Therapeutic physical training after a shin fracture

At least one-tenth of the total number of fractures is formed by shin fractures. However, if there was no appropriate treatment, this can lead to very serious consequences, at least - loss of ability to work. A significant role in therapy is played by exercise therapy.

Therapeutic exercises for shin fractures are divided into three stages. The first one deals with the following tasks:

  • Elimination of edema.
  • Muscle toning.
  • Accelerated recovery of lymph and blood circulation in the leg.
  • Increased level of mobility of joints.

In this period, the general developmental, diverse movements are directed to the development of joints, exercises, respiratory and special( muscle tension of the shin and thighs, gradually increasing the time when the muscles are tense, ideomotor exercises, keeping the limb in one position, active movements of the toes and themselvesLegs in the hip joint, such as extension and flexion, reduction and diversion, various rotational exercises).

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To achieve the first two goals, patients are usually advised to raise and lower the injured leg at regular intervals. After a period of three to four days, the patient is allowed to move with crutches through the hospital, including stairs.

In the second stage of rehabilitation, with the existing injuries and injuries of the ankle, the main goals of exercise therapy are changed to the following:

  • Elimination of edema of the affected leg.
  • Restore the movement skill and all the functions of the ankle joint.
  • Prevention and prevention of complications, such as curvature of fingers, spur outgrowth( most often observed in the calcaneus region), traumatic platypodia, deformity of the foot, etc.

In the early days, all exercises of physiotherapy exercises are performed under light conditions, that is, using roller trucks, sliding planes, block installations, etc. Exercises involving muscle tension alternate with relaxation exercises, as well as breathing exercises. At this stage, many different exercises for the development and restoration of the ankle joint are added to the respiratory and general development exercises for the injured limb. These exercises are performed from various initial positions - on the abdomen, sitting, on the side, lying on the back, resting their feet on the floor, sitting with their feet on the weight, sitting with the support of the diseased leg with the help of a healthy, on all fours, etc.

Below is one of the possible variants of a special set of therapeutic physical exercises assigned for fracture of the shin bones in the second stage of the exercise:

Initial position - lying on the back:

  • Flexion and extension of the feet in the sole.
  • Alternation of bringing and removing the straightened leg to the side on the bed.
  • Exercise "bicycle", performed simultaneously with two legs.
  • Internal and external rotation of the damaged leg. Extension and flexion of toes.
  • Extension and flexion of the legs in the knee, both simultaneous and alternating.
  • Strain of the hip muscles for 4-5 seconds.
  • Internal rotation of the feet.

Initial position - lying on the abdomen:

  • Striped leads and bringing the legs to the side.
  • Alternating bending and extension of both legs in the knees.
  • Movement of the legs, imitating those when swimming style "breaststroke".

Starting position - sitting on a chair:

  • Grab your toes of small objects with your fingers and hold them for a short time.
  • Alternating extension and flexion of the legs in the knees, both simultaneous and alternating.
  • Exercises on the medical line.

All exercises are performed without undue tension in a calm, measured rhythm. Each exercise is repeated 7-8 times. Breathing can be arbitrary.

In the third stage of exercise therapy, the following tasks have the following value:

  • Restoration of all body functions.
  • Complete recovery of all motor functions of the damaged limb.

At this stage, such exercises as running and walking with obstacles, jumps, dance steps are assigned. In this case, you need to fix the joint with an elastic bandage.