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STENOZA DE CANAL CERVICAL
TETRAPAREZA SPASTICA
HDL operata
-cicatrice supla postop lomb
-SV modif-dimin lordozei lomb
-scolioza lomb antalgica
-durere la palp col lomb inf
-DV modif-iDS
-redoare lombara
- -contractura mm pv lomb
-sd dural intermitent
-cu/fara tulb de sensib MI
-ROT
-DV modif-lim ampl de misc la niv col cerv pt rotatie si IL
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-fara deficit motor
-mersul pe vrf nu e posibil
IB Pacient in varsta de 44 ani se interneaza pentru durere lomb cu irad in mb inf drept
debutata cu 5 zile in urma unui efort fizic intens.
A urmat trat cu AINS la domiciliu cu usoara ameliorare a simptomatologiei dar solicita
internare in vederea tratam balneofizicalkinetic.
1.Bazin hKT-grup –exerc stab lomb 36 grade 20’zilnic
2.Galvanizare +PV lomb drept
-plantar drept int la prag 20’
Ultrasunet PV lomb drept 0,8W/cm2 4’
CIF 4 poli lomb transv M=40Hz10’ S=100-0Hz 10’
MGT- applicator mb inf dr
-S60 lomb pr 0062 20’
3.Masaj trofic lomb+mb inf dr 20’
1.Bazin hKT-grup
-exerc de asuplizare cervical
-exerc de stabilizare lombara
Baie de namol gen 38 grade 20 ‘
2.Dus subacval pt col CDL+ mb sup+mb inf 38 grade 10’A+10’M 1,5-2 atm
3.C.interferential 4 poli lomb trans M=40Hz 10’S=100-0Hz10’
C.diadinamic +PV lombar
-bif fose supraspinoase DF=4’+4’ PS=4’+4’
Ultrasunet periarticular monturi bilateral + PV lomn stg 0,8W/cm2 4’+4’+4’
4.Masaj trofic CDL 10’
5.Drenaj limfatic 40---70 mmHg 15’
6.KT-indiv asupl cerv+ stabil lomb 20’
SECHELE ALGOFUNCTIONALE POST HDL L4-L5 STANG OPERATA
mi-durere lomb irad in mb inf dr
Exam.obiectiv
-cicatrice supla lomb postop
-SV modif-acc lordozei lomb
-contrac mm PV lomb
-pct trigger-m fussier mijl dr
-fara sd dural
-fara sd radicular
-ROT-N
-Sold drept-cracmente la mobilizare
-s.Patrick +
-fara lim ampl de misc
1.Bazin hKT-grup asupliz cerv+stab lomb 36 grade 20’
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Baie de namol generala 38 grade 20’
2.Ultrasunet PV lomb dr+fesa dr+sold dr 0,8w/cm2 4’
+calcai dr 0,8w/cm2 4’
C.diadinamic +PV cerv
-bif fose supraspinoase DF=4’+4’ PS=4’+4’
Galvanizare +PV lomb
-bif fata dorsal picior bilateral I la prag 20’
Unde scurte el flexibili sold dr doze medii 15’
3.Masajul trofic lomb+mb inf dr 10’
4.KT-indiv stab lomb 20’
HELIOTERAPIE
H.O.I-helioterapie, onctiuni cu namol, imersie
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HDL L5-S1 CU LOMBORADICULOPATIE S1 DREAPTA FORMA
ALGOPARESTEZICA
mi-dureler lombara cu irad in mb inf dr(S1)
Examen local
-SV modif-acc lordozei cervical cu retractia m extensori
-scolioza dorsal levoconvexa
-sensib la palp AIA cerv
Dv midif lim mobil la niv col lomb pt IL si E
-iDS -1/3 medie gambe
-ROT-prezente simetrice bilateral
-fara deficit motor
-s.Lasseque + dr la 45 grade
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SECHELE ALGOFUNCTIONALE POSTHDL OPERATA
SPONDILOZA CERVICALA CU SINDROM MIOFASCIAL CERVICOSCAPULAR
COXARTROZA BILATERALA PRIMITIVA ACTIVA
HTA SDT II
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1. Bazin hKT grup-exerc de stab lomb 36 grade 20’ zilnic
Baie de namol generala 28 grade 20’
2. Ultrasunet PV lomb stg+ fesa stg+sold stg 0,8w/cm 2 4’
Galvanizare +PV lomb stg
-fata dorsala picior stg int la prag 20’
Unde scurte el flex sold stang doze medii 15’
CIF
3. Masaj trofic lomb+ mb inf stg 10’
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Spondiloza cervicala
-SV modif-cresterea/acc lordozei cerv
-acc cifozei dorsale,acc lordozei lombare
-durere la papl AIA cerv
-retractura m extensori cerv
-pct trigger active-. Supraspinos, costoiliac
DV –fara modif ampl de misc cerv/lim ampl de misc la mobil col lomb pt IL si E
-m.Spurling
-sd. dural abs/prez
-sd radicular abs/prez
-ROT
SPONDILITA ANKILOZANTA
SV-modif-acc curburilor fiziologice / rectitudinea col cerv/stergerea lordozei lomb
sau acc cifozei dorsal cu proiectarea ant a capului si umerilor
-retractura m extensori lomb
Bilant functional
-cervical-i.menton stern
-i occiput perete
-I tragus-acromion
-rotatii, IL
-dorsal -I OTT
-I cirtometric
-lombar-I Schober
-IDS
-IL, R
-art CF-cracmente la mobil
-s Patrick
-lim severa a ampl de misc pe toate gradele de miscare bilat
-ROT
-s Lasseque
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ARTROPATIE PSORIAZICA
SINDROM MIOFASCIAL LOMBOSACROFESIER DREPT
mi-durere la niv col lomb cu irad in fesa dr
-durere la niv artic perif(coate, MCF bilat, IFP bilat, MTF bilt)
Examenlocal
-SV modif-acc lordozei cerv
-acc cifozei dorsal
-acc lordozei lomb
-scolioza dorsal levoconvexa
-retractura m pv lomb dr>stg
-pct trigger-costoiliac drept
-DV –IDS 1/3 medie gambe
-geunchi-cracmente la mobil bilat
-instabil lat prez
-s Lasseque –bialt
1.H/O.I.
