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UNIVERSITATEA DE MEDICIN I FARMACIEVICTOR BABE TIMIOARAFACULTATEA DE MEDICINSpecializarea Medicin !eneral

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TIMIOARA /010CUPRINS

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INTRODUCERE ............................................................................pag

TEHNICILE SI METODELE RECUPERARII MEDICALE........pagFACTORII NATURALI DE CUR ..............................................pagHIDROTERMOTERAPIA ........................................................... pag

ELECTROTERAPIA..................................................................... pagTERAPIA MANUALA ................................................................. pagKINETOTERAPIA ........................................................................ pag

RECUPERAREA MEDICAL N PRINIPALELE TIPURI DEPATOLOGIE ................................................................................ pagBOALA ARTROZIC ............................................................... pagLOMBALGIA .............................................................................. pagSINDROAMELE MIOFASCIALE ............................................. pagPOLIARTRITA REUMATOID ................................................ pagSPONDILITA ANCHILOZANT .............................................. pagARTROPATIA PSORIATICA ..................................................... pagLUPUSUL ERITEMATOS SISTEMIC ....................................... pagREUMATISMUL ABARTICULAR..pag NOTIUNI DE RECUPERARE IN DIVERSE PATOLOGII..pagACCIDENTELE VASCULARE CEREBRALE ........................... pag

BIBLIOGRAFIE ............................................................................ pag

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-4#a/--$ !#"p-0a/-- )" a&- "$ )- #(!#a,)a!-+)" p#-& ,&" !" p&",)a!- ";- )"0-, , &(:" #"+p-#a!(#--;- )"0-, p( ,a! , )"!a " g#" ";- apa p(!a4- * , a#"&/* 0" -(0;- FR 0-& )"0-, -&!"#&;- !, 4,#*#- a " )"!a4( -+), ,- -p-0- $ g , -0- $ a - ;- ?-p"#,#- ")-".

C)n-raindica=ii de )rdin *eneral ale c"rei (alneare

S" #" "#* a +!*#- -3-( (g- " 6- pa!( (g- " a#" &, +,&! ()pa!-4- " , !"#ap-a p#-&&a!,#a -9

- +a# -&a 6- p"#-(a0a 0" a *p!a#";- a " /-,&- %& +!a0-, a ,!;- a " /-,&- #(&- " %& a3* 0" a ,!-3a#";- !,)(#- )a -g&";- 4( - " +5&g" ,- 6- a " (#ga&" (# ?")a!(p("!- ";- ?")(#ag-- #"p"!a!";- +!*#- " a6" !- " -&0- "#"&! 0" a,3*;-

p,#!*!(#-- 0" g"#)"&- pa!(g"&-;- 4( - " pa#a3-!a#";- "p- "p+-";- p+-?(pa!--;- a (( -+) #(&- .

C)n-raindica=ii #peciale ale c"rei (alneare

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- +!a0-- " a a&+a!" a " a " /-,&- (# -&0- a!" p"&!#, !#a!a)"&!, 4a &"( -)a!"#- ;- a " /-,&- , p(!"&/-a -)p(#!a&! 0" 0" ()p"&+a#";- a " /-,&- , #-+ ,#- 0" a -0"&!".

Reac=ia (alnear

C,p#-&0" )(0- - *#- " "g"!a!- " 0"!"#)-&a!" 0" a /-,&"a ": -!a&!* a a !(#- (# &,!- -3a/- %& !#a!a)"&!" " 4a &"( -)a!"#- " a+,p#a (#ga&-+), ,- ,)a&. S" )a&- "+!* p#-&&"+p" - - " 0" !-p a0ap!a!- $ a#" 0"p-&0 0" &- " , #"a !- -!*/-- -&0- -0,a " 9 a " a6- 0" a&6a #"a /-- )(0"#a!" +a, )a# a!"$ p,!5&0 -& ,"&/a " ( ,/-a ,&"- pa!( (g-- -" %& +"&+

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II, 2IDROTERMOTERA+IA

1.NOTIUNI DE TERMOREGLARE

Ter%)re*larea "+!" 0" -&-!* a ,& ()p ": 0" )" a&-+)" p#-& a#" (#ga&-+), %6- )"&/-a (#- " ?()"(+!a!- " a " !")p"#a!,#-- &, ", ,- "&!#a .

