Pianta T F
Washington County Hospital System, Hagerstown, MD 21740-5771, USA.
Adv Ren Replace Ther. 1999 Apr;6(2):149-58. doi: 10.1016/s1073-4449(99)70033-6.
Although not traditionally a part of the dialysis team, physical therapists can play an important role in improving the quality of life for dialysis patients. Physical therapists are trained to evaluate the presence of a functional problem such as back pain, muscle weakness, limited range of motion, balance disorder, alteration in gait, joint pain, neuropathic pain, sensory disturbance, loss of functional mobility, or alteration in posture. Many of these conditions are prevalent in the dialysis population. This article describes how a patient is referred to physical therapy, and once referred, how the patient is evaluated and treated, including goal setting and progression. It is thought that early referral of dialysis patients to physical therapy may prevent some of the functional deterioration typically seen in this population. The incorporation of physical therapy as part of the routine treatment plan may help dialysis staff to address many of the regular nonspecific complaints of fatigue, malaise, pain, and discomfort commonly experienced by dialysis patients.
虽然传统上不是透析团队的一部分，但物理治疗师在提高透析患者的生活质量方面可以发挥重要作用。物理治疗师经过培训，能够评估是否存在功能问题，如背痛、肌肉无力、活动范围受限、平衡障碍、步态改变、关节疼痛、神经性疼痛、感觉障碍、功能活动能力丧失或姿势改变。这些情况在透析人群中很常见。本文描述了患者如何被转介到物理治疗科，以及一旦被转介，患者如何接受评估和治疗，包括目标设定和进展情况。人们认为，将透析患者早期转介到物理治疗科可能会预防该人群中常见的一些功能恶化情况。将物理治疗纳入常规治疗计划可能有助于透析工作人员解决透析患者经常出现的许多一般性非特异性主诉，如疲劳、不适、疼痛和不适。
