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急性播散性蜂窝织炎筋膜切开术后康复策略:一例报告

Rehabilitation Strategies for Post-fasciotomy Recovery in Acute Spreading Cellulitis: A Case Report.

作者信息

Samal Subrat N, Rathi Bharat K, Baheti Nandini C

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 4;16(9):e68656. doi: 10.7759/cureus.68656. eCollection 2024 Sep.

Abstract

Cellulitis is a skin condition that affects both the dermis and the subcutaneous fat. Acute compartment syndrome has been associated with streptococcal infection. The present case highlights the role of physiotherapy in rehabilitating a patient suffering from compartment syndrome due to cellulitis. A 45-year-old female complained of swelling over the left forearm for five days. After being referred to the surgery department, she underwent clinical examinations, indicating cellulitis. As part of the surgical procedure, she had a fasciotomy and split skin grafting. Her pain was assessed using the numerical pain rating scale (NPRS), gradual in onset and progressive in nature, and aggravated on movement. The patient's case demonstrates the importance of following a planned physical therapy treatment regimen to restore functional activity, range of motion (ROM), and muscle strength.

摘要

蜂窝织炎是一种影响真皮和皮下脂肪的皮肤疾病。急性骨筋膜室综合征与链球菌感染有关。本病例突出了物理治疗在康复一名因蜂窝织炎导致骨筋膜室综合征患者中的作用。一名45岁女性抱怨左前臂肿胀五天。转诊至外科后,她接受了临床检查,结果显示为蜂窝织炎。作为手术的一部分,她进行了筋膜切开术和植皮手术。使用数字疼痛评分量表(NPRS)对她的疼痛进行评估,疼痛起病缓慢且呈进行性,活动时加重。该患者的病例表明了遵循有计划的物理治疗方案以恢复功能活动、关节活动范围(ROM)和肌肉力量的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9c/11452019/4beeefea5d6b/cureus-0016-00000068656-i01.jpg

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