Portale SIVA sulle tecnologie per la disabilità e l'autonomia Portale SIVA sulle tecnologie per la disabilità e l'autonomia Don Carlo Gnocchi Onlus Foundation

L’uso degli splint nei pazienti affetti da Sclerosi Sistemica: una strategia vincente? MICHELE

Record number: 314
Last update: December 2010
Type of document: Thesis
Author: Negri L
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia", Università Cattolica e Fondazione Don Gnocchi, a, a, 2009-2010
Year of publication: 2010
Abstract:
(text automatically translated from Italian) The use of the ***splint in the patients with systemic sclerosis is certainly a valid aid in the treatment of the ***sclerodermico patient, is in the recovery of the deformities of the hand and of the fingers, it is in the recovery of the activities of the daily life. However, all the operating ones that deal this type of patients are not in agreement with this affirmation. The systemic sclerosis (said also ***sclerodermia) is one disease a lot invalidating, and if not diagnosed timely with prognosis ***infausta. The fibrous ones of the ***cute, above all of the hands and the ace, are accompanied to problems of the gastrointestinal, pulmonary apparatus, heart, kidney. Manifest a constant sign that in all the patients with variable intensity, is the phenomenon of ***Raynaud that has had to the ***spasmo of the digital arteries with consequent decrease of the blood perfusion, pallor of the fingers, pain and gradually in the time ***trofiche lesions, ***to ulcere, gangrene. This, is the point that perhaps puts in the use of the ***splint: the fear that the constriction of the fingers within a rigid material increases the phenomenon of ***Raynaud with serious consequences much for the hands of the patient. Only a precise and meticulous monitoring with accurate stairs of assesment allows to estimate, patient for patient, if the ***splint instrument to use less can be one or. The case of ***Michele, patient that suffers from systemic sclerosis, will allow us to study this aspect of the disease. In a relatively short time, ***dal 2004 to 2006, the disease changes the life of ***Michele, which loses the functionality and the fine motility of the hands and with these the possibility to work and to attend to its person. The consequent loss of the independence and also of the self-esteem does not make other that to aggravate the situation. The ***confezionamento of a ***splint bilateral that allowed it to support and to place the wrists, orienting effectively the hands in the space during its daily, working activity and of ***svago. The hospital admission in the specialistic Center of Rehabilitation in which job has allowed ***Michele to find the suitable solution to its problem. A ***multidisciplinary caretaking has to it ***ridato that that it had lost, the life that it loved to which it was not disposed to give up and happening has allowed it to return to re-use the hands with.
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