Author/Editor		Lonzarić, Dragan; Turk, Zmago
Title		Zgodnja pooperativna rehabilitacija poškodovancev z akromioklavikularno dislokacijo
Type		članek
Source		In: Komadina R, editor. Zbornik izbranih predavanj simpozija o poškodbah mehkih tkiv ramenskega sklepa. 3. celjski dnevi; 2001 apr; Celje. Celje: Splošne in učne bolnišnice Celje, Služba za raziskovalno delo in izobraževanje,
Publication year		2001
Volume		str. 112-29
Language		slo
Abstract		The rehabilitation of injured people with acromioclavicular dislocation differs according the type of injury. The classification is based on the severity of injury sustained by ligaments and supporting musculature. There are six types of acromioclavicular dislocation, of whom the first two are treat ed conservatively and the last four surgically. The therapy of third type is most controversy and there is strong trend of affirmation of conservative treatment. The most frequently used operative technique is transarticular fixation with Kirschner wires and loop. The extirpation of material is done by six to eight weeks. In the early postinjury and postoperative rehabilitation the therapy modalities which help in control of pain and swelling are used and range of motion exercises are performed with special attention on dyskinetic movement patterns. After achievement of complete range of motion the rehabilitation endeavour is focused on muscular strengthening and endurance. Individual kinesiotherapy program and use of different device modalities are determinated by the surgeon and the physiatrist and supervised by the physiotherapist. The surgeon usually limits abduction to 90 degrees until the extirpation of osteosynthetic material. Futher kinesiotherapeutic program aimed to reach full range of motion, preinjured state of muscular straight and functional effectiveness is supervised by physiatrist. Rehabilitation particularities, duration and success depend also on additional injuries, present diseases, good motivation and realistic rehabilitation goals.
Descriptors		ACROMIOCLAVICULAR JOINT DISLOCATIONS