2.CIF
Ultrasunet -pv lomb dr+fesa dr 0,8w/cm2 4’
-genunchi bilat 0,8w/cm2 3’+3’
BG 4 celule int la prag 36 grade 20’
CDD +pv cerv
- Bif fose supraspinoase DF PS
MGT- apl CDL pr-0013 20’
-S60 genunchi pr-0025 20’
1.CIF
Ultrasunet deget IV mana dr 0,6w/cm2 4’
genunchi bilat 0,8w/cm2 4’+4’
MGT-placa CDL+S60 pr 0007 30’
2.Masaj trofic CDL 10’
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LUMBAGO SUBACUT DISCOGEN
1.Baie de namol gen 28 20’
2.Unde scurte fose iliace 10’
CIF fose iliace pr 4625 10’
BTL 09 fose iliace 10’
3.TVN 41 20’
4.Masaj trofic CDL 10’
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Unde scurte el flex sold stg doze medii 15’
Ultrasunet glezna dr 0,8w/cm2 4’
3.Masaj trofic CDL 10’
4.KT indiv
-exerc asupl cerv+sabl lomb 20’
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CIF
Unde scurte el rigizi genunchi bilat doze medii 15’
BG 4 celule int la prag 20’
MGT- apl cerv+apl lomb pr -0013 30’
Ultrasunet sold dr 0,8w/cm2 4’
3.Masaj trofic CDL 10’
4.KT-grup artroze 20’
Examen local
-SV modif-acc lordozei cerv, cifozei dorsal
-reducerea lordozei lomb
-scolioza DL levo/dextroconvexa
-retractura m extensori cerv
-durere la palp AIA cerv
-DV –IDS 1/3 medie gambe
-art SH-cracmente la mobil dr>stg
-fara lim de mobil
-s Patrick – bilat
-s Lasseque – bilat
mi-dureri lombare
-gonalgii
1.Cataplasma cu namol genunchi 38grade 20’
2.MGT-apl cerv+apl lomb –pr 0013 20’
CIF
3.Masaj sedativ lombosacrofesier 10’
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SPONDILOZA CERVICALA CU SINDROM MIOFASCIAL CERVICOSCAPULAR
GONARTROZA BILATERALA PRIMITIVA ACTIVA
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SPONDILODISCARTROZA CERVICOLOMBARA STADIUL CRONIC DECOMPENSAT
ALGOFUNCTIONAL
SINDROM DE HIPERLAXITATE GENERALIZAT
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SPONDILODISCARTROZA CERVICODORSALA STADIU CRONIC DECOMPENSAT
ALGOFUNCTIONAL
GONARTROZA BILATERALA PRIMITIVA ACTIVA
RIZARTROZA
HTA E STD II
Exam local
SV modif-accentuarea cifozei dorsal
-scolioza DL levoconv
-accentuarea lordozei lombare
-contractura mm pv lomb dr>stg
-pct trigger costoiliac bilat
-Dv modif-lim mobil col lomb pt extensie
-IDS-1/3 medie gambe
Genunchi-cracmente la mobilizare
-soc rotulian absent
-fara limitarea demobil
1.Bazin-hKT grup
-exerc pt acupl cerv+stabl lomb 36grade 20’
Baie de namol gen 38grade 20’
2.CIF
Ultrasunet pv lomb stg+dr 0,8w/cm 2 4’+4’
MGT-apl cerv +apl lomb pr0013 20’
3. Masaj trofic CDL 10’
4. KT-asupl cerv-dorsal+stabl lomb 10’
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SPONDILODISCARTROZA CERVICOLOMBARA STADIUL CRONIC
DECOMPENSAT ALGOFUNCTIONAL
GONARTROZA BILATERALA PRIMITIVA ACTIVA
PICIOR PLAT BILATERAL
HALUX VALGUS BILATERAL
HTA E STD II
IVC
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