosis, Lumber corset, Boston over lap brace, TLSO can be prescribe
The Biomechanical principle of application of forces are used in the Orthosis, those are 3 Point pressures (in sagital plane)
• One corrective force toward the apical vertebra
• Two counter forces located proximal and distal to the corrective force, to stabilize the proximal and distal segment of the curve, so that the correction can be achieved.

Complications
Lumber spondylosis
Sciatica
Lower limb paralysis
Orthotic Treatment post complication
For the Lumbar spondylosis and sciatica, realignment of spine is to be achieve with spinal orthosis. For lower limb paralysis, Lower Limb orthosis is prescribe according to the severity of paralysis.

→ Orthotic Treatment Management of Lordosis

Orthotic Treatment Management of Kyphosis

Definition
Increased anterior concavity of the normal thoracic curve. Or reduction of its normal lordotic curve in the lumbar spine
Causes
• Congenital (structural)
• Postural
• Spine Muscular abnormality
• metabolic problems, nutritional deficiencies
• secondary to osteogenesis imperfecta, spina bifida, Scheuermann's disease
Signs & Symptoms
• Difference in shoulder height
• The head bends forward compared to the rest of the body
• Difference in shoulder blade height or position
• When bending forward, the height of the upper back appears higher than normal
• Tight hamstrings (back thigh) muscles
Orthotic Treatment
Treatment of kyphosis is depending on the age of patient, cause of lordosis, apical vertebrae and the magnitude of the kyphosis Cobb’s angle. Types of Orthosis for kyphosis treatment:

• Milwaukee brace for apex above T9
• TLSO for apex below T9 and thoracic lumbar curves,
Orthosis is used for vertebral wedging greater than 5ºand curves between 45º-65º
The Biomechanical principle of application of forces are used in the Orthosis, those are 3 Point pressures (in sagital plane)
• One corrective force toward the apical vertebra
• Two counter forces located proximal and distal to the corrective force, to stabilize the proximal and distal segment of the curve, so that the correction can be achieved.
Complications
• Compression fractures due to osteoporosis
• Deformity become severe
• Affects in function and structural of internal organs
• Neurological deficit
Orthotic Treatment post complication
Orthotic treatment for untreated kyphosis is depending on the complication. The treatment should be in preference of correction of kyphosis, and then followed the treatment of complication.

→ Orthotic Treatment Management of Kyphosis