BUKU DIKTAT DIKTAT
ILMU KEDOKTERAN FISIK DAN REHABILITASI
FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI BAGIAN ILMU KEDOKTERAN FISIK DAN REHABILITASI REHABILITASI MANADO 2006 BUKU DIKTAT DIKTAT
ILMU KEDOKTERAN FISIK DAN REHABILITASI
Disusun Oleh: 1 D! L S An"li#$i% S&RM 2 D! L Sen"'e(% S&RM ) D! * Gess#l% S&RM + D! Th Is(e M,"i% S&RM
FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI BAGIAN ILMU KEDOKTERAN FISIK DAN REHABILITASI MANADO 2006 DAFTAR ISI .en"#n/#! Reh#ili/#si Me$i' Fisi,/e!#&i O'u&#si Te!#&i S&eeh The!#&( .en"#n/#! O!/,/i' .!es/e/i' .si',l,"i .en"#n/#! .e'e!5##n S,si#l Me$is Reh#ili/#si Me$i' .#$# Bells .#ls( Reh#ili/#si Me$i' &#$# 7e!8i#l R,,/ S(n$!,-e Reh#ili/#si &#$# S/!,'e Reh#ili/#si &#$# Sin$!,-# Guill#in B#!!e Reh#ili/#si S&in#l 7,!$ In5u!( L,9 B#' .#in 7#!&#l Tunnel S(n$!,7e!e!#l .#ls( E!s .#!#lise ; E!
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PENGANTAR REHABILITASI MEDIK Pendahuluan Se#"#i-#n# 'i/# 'e/#hui% #h9# u&#(# $i i$#n" 'eseh#/#n &#$#
$#s#!n(# -eli&u/i #/#s u&#(# &enin"'#/#n =&!,-,/i>?% &ene"#h#n =&!e8en/i>?% &en(e-uh#n ='u!#/i>? $#n &e-ulih#n =!eh#ili/#/i8e? U&#(# &enin"'#/#n% &ene"#h#n $#n &en(e-uh#n /el#h -en#&#i 'e-#5u#n $#n #h'#n /el#h -en#&#i h#sil@h#sil (#n" s#n"#/ -en"e-i!#'#n% se$#n"'#n u&#(# &e-ulih#n #/#u !eh#ili/#/i8e -#sih &e!lu $i'e-#n"'#n Un/u' i/u &e-e!in/#h /el#h e!us#h# -enin"'#/'#n u&#(# $#l#- i$#n" !eh#ili/#si -e$i Ru-#h S#'i/ /i&e A% B $#n 7 (#n" &#$# -ul#n(# -e-en/u' Preventive Rehabilitation Unit =se'#!#n" $iseu/ Uni/ Reh#ili/#si Me$i'? U&#(# !eh#ili/#si -e$i $i In$,nesi# -ul#i $i!in/is ,leh Al- .!,> $! R S,eh#!s, &#$# /#hun 13 $#l#- !#n"'# -en,l,n" &#!# &en$e!i/# ##/ #'i#/ &e!#n" 'e-e!$e'##n =$i'en#l se#"#i Reh#ili/#si 7en/!u-? K#!en# $#(# /#-&in" (#n" s#n"#/ /e!#/#s -en(e#'#n &en# h#!us #n/!i se'hin""# ##/ !in"#n -en5#$i e!#/ Mes'i&un $i$i!i'#n l#"i ) R7 $i *#'#!/#% .#le-#n" $#n U5un" .#n$#n"% 'eu/uh#n /e/#& -eleihi 'e-#-&u#n &el#(#n#n (#n" /e!se$i# Oleh '#!en#n(# HO e'e!5# s#-# $en"#n De&#!/e-en Keseh#/#n -e!#n"s#n" us#h# $en"#n -en"#$#'#n &!,(e' &e-#n$u#n “Preventive Rehabilitation Unit” $i RS $!K#!i#$i < &e!/#-# un/u' '#9#s#n Asi# Ten""#!# < $en"#n -#'su$ -en#n""ul#n"i 'e##/#n $i RS se$ini -un"'in% /e!u/#-# ##/ (#n" se-en/#!# A'hi!@#'hi! ini HO #h#'#n -ul#i -el#n#!'#n us#h# Community – based Rehabilitation =Reh#ili/#si e!su-e! $#(# -#s(#!#'#/?% (#'ni us#h# &ene"#h#n 'e##/#n $i lu#! RS &#$# /in"'#/ -#s(#!#'#/ Pengertian Rehabilitai Menu!u/ HO% !eh#ili/#si i#l#h se-u# /in$#'#n (#n" $i/u5u'#n un/u'
