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輔仁醫學期刊

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篇名 關節炎之復健
卷期 2:1
並列篇名 Arthritis Rehabilitation
作者 謝霖芬陳文珊莊志誠
頁次 017-043
關鍵字 關節炎復健運動arthritisrehabilitationexercise
出刊日期 200403

中文摘要

關節炎的患者常有肢體疼痛、攣縮、肌肉無力及關節不穩定的現象,並因此而產生了種種的肢體障礙及生活、就業上的困難。藥物及手術治療雖能解決部分問題,但治療所衍生的副作用、後遺症及治療適應對象的限制,使得復健成為關節炎治療中不可或缺的一環。本文將針對運動、理療儀器、水療、溫泉療法、矯治裝具、輔具及衛生教育等在關節炎的應用作較詳盡的說明,對於休息、環境改造及職業諮詢等亦將作簡要的介紹。此外,本文亦將針對多發性關節炎的急性期、亞急性期及慢性期,侵犯脊椎為主的關節炎及下肢單一負重關節炎之復健作個別的說明。

英文摘要

Patients with arthritis often suffer from pain, contracture, muscle weakness and jointinstability, resulting in physical disability and problems in activities of daily living &occupation. Althoughmedications and surgery could solve some of the problems, the sideeffects and complications concomitant with the therapies and the limitation of therapyindication make rehabilitation becomes an important part of arthritismanagement. In thisarticle, we will focus on the application of exercise, physical modality, hydrotherapy, spatherapy, orthotics, assistive device and patient's education in arthritis rehabilitation. Wewill also discuss briefly on rest, environmentalmanipulation and occupational conselling.Besides, there will be a discussion about the rehabilitation for specific arthritis problemssuch as polyarthritis (acute, subacute & chronic stage), spondylitis, and monoarthritisinvolving major weight-bearing joints of the lower limb.

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