CURSO DE FISIOTERAPIA ALGIAS DA COLUNA[1]

Prévia do material em texto

04/06/2010
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 ALGIAS DA COLUNA
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ALGIAS DA COLUNA
Sensação desagradável persistente com fraqueza e desequilíbrio muscular associada a uma lesão orgânica , influenciada por fatores físicos e psicológicos .
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ALGIAS DA COLUNA
CERVICALGIA
DORSALGIA
LOMBALGIA
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ALGIAS DA COLUNA
PATOLOGIA DISCAL
ESTENOSE DE CANAL
ARTROSE 
TUMORES
DOENÇAS DEGENERATIVAS SNC
ESPONDILOLISTESE
PROCESSOS INFLAMATÓRIOS
INFECÇÕES
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ALGIAS DA COLUNA
 CAUSAS INDIRETAS
CAUSAS OCUPACIONAIS
BIÓTIPO (FATORES ANTROPOMÉTRICOS)
TABAGISMO
AMBIENTES DOLOROSOS(MOBILIÁRIO)
FATORES EMOCIONAIS 
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TUBERCULOSE VERTEBRAL
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HÉRNIA 
DISCAL
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ESPONDILITE ANQUILOSANTE
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 CERVICALGIA
FREQUENTEMENTE ASSOCIADA À
BRAQUIALGIA
CEFALÉIA
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 CERVICALGIA
CAUSAS DIRETAS MAIS FREQUENTES
HÉRNIA DISCAL
ARTROPATIAS REUMÁTICAS
RADICULOPATIAS
PROCESSOS INFECCIOSOS
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OSTEOARTROSE CERVICAL
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 CERVICALGIA
CAUSAS INDIRETAS MENOS COMUNS
TUMORES DE MEDULA
ESCLEROSE LATERAL AMIOTRÓFICA
ESCLEROSE MÚLTIPLA
METÁSTASES ÓSSEAS CERVICAIS
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TRATAMENTO
CAUSAS DIRETAS
CAUSAS INDIRETAS
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TRATAMENTO CONSERVADOR
 CERVICALGIA
USO DE ÓRTESES COLAR CERVICAL (GERALMENTE NAS DORES AGUDAS POR PERÍODOS CURTOS ) 
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TRATAMENTO CONSERVADOR MEDICAMENTOSO
ANTINFLAMATÓRIOS
ANALGÉSICOS
RELAXANTES MUSCULARES
ANTIDEPRESSÍVOS
ANTICONVULSIVANTES
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TRATAMENTO CONSERVADOR
FISIOTERAPIA 
ACUPUNTURA
MEIOS FÍSICOS
MASSAGEM
EXERCÍCIOS
RPG
OSTEOPATIA
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DORSALGIAS
CAUSAS DIRETAS MAIS FREQUENTES
ARTROSE
SCHEUERMANN
HÉRNIAS DISCAIS(RARAS)
INFECÇÕES (TB MAL DE POTT)
DOR MIOFASCIAL
FIBROMIALGIA
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 DORSALGIA 
 DIAGNÓSTICO DIFERENCIAL
ANEURISMA DE AORTA
PNEUMOTÓRAX
PNEUMONIA
HERPES ZOSTER
INFARTO MIOCARDIO
ÚLCERA DUODENAL
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TRATAMENTO
Depende de um diagnóstico preciso
 que para ser bem feito depende de uma boa história, e um ótimo exame clínico e exames de imagem adequados .
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TRATAMENTO
CAUSAS DIRETAS 
CAUSAS INDIRETAS
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TRATAMENTO
CONSERVADOR 
CIRÚRGICO
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LOMBALGIA
 DEFINIÇÃO
“Dor no segmento lombar da coluna
 com ou sem rigidez do tronco localizada entre o último arco costal e a prega glútea podendo ou não estar associada à ciatalgia”..
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LOMBALGIA
AGUDA ATÉ 30 DIAS
CRÔNICA MAIS DE 90 DIAS 
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DESENVOLVIMENTO
 FILOGENÉTICO
RN
ADULTO
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 LOMBALGIA
80% DAS PESSOAS EM ALGUM PERIÓDO DA VIDA
60% NO ÚLTIMO ANO
53% DOS INDIVÍDUOS COM TRABALHO LEVE
64% TRABALHADORES SERVIÇO PESADO
EUA AFETA 31 MILHÔES PESSOAS /ANO
CUSTO SOCIAL DE 20 A 50 US$ BILHÕES /ANO
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 LOMBALGIA
EUA AFETA 31 MILHÔES PESSOAS /ANO
CUSTO SOCIAL DE 20 A 50 US$ BILHÕES /ANO
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LOMBALGIA
CAUSAS DIRETAS
HÉRNIAS DISCAIS (20 A 60 ANOS)
INFECÇÃO
ARTROPATIAS INFLAMATÓRIAS
 ESTENOSE DE CANAL
ESPONDILOLISTESE
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 LOMBALGIA
DIAGNÓSTICO DIFERENCIAL
PATOLOGIAS ABDOMINAIS
LITÍASE RENAL
FIBROMIALGIA
DOR MIOFASCIAL
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OSTEOARTROSE LOMBAR
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HÉRNIA 
DISCAL
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ESTENOSE DE CANAL LOMBAR
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ESPONDILOLISTESE
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ESPONDILOLISTESE
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ESPONDILOLISTESE
 CLASSIFICAÇÃO
GRAU I < 25%
GRAU II 25 a 50 %
GRAU III 50 a 75%
GRAU IV > 75%
GRAU V espondiloptose
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ESPONDILOLISTESE
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ESPONDILOLISTESE 
TRATAMENTO
GRAU I E II CONSERVADOR
GRAU II ,IV E V CIRÚRGICO DESCOMPRESSÃO E ARTRODESE
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DIAGNÓSTICO DIFERENCIAL
METÁSTASE
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DIAGNÓSTICO DIFERENCIAL ANEURISMA AORTA
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DIAGNÓSTICO DIFERENCIAL
TUMOR INTRA-PÉLVICO
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TRATAMENTO
CAUSAS DIRETAS 
 CAUSAS INDIRETAS
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TRATAMENTO
MEDICAMENTOSO
FISIOTERÁPICO
CIRÚRGICO
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TRATAMENTO CONSERVADOR MEDICAMENTOSO
ANTINFLAMATÓRIOS
ANALGÉSICOS
RELAXANTES MUSCULARES
ANTIDEPRESSÍVOS
ANTICONVULSIVANTES
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TRATAMENTO CONSERVADOR
FISIOTERAPIA 
ACUPUNTURA
MEIOS FÍSICOS
MASSAGEM
EXERCÍCIOS
RPG
OSTEOPATIA
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TRATAMENTO CIRÚRGICO
LAMINECTOMIAS DESCOMPRESSIVAS
DESCOMPRESSÕES FORAMINAIS
ARTRODESES
DESCOMPRESSÃO VIA ANTERIOR
INSTRUMENTAÇÃO
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PRÓTESE 
DISCAL
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VERTEBROPLASTIA
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PARALISIA OBSTÉTRICA
CLASSIFICAÇÃO
ERB-DUCHENNE 
C5,C6,C7 OU C5 E C6
COMPLETA 
 (CLAUDE-BERNARD-HORNER)
KLUMPKE C8-T1
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PARALISIA OBSTÉTRICA
PROGNÓSTICO
50 % APROXIMADAMENTE 
 REGRIDE ESPONTANEAMENTE
 PODENDO LEVAR DE 
 1 SEMANA A 18 MESES
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TRATAMENTO
IMOBILIZAÇÕES
FISIOTERAPIA
MICROCIRURGIA
TRANSFERENCIAS 
MUSCULARES
ARTRODESE OMBRO
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PARALISIA OBSTÉTRICA
CLASSIFICAÇÃO
ERB-DUCHENNE 
C5,C6,C7 OU C5 E C6
COMPLETA 
 (CLAUDE-BERNARD-HORNER)
KLUMPKE C8-T1
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PARALISIA OBSTÉTRICA
PROGNÓSTICO
50 % APROXIMADAMENTE 
 REGRIDE ESPONTANEAMENTE
 PODENDO LEVAR DE 
 1 SEMANA A 18 MESES
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TRATAMENTO
IMOBILIZAÇÕES
FISIOTERAPIA
MICROCIRURGIA
TRANSFERENCIAS 
MUSCULARES
ARTRODESE OMBRO
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PARALISIA OBSTÉTRICA
Lesão por tração ou compressão do plexo braquial decorrente das manobras do parto
 
