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3, Você recebeu um encaminhamento para “avaliar e tratar” um paciente de 62 anos de idade que foi submetido a uma artroplastia total de ombro para ostcoartrite há 2 sema- nas. O paciente vem usando uma lipóia para suporte e proteção do ombro operado, mas Lem permissão para re- movê-la diariamente para fazcr exercícios pendulares ADM ativa de cotovelo, punho c mão. - Antes de iniciar seu exame c desenvolver um progra- ma de exercícios, que informação adicional você pre- cisaria ter do cirurgião? * Que informação vocé gostaria de colher do paciente? « Quais procedimentos de exame você desejaria realizar durante a visita inicial do paciente? * O seguro do paciente provavelmente aprovará, de início, CAPÍTULO 17 Ombroc Cintura Escapular 577 seis visitas. Desenvolva, implemente, ensine e, então, faça a progressão de uma série de exercícios ao longo de um período de sei is meses atrás, seu paciente foi submerido a uma cirurgia para reparo de uma lesão de Bankart e estahilização da cáp- sula anterior (ajuste capsular), após uma luxação anterior traumática da articulação GU. O paciente agora tem ADM completa e 90% de força no ombro após o programa de reabilitação. Ele descja voltar a praticar esportes recreati- vos, como tênis, soflball e vólci, mas teme que o ombro possa luxar durante essas atividades. Elabore um programa de reabilitação avançada para que o paciente retorne gra- dualmente às atividades recreativas desejadas. REFERÊNCIAS BIBLIOGRÁFICAS 1 Alichek, DZ etal: Arlhroscopic acromioplesty: technique and results. T Bone Joint Surg Am 72:1198, 1990, 2. American Physical Therapy Association: Guide to Physical Therapist Practice, ed 2. Phys Ther 81:9 744, 2001. 3. 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