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Ansaid (Flurbiprofen)

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SPINAL CORD INJURY: PHYSICAL, RESPIRATORY, AND OCCUPATIONAL THERAPIES
Physical therapists, respiratory therapists, and occupational therapists all help the patient intensively during the early days of hospitalization. Every patient with a spinal cord injury will work with a physical therapist. Physical therapy involves the use of physical exercises and techniques such as massage or the application of heat or ice. The physical therapist has the major responsibility for maintaining your strength and flexibility and for teaching you mobility skills. The therapist will test each body part to determine muscle function and strength, before initiating an individualized exercise program.
As you begin physical therapy, you’ll encounter different terms for the various exercises. Ranges of motion exercises are the bedrock of the therapy, and these begin immediately. Range of motion refers to the degree of flexibility of a joint and is quantified by measuring (in degrees) the joint’s limits of motion in each direction. Various exercises are used to maintain or improve range of motion. If you cannot move your own limb and the therapist does it for you, it is called passive range of motion exercise. In active range of motion exercises, you control your own movement. There are also active resistance exercises in which you move against a force with your own energy. In active assisted exercise, the therapist helps you move weakened muscles. Range of motion exercises will become part of your daily routine for the rest of your life. They prevent contracture, a condition in which soft tissues around joints shorten, stiffen, and lose flexibility, leading to a loss of joint motion.
Physical therapists also teach you or your family the proper positioning of your body and proper movement so that pressure sores or decubitus ulcers do not develop (these and other complications of spinal cord injury are discussed below). After a few days in the hospital, you’ll probably begin to sit up, and your physical therapist will be there to help with positioning.
If necessary, respiratory therapy is initiated early in your hospitalization. This therapy involves the use of machinery and the therapist’s hands to help you breathe and cough. If you are using a ventilator, respiratory therapy is essential to monitor proper use of the ventilator equipment and management of the tracheostomy. If you do not need a ventilator but your injury is above T12, you may need respiratory therapy to help keep your lungs clear of fluid, because the muscles for coughing are weakened. This therapy includes inhaling medications to help expand the small airway passages in the lungs, along with breathing exercises and techniques to help keep your lungs clear.
Occupational therapy focuses on use of the upper body, arms, and hands for self-care activities such as feeding, bathing, and dressing, and for functional activities such as writing, balancing a checkbook, and cooking. The occupational therapist may begin work on self-care activities, also called activities of daily living, in the acute phase of your treatment, but you will work more intensively with occupational therapists in the rehabilitation hospital.
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