 * 1872 DUCHENNE
 * 1874 ERB
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PARALISIA OBSTÉTRICA
EPIDEMIOLOGIA
DIABETES
INSTRUMENTAL NO PARTO
DISTOCIA DE OMBRO
MACROSSOMIA
MÃE DE IDADE AVANÇADA
APRESENTAÇÃO PÉLVICA
LADO DIREITO (LEVE PREDOMÍNIO OEA )
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PARALISIA OBSTÉTRICA
QUADRO CLÍNICO
 HISTÓRIA DO PARTO
FLACIDEZ DO MEMBRO
MORO ASSIMÉTRICO
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PARALISIA OBSTÉTRICA
CLASSIFICAÇÃO
ERB-DUCHENNE 
C5,C6,C7 OU C5 E C6
COMPLETA 
 (CLAUDE-BERNARD-HORNER)
KLUMPKE C8-T1
04/06/2010
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PARALISIA OBSTÉTRICA
PROGNÓSTICO
50 % APROXIMADAMENTE 
 REGRIDE ESPONTANEAMENTE
 PODENDO LEVAR DE 
 1 SEMANA A 18 MESES
04/06/2010
60
TRATAMENTO
IMOBILIZAÇÕES
FISIOTERAPIA
MICROCIRURGIA
TRANSFERENCIAS 
MUSCULARES
ARTRODESE OMBRO
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