-en"u!#n"i $#-&#' $is#ili/#s;h#n$i#&% #"#! -e-un"'in'#n &en(#n$#n" ##/ e!in/e"!#si $en"#n -#s(#!#'#/ Di'en#l:
1 Rehabilitasi medik (#'ni su#/u &!,ses &el#(#n#n 'eseh#/#n (#n" e!/u5u#n un/u' -en"e-#n"'#n 'e-#-&u#n >un"si,n#l $#n &si'is in$i8i$u $#n '#l#u &e!lu -e'#nis-e ',-&ens#sin(# #"#! in$i8i$u $#&#/ e!$i'#!i 2 Rehabilitasi sosial -e!u&#'#n #"i#n $#!i &!,ses !eh#ili/#si (#n" e!/u5u#n #"#! &en(#n$#n" ##/ $#&#/ e!in/e"!#si 'e $#l#- -#s(#!#'#/ $en"#n -e-#n/un(# -en(esu#i'#n $i!i &#$# 'elu#!"#% -#s(#!#'#/ $#n &e'e!5##nn(# $#n 5u"# $en"#n -en"u!#n"i e#n s,si#l e',n,-i (#n" $#&#/ -en"h#-#/ &!,ses !eh#ili/#sin(# ) Rehabilitasi kekaryaan (vocational Rehabilitation) i#l#h &e-e!i#n &el#(#n#n 'e'#!(##n e!u&# i-in"s#n 'e'#!(##n% l#/ih#n 'e!5# $#n &ene-&#/#n sele'/i> (#n" $i$es#in un/u' &en(#n$#n" ##/ Mes'i&un >,'us 'i/# sel#n5u/n(# /e!u/#-# &#$# Reh#ili/#si Me$i'% n#-un 5#n"#n lu&#% #h9# $#l#- &!#'/e' Reh#ili/#si Me$i' sel#lu e!'#i/#n $en"#n !eh#ili/#si l#inn(#% $#n 'e"#"#l#n se!in" /e!5#$i ,leh '#!en# -e-#n$#n" !eh#ili/#si $#!i s#/u se"i s#5#% /i$#' se#!# 'eselu!uh#n Tu!uan Rehabilitai Medi" D#l#- u&#(# !eh#ili/#si -e$i -e-&un(#i /u5u#n se#"#i e!i'u/:
1 .e-ulih#n &en$e!i/# (#n" -en"#l#-i ##/ 'e&#$# ',n$isi se-ul# #/#u se/i$#'n(# 'e-#li -en$e'#/i 'e#$##n seelu- s#'i/ 2 Men"hin$#!'#n se-#'si-#l -un"'in /i-uln(# ##/ se'un$e! ) M#s#;9#'/u &e!#9#/#n $#&#/ $i&e!sin"'#/ + Men"us#h#'#n se$#&#/ -un"'in &en$e!i/# e&#/ 'e-#li 'e &e'e!5##n se-ul# #/#u &e'e!5##n #!u .si',l,"i' leih #i' ,leh '#!en# &en$e!i/# /i$#' /e!l#lu -en$e!i/# /e'#n#n 5i9# e!#/ $#n l#-# Ruang Ling"u# Rehabilitai $edi" D#l#- !eh#ili/#si -e$i' se#"#i-#n# il-u 'e$,'/e!#n l#inn(#% -eli&u/i:
1 Pemeriksaan fisik : $isini $i>,'us'#n 'e&#$# -en#!# /in"'#/ 'e-#-&u#n >isi' $#!i (#n" s#'i/ #/#u >un"si se#!# 'eselu!uh#nn(# Mis#ln(# &#sien (#n" -en"#l#-i &#/#h u/ul#n" 'i/# e8#lu#si ,/,/n(#% &e!"e!#'#n sen$in(# $#n >un"s'i /#n"#nn(#% &e-e!i's##n ini $i&e!lu'#n un/u' -en5#$i $#s#!@ $#s#! &en",#/#n $#n /in$#'#n sel#n5u/n(# 2 Diagnosis dan pengobatan: $i#"n,sis $#n &en",#/#n $i$#s#!'#n &#$# &e-e!i's##n (#n" -eli&u/i #s&e' -e$is $#n !eh#ili/#si /e!-#su' $isini
