{"id":1266,"date":"2019-10-17T15:53:58","date_gmt":"2019-10-17T13:53:58","guid":{"rendered":"https:\/\/pes-luxembourg.lu\/bascharage\/?page_id=1266"},"modified":"2024-01-27T16:05:24","modified_gmt":"2024-01-27T15:05:24","slug":"reabilitacao-da-mao","status":"publish","type":"page","link":"https:\/\/pes-luxembourg.lu\/bascharage\/pt-pt\/reabilitacao-da-mao\/","title":{"rendered":"Reabilita\u00e7\u00e3o das m\u00e3os"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-title title fusion-title-1 fusion-title-center fusion-title-text fusion-title-size-one\"><div class=\"title-sep-container title-sep-container-left\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><span class=\"awb-title-spacer\"><\/span><h1 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:34;line-height:1.41;\">Reabilita\u00e7\u00e3o da m\u00e3o de Bascharage<\/h1><span class=\"awb-title-spacer\"><\/span><div class=\"title-sep-container title-sep-container-right\"><div class=\"title-sep sep-double sep-solid\" style=\"border-color:#e0dede;\"><\/div><\/div><\/div><div class=\"fusion-image-element fusion-image-align-center in-legacy-container\" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><div class=\"imageframe-align-center\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border:3px solid #f6f6f6;border-radius:50%;\"><img decoding=\"async\" width=\"300\" height=\"300\" title=\"Reeducation de la Main\" src=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-300x300.jpg\" alt class=\"img-responsive wp-image-9675\" srcset=\"https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-200x200.jpg 200w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-400x400.jpg 400w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-600x600.jpg 600w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1-800x800.jpg 800w, https:\/\/pes-luxembourg.lu\/bascharage\/wp-content\/uploads\/sites\/2\/2019\/07\/Reeducation-de-la-Main-1.jpg 822w\" sizes=\"(max-width: 800px) 100vw, 300px\" \/><\/span><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:20px;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-shadow\" style=\"--awb-height:20px;--awb-amount:20px;background:radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-webkit-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-moz-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);background:-o-radial-gradient(ellipse at 50% -50% , #e0dede 0px, rgba(255, 255, 255, 0) 80%) repeat scroll 0 0 rgba(0, 0, 0, 0);\"><\/div><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-text fusion-text-1\"><p style=\"text-align: justify;\"><strong>A reabilita\u00e7\u00e3o da m\u00e3o<\/strong> \u00e9 uma <strong>especialidade<\/strong> de pleno direito e obedece a <strong>regras precisas<\/strong> com o objetivo de conseguir uma recupera\u00e7\u00e3o funcional da m\u00e3o o mais completa poss\u00edvel.<\/p>\n<p style=\"text-align: justify;\">Os objectivos do fisioterapeuta durante a reabilita\u00e7\u00e3o s\u00e3o os seguintes<\/p>\n<ul style=\"text-align: justify;\">\n<li><strong>Melhorar o processo de cicatriza\u00e7\u00e3o<\/strong> para prevenir e evitar complica\u00e7\u00f5es cut\u00e2neas que possam surgir.<\/li>\n<li><strong>Promover a reabsor\u00e7\u00e3o do edema<\/strong>, evitando complica\u00e7\u00f5es cicatriciais secund\u00e1rias.