T"#)(#"a /-a "+!" p#(p#-"!a!"a 0" a +"+-3a +"&3a/-a 0" #" "' a 0 a +!-), - a *#(# !")p"#"+!" )a- )- * +a, )a- )a#" 0" 5! !")p"#a!,#a !"g,)"&!, ,-.

C a+- - a#"a !"#)(#"g a#--91.C?-)- * ' (&+!* %& #"6!"#"a +a, 0-)-&,a#"a p#(0, "#-- 0" * 0,#* p#(p#-" 0" *!#" (#ga& "+!" 0" a&6a!* 0"9

- + *0"#"a T )"0-, ,- a)4-a&! +,4 g#a0" !"#)(g"&"3*;- #"6!"#"a T )"0-, ,- a)4-a&! p"+!" g#a0" !"#)( -3*;

2.F-3- * p#-& #"g a#"a + ?-)4,#- (# a (#- " %&!#" (#ga&-+) 6- )"0-, ":!"#&9- -#a0-"#"


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H-p"#!"#)-a #"+!"#"a !")p"#a!,#-- "&!#a " 5&0 !")p"#a!,#a )"0-, ,- #"+!" p"+!a&,)-!* -)-!* +- !"#)( -3a "+!" 0"pa+-!*.

H-p(!"#)-a + *0"#"a !")p"#a!,#-- "&!#a " 5&0 + *0"#"a !")p"#a!,#-- 0"p*6"a&,)-!" -)-!" 0"!"#)-&5&0 !"#)(g"&"3* &"!#"),#5&0* , #"+!"#"a a#0"#- (# )"!a4( -6- !-+, a#" a &- " , -4#"- ),+ , a#" 0a# *#* (&!#a /-- -3-4- " Q )"!a4( -+), ,- ?"pa!- . Da * !")p"#a!,#a "&!#a * &, #"+!" a &- " -3-( (g- !"#)(g"&"3a !#"),#5&0* , #"+!"#"a )"!a4( -+), ,- ),+ , a# , apa#-/-a 0" (&!#a /- p,!"#&- " 6- +a a0a!"$ " p,& %& a (a#" 4a3-&, !"#)(g"&"!- a ),6 ?- (#.

)na cen-ral ( 0a * -# , a/-a +p a &- * 6- p,

a/* +( - -!*#- (#;- -# , a/-a (#(&a#-a&* 9 -&!"# -&" 0a * ":-+!* +( - -!*#- a " (#0, ,-;- -# , a/-a "#"4#a * 9 &, p#"3-&!* a#-a/-- --&0 (a#!" -:*.

F,& /-- " 3(&"- "&!#a %& !"#)(#"g a#"9- !")p"#a!,#a &, "+!" "ga * --&0 )a- #"+ ,!* %& 3(&a 0" !"#)(p#(0, /-" < - a!= -a# "ga

"- +" a " p#-& a)"+!" , +5&g" ,- %& a -!*/- " (#p, ,- 6- ap(- +" 0-+!#-4,-" +5&g" !")p"#a!,#*;

- &, p#"3-&!* +"&3(#- 6- 0" a ""a a 0,#a "&0(!-+, a#* "+!" #")a&"&!*.

B,Mecani#%e circ"la-)rii de reac=ie #i#-e%a-ic la aplica-ii -er%)-erapice4- L"g"a #"a /-"- (&+"&+,a " O!! #-"0 ' M_ "#9 !(a!* -# , a/-a ,& /-(&a * p"#-

!"#)(#"g a#" ":-+!"&!* %& 3(&a p"#- "#- *= #"a /-(&"a3* %& a " a6- " %& ,& /-"- L"g"a Da+!#" ' M(#a! , )(0- - *#- " ,- Ha, "9 a+" " +a&g,-&" %&a-&!" 0" #a)- - a

pa#"&?-), (#ga&" (# +" ()p(#!* a&!ag(&- a/* 0" a+" " -# , a/-"- p"#- "#- " -&!#a#"a (# %& pa#"&?-), (#ga&" (# +" ()p(#!* (&+"&+,a , a+" " 0-& !"g,)"&!;

- L"g"a #" ":, ,- (&+"&+,a )"!a)"#- K-#- -&+ -9 a ap - a#"a +!-), , ,- p#( "+, +" #*+p5&0"6!" p#-& #" ": )"!a)"#- %& 3(&a )"!a)"#, ,- (#"+p,&3*!(# < " (&/-&"

