Contraindications to the use of physiotherapy in surgery and trauma, and (with the inclusion of dentistry I) are:
general grave condition of the patient;
elevated temperature (above 37, 5 °) in view of clinical manifestations of disease;
joined the infection in the injury or the presence of generalized severe reaction to it;
the risk of bleeding due to the presence of hematoma, foreign body close to blood vessels, nerves, vital organs,
as well as the obscure location of foreign bodies,
the presence of strong spontaneous and emerging motion pain;
insufficient immobilization of fragments of damaged bones;
the presence of purulent processes (abscess, cellulitis, sequestrations);
the presence of other diseases in which the use of physical therapy is contraindicated.
These contraindications of physiotherapy is most often temporary.
Exercise through neurohumoral mechanism actively affect the activities of all major systems, improving their operation.
Application of physical therapy extends to almost every major disease to be treated in the clinic of internal diseases.
It should be borne in mind that exercise therapy is inappropriate to use in the acute stage of the disease, in a phase of growth of the painful manifestations in the phase height of the disease, when the patient's functionality is limited, and reactivity changed in connection with the breakdown of coordination functions.
To obtain the best therapeutic success should be used in the initial stages of the disease process, when it is not in the acute phase of growth. Lack expressed destructive changes in the affected system creates the possibility of a complete functional recovery.
But the presence of marked morphological changes in organs (heart disease, pleural symphysis, deforming arthritis, etc..) Does not limit the indications for use of physiotherapy.
The success in the development of the functional adaptability of the affected system and the whole body of the patient will be associated with the development of its reserve compensatory possibilities.
Indications physiotherapy coincide with the beginning of the recovery of the patient (in acute diseases), and in the most general form of the chronic course of disease.
Exercise therapy as a method of recovery of functional resources of the patient is indicated for different patients are on long-term bed rest, weakened, reduced mental and physical tone.
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