<\/li>\n<li><strong>Mobilizar<\/strong> as articula\u00e7\u00f5es desde o in\u00edcio com toda a seguran\u00e7a, respeitando as indica\u00e7\u00f5es do cirurgi\u00e3o, os tempos de cicatriza\u00e7\u00e3o, as talas, os pensos, etc.<\/li>\n<li><strong>Re-trabalhar a m\u00e3o<\/strong> nas suas fun\u00e7\u00f5es quotidianas e adaptar os movimentos a eventuais d\u00e9fices residuais que possam persistir.<\/li>\n<li><strong>Estimular a sensibilidade da<\/strong> m\u00e3o para recuperar a sensibilidade fina, a sensibilidade proprioceptiva e a discrimina\u00e7\u00e3o t\u00e1til<\/li>\n<li><strong>Manter<\/strong> as articula\u00e7\u00f5es e os tend\u00f5es <strong>flex\u00edveis<\/strong>.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Para efetuar esta reeduca\u00e7\u00e3o, o fisioterapeuta disp\u00f5e de uma <strong>multiplicidade de acess\u00f3rios espec\u00edficos de reeduca\u00e7\u00e3o<\/strong> (ovos, bolas de reeduca\u00e7\u00e3o, len\u00e7\u00f3is el\u00e1sticos, dinam\u00f3metros de dedos, etc.).<\/p>\n<p style=\"text-align: justify;\">As consequ\u00eancias funcionais, por vezes graves e permanentes (dor, rigidez, deforma\u00e7\u00e3o, ader\u00eancias, etc.) dos traumatismos da m\u00e3o podem ser evitadas em grande parte atrav\u00e9s de um tratamento <strong>multidisciplinar<\/strong> (m\u00e9dico, cirurgi\u00e3o, fisioterapeuta, terapeuta ocupacional, ortotista). No entanto, \u00e9 necess\u00e1rio que haja uma boa comunica\u00e7\u00e3o entre as v\u00e1rias partes envolvidas na reabilita\u00e7\u00e3o. <strong>A comunica\u00e7\u00e3o entre o especialista em reabilita\u00e7\u00e3o e o cirurgi\u00e3o \u00e9 essencial<\/strong>.<\/p>\n<p style=\"text-align: justify;\">Segue-se uma lista n\u00e3o exaustiva de patologias que podem exigir tratamento fisioterap\u00eautico da m\u00e3o:<\/p>\n<ul style=\"text-align: justify;\">\n<li>Problemas de ader\u00eancia<\/li>\n<li>Fraqueza das m\u00e3os<\/li>\n<li>Perda de sensibilidade<\/li>\n<li>Fratura ou entorse do pulso ou dos dedos, operados ou n\u00e3o<\/li>\n<li>Amputa\u00e7\u00e3o de dedo(s)<\/li>\n<li>Luxa\u00e7\u00e3o<\/li>\n<li>Doen\u00e7a de Dupuytren (operada ou n\u00e3o)<\/li>\n<li>Opera\u00e7\u00e3o de sutura de um tend\u00e3o extensor ou flexor da m\u00e3o<\/li>\n<li>Opera\u00e7\u00e3o de sutura de polia<\/li>\n<li>M\u00e3os neurol\u00f3gicas :\n<ul>\n<li>Efeitos secund\u00e1rios do AVC<\/li>\n<li>Hemiplegia, tetraplegia<\/li>\n<li>Parkinson<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:28;line-height:1.5;\">Como funciona uma sess\u00e3o de fisioterapia das m\u00e3os?<\/p>\n<p style=\"text-align: justify;\"><\/h2><\/div><\/p>\n<p style=\"text-align: justify;\">Consoante a patologia e a fase de reabilita\u00e7\u00e3o, alguns pontos ser\u00e3o diferentes, mas, regra geral, a sess\u00e3o consistir\u00e1 sempre nas mesmas etapas.<\/p>\n<p style=\"text-align: justify;\">Em primeiro lugar (a menos que o cirurgi\u00e3o o solicite especificamente por algum motivo), as ligaduras, as talas e outros acess\u00f3rios devem ser sempre retirados primeiro.  <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/pt-pt\/fisioterapeuta-bascharage\/\">fisioterapeuta especializado na m\u00e3o<\/a>  encarregar-se-\u00e1 de repor tudo no lugar no final da sess\u00e3o e, se poss\u00edvel, explicar\u00e1 como o fazer voc\u00ea mesmo. Para poder avaliar e manipular com precis\u00e3o a zona afetada, \u00e9 prefer\u00edvel que esta esteja exposta do que envolta em camadas de pensos. Imediatamente ap\u00f3s uma opera\u00e7\u00e3o, mesmo que a cicatriz ainda n\u00e3o esteja fechada, \u00e9 necess\u00e1rio iniciar a reabilita\u00e7\u00e3o. O fisioterapeuta trabalha com luvas. Inicialmente, mobiliza os v\u00e1rios dedos e o pulso, respeitando a dor do paciente e a resist\u00eancia dos tecidos lesionados. A mobiliza\u00e7\u00e3o precoce favorece a cicatriza\u00e7\u00e3o intr\u00ednseca dos tecidos (boa cicatriza\u00e7\u00e3o) e limita e atenua a cicatriza\u00e7\u00e3o extr\u00ednseca (m\u00e1 cicatriza\u00e7\u00e3o, que conduz a ader\u00eancias). Numa primeira fase, a mobiliza\u00e7\u00e3o \u00e9 passiva, ou seja, o fisioterapeuta movimenta a m\u00e3o. \u00c0 medida que a reabilita\u00e7\u00e3o progride, a mobiliza\u00e7\u00e3o torna-se cada vez mais ativa e gerida pelo pr\u00f3prio doente.<\/p>\n<p style=\"text-align: justify;\">Depois, se a m\u00e3o estiver inchada, o fisioterapeuta pode drenar a m\u00e3o e aplicar crioterapia para tentar aliviar o incha\u00e7o. Este edema \u00e9 bastante normal no in\u00edcio, mas o incha\u00e7o deve ser controlado. N\u00e3o \u00e9 invulgar que um doente desenvolva algoneurodistrofia ap\u00f3s uma les\u00e3o na m\u00e3o.<\/p>\n<p style=\"text-align: justify;\">Em todas as opera\u00e7\u00f5es, uma vez fechada a ferida, o fisioterapeuta pode trabalhar a cicatriz atrav\u00e9s de v\u00e1rias t\u00e9cnicas de massagem cicatricial e de <a href=\"https:\/\/pes-luxembourg.lu\/bascharage\/lpg-cellu-m6-bascharage\/\">um aparelho de endermologia a GPL<\/a>.<\/p>\n<p style=\"text-align: justify;\">Depois de o m\u00e9dico ter dado luz verde, o trabalho \u00e1rduo pode come\u00e7ar. Numa primeira fase, ser\u00e1 mais anal\u00edtico, contra a resist\u00eancia manual aplicada pelo fisioterapeuta. Depois, com pequenos equipamentos. Com o tempo, o refor\u00e7o tornar-se-\u00e1 cada vez mais funcional. Tentaremos aproximar-nos dos gestos quotidianos para que a m\u00e3o possa cumprir o seu papel nas actividades di\u00e1rias.<\/p>\n<p style=\"text-align: justify;\">Quando a m\u00e3o perde a sensibilidade, o fisioterapeuta tamb\u00e9m trabalha o aspeto sensorial da m\u00e3o atrav\u00e9s de exerc\u00edcios de discrimina\u00e7\u00e3o. Trabalhar\u00e1 com o paciente a sua capacidade de reconhecer os materiais, as formas dos objectos e a posi\u00e7\u00e3o da m\u00e3o no espa\u00e7o.<\/p>\n<p style=\"text-align: justify;\">Durante a reabilita\u00e7\u00e3o, o doente receber\u00e1 exerc\u00edcios para fazer em casa para autoeduca\u00e7\u00e3o. Este trabalho em casa \u00e9 uma parte essencial da reabilita\u00e7\u00e3o. Quanto mais o doente for complacente, quanto mais usar as ort\u00f3teses e fizer exerc\u00edcios, mais r\u00e1pida e melhor ser\u00e1 a recupera\u00e7\u00e3o.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":8144,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.6 (Yoast SEO v22.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Reabilita\u00e7\u00e3o das m\u00e3os : Mobilize as suas articula\u00e7\u00f5es com o seu fisioterapeuta<\/title>\n<meta name=\"description\" content=\"Reabilita\u00e7\u00e3o da m\u00e3o: manter a flexibilidade e a fun\u00e7\u00e3o da m\u00e3o com vista a uma recupera\u00e7\u00e3o funcional total!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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