/"+,! " , a# +,4 ,!a&a!$ ),6 ?-$ /"+,! p#( ,&0$ (#ga& p#( ,&0=.C,ScGi%("rile de J ale )r*ani#%"l"i c" %edi"l4Tran#&er"l c)nd"c-i. !#a&+ "# )( " , a# 0-& ap#(ap" %& ap#(ap" 0" $ ' $2 a @)2S

(#p(#a *. (#p, &(+!#, +" ()p(#!* a ,& (#p a 0 -a# )"0-, "+!" 0" #"g, *$ )a- #" " 0"

(#ga&-+), 9 )"0-, 0-& >,# p#"-a ( pa#!" 0-& a 0,#* p#-& !#a&+ "# (&0, !- ;- a"#, a#" !"#)( (&0, !-4- -!a!" + *3,!* +- p-"#0"#- " 0" * 0,#* )- -;- - ?-0,


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#"3-+!- -!a!" #"+ ,!* (&0, !-4- -!a!" + a3,!*.Apa9 apa# )( " , " a0"#"&!" 0" !"g,)"&! 6- a 5&0 #"3-+!- -!a!" + *3,!* (&0, !-4- -!a!"

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a (#a4- *;- #" !"#"a a 12 ' 1 4@)-& +a, p, +, 0" -&" &"#"g, a! %& ,#+, ,&(# p#(

!"#)(!"#ap-" g"&"#a * +,&! (&+-0"#a!" #"a /-" &" a (#a4- *.Ap#" -"#"a (" - -"&!, ,- H- 0"4#a&0 (" - -"&!, p, +@#"+p-#a/-"9

- %& )(0 &(#)a ;- 0a * (" - -"&!, "+!" )a- )- 0" -&0- * !( "#a&/* )(0"#a!* a p#( "0,#a #"+p" !- *.

Ap#" -"#"a +"&3a/-- (# +,4-" !- " a " 4( &a , ,-9D,#"#"a %& ":!#")-!*/- a #" "$ %& !-)p, p#(0, "#--9- (&+-0"#a!* a #"a /-" &(#)a * 0a * 0-+pa#" a + 5#6-!, p#( "0,#--;- 0a * p"#+-+!* 0,p* p#( "0,#* 6- +" %&+(/"6!" 0" pa (a#"$ -a&(3*$ #-g %& ":!#")-!

#"a /-a "+!" a&(#)a * +- +" %&!#"#,p" !#a!a)"&!, .S"&3a/-a 0" a#+,#* a p#( "0,#- " -"#4-&/-9- p" +,p#a a/* -)-!a!* "a !#"4,-" +,p(#!a!* 0" 4( &a ;

- 0a * apa#" %&+* 0,#"#" %& ":!#")-!*/- a pa -"&!-- a+ , a#-- p"#- "#- -@p#"(#(&a#-"&-@a40()-&a * +" %&!#"#,p" !#a!a)"&!, .S")&" " " apa# !a#0- 0,p* p#( "0,#*9 !, 4,#*#- 0" +()&$ ap"!-!. TR " +,&! +")&"

!, 4,#*#- (# 0" #"g a#" 0a!(#-!* +,p#a0(3*#-- 6- !#"4,-"+ 0- "#"&/-a!" 0" #"a /-a 4a &"a#*.Ap#" -"#"a #"a /-"- 0"#)( a+ , a#"


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6, Fric=i"nileF#- /-,&- " +,&! p#( "0,#- %& a#" p" 5&g* a !(#, !"#)- -&!"# -&" %& )a#" )*+,#*)" a&- . A, a #"3, !a! ( #"a /-" a+ , a#* < a+( 0- a!a/-" a #" "=.M(0,#- 0" ap - a#"9

- pa#/-a "$ a#" -&!"#"+"a3* ":!#")-!*/- ";- ()p "!"$ 0" (4- "- #" -.

C a+- - a#" 0,p* !")p"#a!,#*9- #" -91J'1 b C- a !"#&a&!"9 ' b C , 1J 1 b C.Fric-i"nile par-iale reci ' 4( &a , 0"34#* a! "+!" a6"3a! p" ,& pa! 6- "+!" %& " -! %& "

