Bernardes Rafael A, Parola Vítor, Cruz Arménio, Correia Nuno, Neves Hugo
Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, 1649-023 Lisbon, Portugal.
The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3000-232 Coimbra, Portugal.
Muscles. 2024 Sep 25;3(4):323-338. doi: 10.3390/muscles3040028.
Medial gastrocnemius silent contractures (MGSCs) are prevalent, notably impacting functional status and increasing the risk of foot and ankle disorders, especially among aging populations. Although traditionally managed by podiatrists and physiotherapists, the role of rehabilitation nursing in addressing MGSCs is gaining recognition. This paper elucidates the contributions of rehabilitation nursing to the functional rehabilitation of MGSC patients and underscores its vital role within the multidisciplinary team. Initially, the paper defines the clinical and physiological characteristics of MGSCs and their implications in foot and ankle disorders. It then meticulously explores rehabilitation nursing interventions-including personalized stretching regimens, vibration therapy, balance exercises, and judicious footwear selection-emphasizing their efficacy in enhancing muscle flexibility, joint mobility, and postural stability. The emphasis is on patient-centered approaches and education to foster treatment adherence and positive rehabilitation outcomes. The significance of interdisciplinary collaboration is highlighted, focusing on how rehabilitation nursing optimizes patient care and mitigates complications. The paper advocates for recognizing and integrating rehabilitation nursing in managing MGSC-related disorders, emphasizing its importance in achieving successful functional outcomes.
内侧腓肠肌静息挛缩(MGSCs)很常见,尤其会影响功能状态,并增加足部和踝关节疾病的风险,在老年人群中尤为明显。尽管传统上由足病医生和物理治疗师进行管理,但康复护理在解决MGSCs方面的作用正得到认可。本文阐明了康复护理对MGSC患者功能康复的贡献,并强调了其在多学科团队中的重要作用。首先,本文定义了MGSCs的临床和生理特征及其在足部和踝关节疾病中的影响。然后,它细致地探讨了康复护理干预措施,包括个性化的拉伸方案、振动疗法、平衡练习和明智的鞋类选择,强调了它们在增强肌肉灵活性、关节活动度和姿势稳定性方面的功效。重点是以患者为中心的方法和教育,以促进治疗依从性和积极的康复结果。强调了跨学科合作的重要性,重点关注康复护理如何优化患者护理并减轻并发症。本文主张在管理与MGSC相关的疾病时认识并整合康复护理,强调其在实现成功功能结果方面的重要性。