#&#'#h /e!-#su' $isini #&#'#h /e!$#&#/ #/!,>i ,/,/% ',n/!#'/u! sen$i% 'elu-&uh#n 'e-#-&u#n -,ilis#si% #'/i>i/#s seh#!i@h#!i% ',-uni'#si -#s#l#h s,si#l% &en$i$i'#n% &si',l,"i $#n &e'e!5##n(# D#l#- &en",#/#n $isini $#&#/ $i#!/i'#n ',!e'si ',n$isi ##/ (#n" #$# ) Pencegahan: &ene"#h#n /e!u/#-# $il#'u'#n un/u'
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/i-uln(# 'e##/#n se'un$e! (#n" -en(e!/#i 'e##/#n &!i-e! se#"#i #'i#/ ',-&li'#si is/i!#h#/ l#-# sel#-# &e!#9#/#n #/#u &en",#/#n Be!$#s#!'#n h#l /e!seu/ -#'# u&#(# !eh#ili/#si h#!us $ie!i'#n se$ini -un"'in Pela"ana Pr%gra$ Rehabilitai Medi" D#l#- &en#n"#n#n &en$e!i/# $i&e!lu'#n #$#n(# s#/u /i- (#n" /e!$i!i $#!i
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.!,>$!S,eh#!s, $i Su!#'#!/# ARTI DAN SARANA A!/i $#n s#!#n# (#n" $i&e!"un#'#n ,leh >isi,/e!#&is $#l#- -en5#l#n'#n /u"#s@/u"#sn(# /e!#n/u- $#l#- $e>inisi 7.T =%orld Confederation for Physical "herapy& se#"#i e!i'u/: C'ualified physiotherapist are those (ho have been trained in the theory and practice of physical theraphy$ defined by %CP" is the art and science of physical treatment by meant of theraupetic e)ercise$ heat$ cold$ light$ (ater$ massage and electrotherapy”* Den"#n '#/# l#in #h9# >isi,/e!#&is (#n" /e!#-&il $#n $i#'ui #$#l#h -e!e'# (#n" -e-&e!,leh &en$i$i'#n /e,!i $#n &!#'/e' >isi,/e!#&i Se$#n"'#n >isi,/e!#&i -enu!u/ 7.T #$#l#h C-e!u&#'#n seni $#n il-u &en"e/#hu#n &en",#/#n >isi' =#l#-? $en"#n s#!#n# : l#/ih#n@l#/ih#n =/e!#&i l#/ih#n?% &#n#s% $in"in% sin#!% #i!% &e-i5#/#n $#n &en",#/#n lis/!i'
TU&UAN FISIOTERAPI' Se#!# "#!is es#! /u5u#n >isi,/e!#&i -eli&u/i:
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A( TERAPI PANAS
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2 ,eningkatnya metabolism : se/i#& 'en#i'#n /e-&e!#/u!e 100 7 -e/#,lis-e n#i' 2 '#li ) -fek analgesic lokal : -e'#nis-en(# $i'#/#'#n $en"#n -enin"'#/'#n nil#i #-#n" !#s# n(e!i &#$# !ese&/,! !#s# n(e!i + Udema lokal : #'i#/ 8#s,$il#/#si $#n /!#nsu$#si #i!#n 'e 5#!in"#n interstitial E)e" ite$i" A$#n(# 8#s,$il#/#si l,'#l -en(e#'#n &en(e#!#n &#n#s 'eselu!uh#n
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