SVEUČILIŠTE U ZAGREBU EDUKACIJSKO-REHABILITACIJSKI EDUKACIJSKO-REHABIL ITACIJSKI FAKULTET-ZAGREB
SEMINARSKI RAD
Uvod u metode rehabilitacije osoba s amputacijama
Izrađen ! IV"#e$e#%r!
S%!&en%'(e) Lidija Iličić, Ivana Vinčić
K*e+',) U& ! $e%&e re.a/'*'%a(',e #/a # $%r'01'$ 2re$e3a,'$a ' 1rn'0n'$ /*e#%'$a 4r5e#r) 4r5"&r"#("Ine# J1'3 Ore/ S%!&',) re.a/'*'%a(',a
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Sadržaj: 1. Uvod 1.1 e!inicija i "lasi!i"acija 1.# $mputacije e"stremiteta #. %antoms"a bol &. 'rote(e i orto(e &.1 'rote(e &.# )rto(e *. +a"ljuča" . Literatura
7
1.Uvod
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In%erna('na*n' zna1 za #/e # a$2!%'ran'$ e1#%re$'%e%$=e1#%re$'%e%'$a
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1.1 e!inicija i "lasi!i"acija
R',e0 a$2!%a(',a &*az' & *a%'n#1e r',e0' a$2!%a%' ;% zna0' &#',e(an,e" Sa$ 2#%!2a1 2&raz!$',ea &#',e(an,e &',e*a %',e*a '*' r+ana ;% $
na!&e /*e#%' ' ! e$a %e;1'$ 2re&a$a e1#%re$'%e%a" E+zar%'1!*a(',a ,e#% 2#%!2a1 ! 1,e$ 1& a$2!%a(',e *'n',a 2re*az' 1rz ,e&an '*' ';e z+*/a" 4,a$ &*az' & *a%'n#1'. r',e0' ?e@ ;% zna0' 'z ' ?ar%'(!*!# ;% zna0' 0*ana1 '*' z+*/" Ona #e 'z&' 1a& n',e $+!3e 'ze#%' 1*a#'0n! a$2!%a(',!" N,ez'ne *;e #%rane ,e#! 1$2*'('ran 21r'an,e /a%r*,1a $e1an'$ &',e*'$a ' %e
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1rz r!0n' z+*/
Na,a
S /z'r$ na $,e#% a$2!%a(',e6 2#%,e) $mputacije -ornjih e"stremiteta:
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a$2!%a(',e 2r#%',!
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r!0ne a$2!%a(',e %,"a$2!%a(',e ;a1e
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Kr!1en/er+a !*na ' ra&',!# #! &,en'6 ;% $+!3!,e ?;1ara #%'#a1
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a$2!%a(',a 2&*a1%'(e
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a$2!%a(',a *a1%a
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a$2!%a(',a na&*a1%'(e
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a$2!%a(',e ra$ena ' *2a%'(e ! #*!0a,! $a*'+n'. 2r(e#a ' &e5e1a%a
$mputacije donjih e"stremiteta:
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a$2!%a(',e 2r#%',! ' #10n+ z+*/a
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a$2!%a(',a 2%1*,en'(e
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a$2!%a(',e ! 1*,en!
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a$2!%a(',e #a1r!$a ! #*!0a,! $a*'+n'. /*e#%'
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a$2!%a(',a na&1*,en'(e
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a$2!%a(',e ! 1!1!