p*!,#*$ a 5&0 0"+ (p"#-!* &,)a- ":!#")-!a!"a a+,p#a *#"-a +" a /-(&"a3*. C, ,& p#(+(p %&)%& ap* #" " 6- 4-&" +!(#+ +" a (p"#* )")4#, #"+p" !- $ +" -:"a3* 4-&" p#(+(p, a #)")4#, ,- 6- ap(- +" #- /-(&"a3* #ap-0 , a)4" " )5-&- p"+!" (#p$ , )-6 *#- ,&g-$ p5&a "+!a +" %& * 3"6!" ,6(#. Ap(- +" a (p"#* ":!#")-!a!"a , "a#6a , , a#" "+!" %& " -6- +" #"p"!* p#( "0,#a. & -&a +" a (p"#* , p*!,#a 6- +" !#" " ap(- a a ! )")4#,.Fric-i"nile par-iale al-ernan-e ' +" ( (+"6!" a ""a6- !"?&- *$ 0a# p#(+(p, -&-/-a "+!" %&%& ap* a 0*$ ap(- ,#)"a3* " #" "$ , pa# ,#g"#"a a " (#a6- "!ap".Fric-i"nile par=ial c)%ple-e ' +" #- /-(&"a3* %&!#'( +, "+-,&" p#"+!a4- -!* a !,!,+"g)"&!" (# (#p, ,-$ !"#ap",!, +!5&0 %& pa#!"a 0#"ap!* a 4( &a , ,-


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7, Sp l rileS,&! p#( "0,#- a a#" a /-(&"a3* %& p#-& -pa a !(#, !"#)- . A /-,&"a a !(#, ,

a4- . A ,3-,&- " (&+!a, 0-& !,#&*#- 0" ap* *#* p#"+-,&" a+,p#a#"g-,&- a " (#p, ,-$ , ( +!#(p-!(a#" *#* #(3"!* +a, , ,& ,#!,&.

C a+- - a#" 0,p* !")p"#a!,#* 9- R" -9 1 '22b C;- Ca 0"9 ' b C;- A !"#&a&!"9 ' b C$ ,#)a!" 0" 1 '22b C


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, B ileM"!(0* 0" HTT a#" ,), "a3* a /-,&"a ": -!a&!, ,- !"#)- 6- )" a&- ,)*!a!" ,)*!

-& "#-(a#* -)"#+a!* p5&* a ()4- - ;- 4( &a , %6- +pa * a/a 6- %6- a#,& * ap* +a, +" #- /-(&"a3* p" )5-&-$ !(#a "$- , ( a&* 0" 1'1$ $ 0-& p(3-/-" a!"#a * 6- p,/-& %&ap(-a 4( &a , ,-$ +" a

p,!"#&- " a+,p#a +pa!" ,- 6- ,)"#- (#$ 0" '1 (#-$ 6- ap(- +" #"a -3"a3* #- /-,&- , ap* p" +pa!" 6- p*#/- " a!"#a " a " !(#a " ,-;

- pa -"&!, +" , * p" +pa!"$ %6- %&0"p*#!"a3* p- -(a#" " 6- 0-& 0#"ap!a p- -(a'1 !,#&*#- p" p-"p!;

- !"#ap",!, !#" " #ap-0 a ap, 4( &a , ,- 6- #- /-(&"a3* +,4 ap* %& (#0-&"a&!"#-(a#* 6- a!"#a " a " !(#a " ,-$ ap(- a40()"&, $ %& +"&+, " a ,*#-- -&!"+

- +" #- /-(&"a3*$ , )-6 *#- ,&g- +,4 ap*$ )")4#, +,p"#-(# 0" pa#!"a (p,+* 6- ap(- a ""a6- pa#!" 6- )")4#" " -& "#-(a#" %& a ""a6- (#0-&";

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4*- a 0"9 J' b C9T JbC , a&!, ,-$ " " ()p "!5&0,'+" #" -p#( . T(!(0a!* apa#" ( +!a#" 0a 4( &a , ,-$ , #"6!"#"a (& (#!, ,- -3- 6- p+-?- .


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(&+!-pa -" ?a4-!,a *; a#- " -& -p-"&!" < a (#-3"a3* -# , a/-a 0" %&!(a# "#"=.C(&!#a-&0- a/--9

- #ag- -!a!" a+ , a#*;- a#- " %& +!a0-, a a&+a!.

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%&!#"g-)"$ %& )a!"#-a " 0- "#+" 6- 0,p* !"?&- - 0- "#"&/-a!". S" 4a3"a3* p" a /-,&"a ":!"#)- $ a a#" +" a0a,g* a !(#, ?-)- %& a3,#- " %& a#" +" ap - * 0- "#+" +,4+!a&/" aS" a+- - * %& 9I%pacGe- rile U%ede9

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