PDF(Pubmed)
Abstract：
There is a clear clinical need for efficient physiotherapy and rehabilitation programs during and after bone lengthening and reconstruction for gaining the optimal effect and also prevention or treatment of lengthening side effects. Pin tract infection is the most prevalent side effect during lengthening which could be prevented and treated initially via proper wound care. Muscle contractures are typically a consequence of the generated tension on the distracted muscle. It can be managed by physiotherapy initially and surgically in later severe stages. Furthermore, it is essential to avoid muscle contracture development, which is the demonstration of the imbalanced muscle appeals on the joint to inhibit the following subluxation. The knee is the furthermost affected joint by the aforementioned problem due to the inherent lack of ligamentous and bony stability. Joint stiffness is the other possible unfavorable effect of lengthening. It happens because of extensive muscle contractures or may possibly be attributed to rigidity of the joint following the amplified pressure on the joint surface during the process of lengthening. Physiotherapy and occupational therapy including endurance and strength exercise as well as stretching play an important role during the rehabilitation periods for the prevention and also the treatment of muscle contracture and the following deformity and also joint stiffness. Likewise, the effect of mental and physical rehabilitation programs should not be overlooked.
摘要：
在骨延长和重建期间和之后，临床上显然需要有效的物理治疗和康复计划，以获得最佳效果以及预防或治疗延长副作用。针道感染是延长过程中最普遍的副作用，最初可以通过适当的伤口护理来预防和治疗。肌肉挛缩通常是在被牵张的肌肉上产生的张力的结果。最初可以通过物理治疗进行管理，在严重的后期可以通过手术进行管理。此外，避免肌肉挛缩的发展是必不可少的，这是关节上不平衡的肌肉吸引力的表现，以抑制随后的半脱位。由于固有的缺乏韧带和骨稳定性,膝盖是受上述问题影响最大的关节。接头刚度是延长的另一个可能的不利影响。它是由于广泛的肌肉挛缩而发生的，或者可能归因于在延长过程中关节表面上的压力增大后关节的刚性。物理治疗和职业治疗，包括耐力和力量锻炼以及拉伸在康复期间发挥重要作用，用于预防和治疗肌肉挛缩和随后的畸形以及关节僵硬。同样，精神和身体康复计划的效果不容忽视。
