关键词: fracture dislocation neurological impairment rehabilitation shock shoulder

来  源:   DOI:10.7759/cureus.64615   PDF(Pubmed)

Abstract:
Electrical injuries are common phenomena in developing countries, due to inadequate safety measures followed during day-to-day electrical repairs. Workplace injuries account for 20% of these. In some severe cases, electrical injuries lead to burns, indirect fracture dislocations, speech impairments, etc. Falls due to electrical injuries leading to secondary complications are very common and, even though not very severe, they do require immediate treatment and adequate rehabilitation. A 53-year-old male suffered a shoulder injury following an electrical shock. The patient also experienced irritation and speech disturbances. Examination revealed a reduced range of shoulder joints and tightness of muscles of the shoulder complex. Physiotherapy intervention included counseling for the patient and his family members, energy conservation methods for ease in daily activities, a rehabilitation protocol, and modified music therapy. Outcome measures used to assess the progression constituted the Shoulder Pain and Disability Index (SPADI), the Tampa Scale for Kinesiophobia (TSK), and the Depression and Anxiety and Stress Scale. Rehabilitation with adjunct therapy is effective in the overall improvement of the patient\'s condition concerning their mental health as well as physical health by early strength training.
摘要:
电气损伤是发展中国家的普遍现象,由于日常电气维修过程中采取的安全措施不足。工作场所伤害占其中的20%。在一些严重的情况下,电损伤导致烧伤,间接骨折脱位,言语障碍,等。由于电损伤导致继发性并发症的跌倒非常普遍,即使不是很严重,他们确实需要立即治疗和充分康复。一名53岁的男性在电击后肩部受伤。患者还经历了刺激和言语障碍。检查显示肩关节范围减少,肩关节肌肉紧绷。物理治疗干预包括为患者及其家人提供咨询,节能方法,便于日常活动,康复方案,和改良的音乐疗法。用于评估进展的结果指标包括肩痛和残疾指数(SPADI),运动恐惧症的坦帕量表(TSK),抑郁、焦虑和压力量表。通过早期力量训练,辅助治疗的康复可有效改善患者的心理健康和身体健康状况。
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