1.# $mputacije e"stremiteta
4r'*'1$ z/r'n,aan,a #/e 1,a ,e 'z+!/'*a &' %',e*a ! ne#re3' a
r2($ za za!#%a*,an,e 1raren,a a1 n' na 1,' &r!+' na0'n n',e $+!3e za!#%a'%' 1raren,e" Na ran! #e 2#%a*,a #%er'*na 1$2re#a ' $%a #e %a1 &a na /a%r*,a1 /!&e 2r'$',en,en #!+&,e '#%' 2r'%'#a1" Va
#.%antoms"a bol
Ka !& ! 5an%$#1! /* 5an%$ 2r''đen,e6 !%ara6 %re/a na+*a#'%' &a ,e /* &e5'n'rana 1a ne!+&an #,e% 1,' !1az!,e &a ,e %',e* ;%e3en '*' $! 2r',e%' z*,e&a" B* 20'n,e na 2#e/n'$ re(e2%r'$a za /* ra#2ređen'$ 2 (',e*$ %',e*!" On' 2ren#e 2r!1e 1a e*e1%r'0ne '$2!*#e &!<'n$ ne!rna ! 1ra*,e;'0n! $<&'n! ' $za1" 98
Ka&a #e 2/!&' re5*e1#n' &+r6 #'+na* #e $%rn'$ ne!rn$ ;a*,e na%ra+ na $,e#% na#%an1a /*' ' 2%'0e $';'3e &a #e #%e+n! #ar;en 2r'$,er ,e re5*e1#na rea1(',a 2*a0en,a na1n ;% nena$,ern &%a1ne$ ne;% r* r!3e" Re(e2%r' za /* raz*'1!,! #e ! raz*'0'%'$ &',e*'$a %',e*a ' z/+ %+a ,e #,e% /*' raz*'0'% ! &n#! na r#%! ' $,e#% 2re&e n2r"6 re(e2%r' za /* ! 1<' #! /r,n' ' ,a#n $+! 2ren',e%' $,e#% ' !zr1 z*,e&e" B* #,e3ana ! ne1'$ 2&r!0,'$a %',e*a ne $ra %0n !1aza%' +&,e #e na*az' 2%e;13a ,er #e /* r* *a1 $
4rea*en(',a 5an%$#1e /*' na1n a$2!%a(',e !&a ran+'ra & 9 & Oa1a /* r',e%1 #e $
ordotomija 2re#',e(an,e #2'n%a*a$'01+ %ra1%a ! +rn,e$ %ra1a*n$ 2&r!0,!6
a1 #e ra&' 5an%$#1, /*' &n,'. e1#%re$'%e%a" /ulbarna tra"tomija 2re#,e(an,e #2'n%a*$'01+ %ra1%a ! 2&r!0,! $<&an+ &e/*a6
a1 #e ra&' 5an%$#1, /*' +rn,'. e1#%re$'%e%a" 99
Sa$ $e.an'za$ na#%an1a 5an%$#1e /*' n',e raz,a;n,en6 a*' 2#%,e &ređene .'2%eze) Ne!r*;1a .'2%eza #e za#n'a na 2er'5ern'$ ' (en%ra*n'$ /,a;n,en,'$a ne!r*;1e !,e%an#%' 5an%$#1e /*'" 4er5'rena /,a;n,en,a ,! %!$a0e 1a 2e3an! #,e%*,'#% <'0an'. *a1ana na $,e#%! a$2!%a(',e &1 #e (en%ra*na /az'ra,! &a %$e &a #$a%#enzrna 1r%'1a*na re2rezen%a(',a %',e*a 2re&#%a*,a +*an' !zr1 na#%an1a 5an%$#1e /*'" I#%'0e #e e*'1a a!%!/e"($=a%(.PLQOM4>n
&.'rote(e i orto(e
Or%2ea #! 2$a+a*a #a %e.n'01a 2$a+a*a 1,a #e 2r'$,en,!,! ! *',e0en,! ' re.a/'*'%a(',' /*e#n'1a # z*,e&a$a ' /*e#%'$a *1$%rn+ #!#%aa" 4r'$,en,!,! #e za $+!3aan,e 1re%an,a ' #a$z/r'n,aan,a ! #a1&nen$ <'%!6 a*' na,0e;3e #a$ 2r're$en ! *',e0en,!" U 1n#%r!1(','6 2r'$,en' ' ea*!a(',' r%2e'. 2$a+a*a !#1 #!rađ!,! $e&'('na ' %e.n'1a" U 2r'z&n,' #e na,0e;3e 1r'#%' 2*a#%'1a ! 1$/'na(',' # $e%a*$6 a ! 2r'$,en' #! 97
,; &r n'#1e #2e('5'0ne %e<'ne6 1
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2r%eze #! na&$,e#a1 za 'z+!/*,en' &' %',e*a6 a na,a
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2r%eza na&$,e;%a a$2!%'ran' e1#%re$'%e% '*' &' e1#%re$'%e%a6 ' % e#%e%#1' ' 5!n1('na*n #%+a $ra /'%' 5!n1('na*na6 !&/na6 #'+!rna6 *a+ana ' e#%e%#1' 2r'.a%*,'a
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za +rn,e !&e !2%re/*,aa,! #e e#%e%#1e6 5!n1('na*ne6 $e.an'01e ' $',e*e1%rn#1e 2r%eze
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#a#%an' &',e*' 2r%eze &n,e+ !&a #! *e<';%e6 #%2a*6 z+*/na ,e&'n'(a 1*,ena ' 1!1a
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*e<';%e 2r%eze #e 'zrađ!,e 'n&''&!a*n 2 +'2#an$ &*,e! /a%r*,1a
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&ana;n,e 2r%eze #! #a 2%2!n'$ 1n%a1%$ /a%r*,1a ! *e<';%! ,er 21az!,! n'z 2re&n#%' na 2r',a;n,e 2r%eze
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2#%,e e+z#1e*e%n' ' ene*e%n' %'2 2r%eze #e za'#' raz'n' a$2!%a(',e
&.# )rto(e
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r%ze 2r'$,en!,e$ ! 1n%r*' 5!n1(',e &ređen'. &',e*a %',e*a ! #r.! 2/*,;an,a 5!n1('na*n+ #%a%!#a
9:
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#*!
