Beruflich Dokumente
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BY: ZALILA KASIM SENIOR PHYSIOTHERAPIST, PHYSIOTHERAPY DEPARTMENT, HOSPITAL KUALA LUMPUR.
INTRODUCTION
Peripheral vascular disease is a narrowing of blood vessels that restricts blood flow. It most occurs in the legs, but is sometimes seen in the arms. Both veins and arteries may be affected Peripheral vascular disease is a progressive disease that can lead to gangrene of the affected area
EXERCISE THERAPY
In patient suffering from intermittent claudication it has long been thought that increasing exercise can result in improved performance This has to led the traditional advice to patients on diagnosis to stop smoking and keep walking
EXERCISE THERAPY
A Cochrane review : Supervised exercise therapy in patient with intermittent claudication showed in improvement of maximal treadmill walking distance.
EXERCISE THERAPY
Walking distance 150 meters increase in 3 months of supervised exercise Increase in quality of life with precaution during exercise
SCOPE OF SERVICES
In patient ward 12 , ward 13 and ward 14 Out patient - at Surgical Out Patient Department ( SOPD ) on Friday from 8.00 am until 12.00 pm - at Physiotherapy Department every Tuesday 2.00pm until 5.00 pm
PHYSIOTHERAPY INTERVENTION
Before patient undergone physiotherapy treatment, all the patient must be asses using Cardiorespiratory Physiotherapy Assessment form and followed by progression note subjective, objective, analysis and plan
PHYSIOTHERAPY TREATMENT
ANKLE MOVEMENT
CHEST PHYSIOTHERAPY - Active Breathing Cycle Technique it consist of : Breathing control Thoracic Expansion Exercise Forced Expiratory Technique
SHOULDER EXERCISE
STRENGTHENING EXERCISE
Cycling
Skin care and lower limb elevation of lower limb after doing activities
Walking exercise
Strengthening exercise for quadriceps and calf muscle using Gyro Bench
COMPLICATION
AMPUTATION - Physiotherapy intervention is important for preparation ambulation with prosthesis by strengthening ::* upper limb muscle * unaffected lower limb muscle * affected limb muscle
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