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題名 | 乳房切除後的肩部運動治療= |
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作者 | 蔡美文; 黃麗麗; |
期刊 | 物理治療學會雜誌 |
出版日期 | 19871100 |
卷期 | 12 1987.11[民76.11] |
頁次 | 頁76-82 |
分類號 | 418.92 |
語文 | chi |
關鍵詞 | 乳房切除; 肩部運動治療; |
中文摘要 | 有鑑於乳癌患者在乳房切除手術後,多數罹患有肩關節功能異常的問 題,本文乃藉由文獻的回顧及一些臨床的經驗,整理一套乳房切除術後的肩部運 動治療計畫,希望能改善手術後的肩關節功能異常的情形,並提供物理治療師在 早期照顧乳房切除後患者參考之用。 手術後早期的運動,對於傷口的保護要格外留意,因此治療計畫依其手術的方式 (傷口的方向)和植皮的有無,擬定不同的進度;肩部運動的方向包括:肩前屈、伸 直、外展、內外轉及水平外展、內收等動作,依照病人的情形,運動量由少而多, 運動強度由輕而重地逐漸增加;出院後繼續教導居家運動,俾使肩關節功能回復 正常。 |
英文摘要 | Shoulder problem is one of the commonestcomplications following mastectomy. It may resultfrom prolonged immobilization due to inactivity,delayed wound healing etc. Physical therapists have anextensive array of therapeutic techniques to deal withshoulder problems. This article describes detailedshoulder exercises program for postmastectomypatients, in order to help patients to regain theirshoulder function as early as possible. Therapist should design exercise program tomeet patient's conditions, which based on the type of operation, and the direction of incision etc.Shoulder exercises may begin from the first postoperative day. PT intervention includes instruction ofprecaution of affected arm, range of motion, andstrengthening exercise programs. The intensity andtype of exercise, are dependent on condition ofwould healing and the severity of shoulder limitation.Home programs should be indoctrinated to meetpatient's needs and checked periodically after discharge. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。