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&',e*e #e na r%ze za &n,e e1#%re$'%e%e 1,e !+*an$ #*!
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#2'na*ne r%ze #e a2*'('ra,! na &',e*e 1ra*,e;n'(e ' ne #$',! /'%' %ra,n r,e;en,e %e #e 2r'$,en,!,e 1'nez'%era2',a
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r%ze n'1a& ne 2#%'
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!1*'1 ,e $+!3e6 2re2r!0!,e #e 2era%'n' za.a% !$,e#% r%ze
Sli"a 1. $%) orto(a
Sli"a #. $%) orto(a
*. +a"ljuča"
Ja#n ,e &a ,e #a1a #/a #!0ena # a$2!%a(',$ &',e*a %',e*a 2r'$rana 2r$',en'%' na0'n <'%a6 a 0,e1 1a /'2#'.#(',a*na #%r!1%!ra #,e3a +!/'%a1 na #'$ a#2e1%'$a <'%a ;% 0'n 2%re/n$ 'n%er&'#('2*'narn! #!ra&n,! &1%r'6 re.a/'*'%a%r'6 2#'.*z'"""" Nr$a*n ,e #,e3a%' #e 2& #%re#$ ! %'$ 1*n#%'$a6 ' 2r*az'%' 1rz 2er'& %!+e6 9
z/!n,en#%' ' #,e3a,a /ezna&n#%'" a*an,e 2re&#%a*,a 2r$,en! 2#'.'01+ #%an,a #/e 'za ne1+ e*'1+ +!/'%1a 1,a !1*,!0!,e &/',an,e6 *,!%n,!6 &e2re#',!6%e 2r'.a3an,e ' 1na0n na&!" S' %' #%a&',' #a#%an'(e #! nr$a*ne rea1(',e 0,e1a na #%re#n' &+ađa,6 a na 1ra,! na 2era(',! ' +!/'%a1 &',e*a %',e*a" G*an' ('*, re.a/'*%'a(',e ,e#% 2#%'3' re#%a!ra(',! 5!n1('na*n+ #%a%!#a #/e # a$2!%a(',$6 2na,2r',e za $+!3aan,e 21re%a ' 1re%an,a %e a1%'n#%' #a1&nen+ <'%a #a #r.$ 2#%'zan,a ne'#n#%' ' re'n%e+ra(',$ ! <'%" Ka 2ra' za1*,!0a16 2re&*a!%!/e"($=a%(.9C$ADnE1zP
. Literatura
9" Je*'36 M" 7888" Or%2ea 2$a+a*a &,e0,e &/'6 !) 4e&'a%r'( Cra% S!2* I) 78-98
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7"K'r'n6 J!re%'36 Ka0e'3 7897"6 O#r% na re2*an%a(',! ' %ran#2*an%a(',! +rn,e+ e1#%re$'%e%a :" Ra,n2re.%6 I" 7897" Č'$/en'(' 2ezan' # 5an%$#1$ /*') 2r#2e1%'na6 %r'2*+&';n,a #%!&',a6 !) F'z'1a*na ' re.a/'*'%a(',#1a $e&'('na6 V*"7:6 N" :-
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