Strategie Comportamentali per la Riabilitazione
Nella gestione dell’artrosi è fondamentale adottare specifici principi comportamentali per ottimizzare il recupero e prevenire l’aggravamento della condizione. Queste strategie mirano a modificare le abitudini quotidiane del paziente per ridurre il carico articolare, migliorare la funzionalità e facilitare la riabilitazione. Adottare raccomandazioni comportamentali appropriate non solo aiuta a gestire i sintomi, ma contribuisce anche a mantenere i progressi raggiunti durante il trattamento. Di seguito sono riportati i principali orientamenti comportamentali raccomandati per il paziente, al fine di garantire un’efficace riabilitazione e una migliore qualità della vita;
• Evitare attività che richiedono una presa intensa, sollevamento di oggetti pesanti, e movimenti di rotazione e torsione delle articolazioni.
• Utilizzare apparecchi morbidi e tutori che facilitano l’esecuzione corretta dei gesti e dei movimenti, riducendo lo stress articolare.
• Minimizzare attività prolungate e ripetitive, preferendo una presa più spessa rispetto a una più sottile per ridurre il carico sui tessuti.
• Mantenere un monitoraggio costante con il terapista, poiché il trattamento è un processo dinamico che richiede adattamenti in base all’evoluzione della patologia e agli obiettivi terapeutici.
• Collaborare strettamente con il chirurgo della mano per un approccio integrato e multidisciplinare nella gestione del paziente,
• Implementare strategie per la gestione del dolore, come l’uso di tecniche di rilassamento e modifiche ergonomiche dell’ambiente di lavoro e domestico
• Educare il paziente su come evitare attività ad alta vibrazione, come l’uso di martellio pneumatici, trapani, macchine da cucine, scooter e biciclette, che possono aggravare la condizione.
Dopo una valutazione inziale funzionale, il paziente viene istruito sui principi di economia articolare, enfatizzando l’uso della flessione dell’articolazione IF del pollice, IFP e IFD delle dita. Si raccomanda di iniziare con prese grossolane e di ridurre l’uso intensivo della mano per migliorare il controllo del dolore e affinare le abilità manuali fini. È essenziale distribuire il carico tra entrambe le mani.
Behavioral Strategies for Rehabilitation
In managing osteoarthritis, adopting specific behavioral principles is essential for optimizing recovery and preventing the worsening of the condition. These strategies aim to modify the patient’s daily habits to reduce joint strain, improve functionality, and facilitate rehabilitation. Adopting appropriate behavioral recommendations not only helps manage symptoms but also contributes to maintaining the progress achieved during treatment. Below are the key behavioral guidelines recommended for patients to ensure effective rehabilitation and a better quality of life:
• Avoid activities that require intense gripping, lifting heavy objects, and rotational or twisting movements of the joints.
• Use soft devices and braces that assist in performing movements correctly and reduce joint stress.
• Minimize prolonged and repetitive activities, opting for thicker grips rather than thinner ones to reduce strain on the tissues.
• Maintain constant communication with the therapist, as treatment is a dynamic process requiring adjustments based on the evolution of the condition and therapeutic goals.
• Work closely with the hand surgeon to implement an integrated, multidisciplinary approach in managing the patient’s care.
• Implement pain management strategies, such as relaxation techniques and ergonomic modifications to the home and work environment.
• Educate the patient on avoiding high-vibration activities, such as using pneumatic hammers, drills, kitchen machines, scooters, and bicycles, which may aggravate the condition.
After an initial functional evaluation, the patient is instructed on the principles of joint economy, emphasizing the use of the flexion of the thumb IP joint and the PIP and DIP joints of the fingers. It is recommended to start with gross grips and reduce intensive hand use to improve pain control and fine-tune manual skills. Distributing the load between both hands is essential to reduce strain and ensure long-term hand functionality.
Behavioral Strategies for Rehabilitation
In managing osteoarthritis, adopting specific behavioral principles is essential for optimizing recovery and preventing the worsening of the condition. These strategies aim to modify the patient’s daily habits to reduce joint strain, improve functionality, and facilitate rehabilitation. Adopting appropriate behavioral recommendations not only helps manage symptoms but also contributes to maintaining the progress achieved during treatment. Below are the key behavioral guidelines recommended for patients to ensure effective rehabilitation and a better quality of life:
• Avoid activities that require intense gripping, lifting heavy objects, and rotational or twisting movements of the joints.
• Use soft devices and braces that assist in performing movements correctly and reduce joint stress.
• Minimize prolonged and repetitive activities, opting for thicker grips rather than thinner ones to reduce strain on the tissues.
• Maintain constant communication with the therapist, as treatment is a dynamic process requiring adjustments based on the evolution of the condition and therapeutic goals.
• Work closely with the hand surgeon to implement an integrated, multidisciplinary approach in managing the patient’s care.
• Implement pain management strategies, such as relaxation techniques and ergonomic modifications to the home and work environment.
• Educate the patient on avoiding high-vibration activities, such as using pneumatic hammers, drills, kitchen machines, scooters, and bicycles, which may aggravate the condition.
After an initial functional evaluation, the patient is instructed on the principles of joint economy, emphasizing the use of the flexion of the thumb IP joint and the PIP and DIP joints of the fingers. It is recommended to start with gross grips and reduce intensive hand use to improve pain control and fine-tune manual skills. Distributing the load between both hands is essential to reduce strain and ensure long-term hand functionality.