APPROACH TO PERSONS WITH SPINAL CORD INJURIES IN THE PATRONAGE PHYSIOTHERAPY

Ozljede kralježničke moždine (OKM) spadaju u jeden od najtežih ozljede koje mogu zadesiti ljudsko biće. Njihove posljedice su dalekosežne po obitelj, društvo, ekonomiju i naravno, po ozlijeđenu osobu. Osobama s OKM-om je potrebna rehabilitacija kako bi se oporavile što je više moguće i osposobile za daljnji život u novonastaloj situaciji. Uloga fizioterapeuta iznimno je bitna u provođenju i planiranju fizioterapijskih procedura. Od sprječavanja komplikacija, jačanja muskulature i vertikalizacija, fizioterapeut je osoba koja prati i planira cijeli proces fizioterapije. Vrlo specifična situacija je planiranje i provođenje fizioterapijskih procedura u patronaži i rad patronažnog terapeuta. Koliko god postoje sličnosti s fizioterapijom u medicinskoj ustanovi, toliko postoje i različitosti i specifičnosti patronažne fizioterapije. Na primjerima dvaju pacijenata s ozljedama kralješničke moždine detaljnije su prikazane sličnosti i različitosti, kako u dijagnostici, tako i u planiranju i provođenju fizioterapije u patronaži. Fizioterapija kod osoba s OKM-om ima zadaću sprječavanja mogućih komplikacija i provedbu rehabilitacije u određenoj mjeri. Susret sa specifičnošću dijagnoze i neadekvatnim uvjetima rada dio su svakodnevice rada u patronaži. Provođenja procedura u patronažnoj fizioterapiji i potreba osoba s OKM-om za njima ukazuje na važnost tog posebnog dijela fizioterapije.Spinal cord injuries (SCI) are known as one of the most serious injuries that can affect human being. Their consequences are far-reaching for the families, society, the economy, and of course, for the injured person. People with SCI need rehabilitation in order to recover as much as possible and prepare themselves for further life in the new situation. The role of the physiotherapist is extremely important in the implementation and planning of physiotherapy procedures. From prevention of complications, strengthening of musculature and verticalization, a physiotherapist is a person who monitors and plans the whole process of physiotherapy. A very specific situation is the planning and implementation of physiotherapy procedures in the patronage and the work of the patronage therapist. As much as there are similarities with physiotherapy in a medical institution, there are also differences and specifities of patronage physiotherapy. The examples of two patients with spinal cord injuries show similarities and differences in more detail, both in diagnosis and in the planning and implementation of patronage physiotherapy. Physiotherapy in people with SCI has the task of preventing possible complications and implementing rehabilitation to a certain extent. Encounter with the specificity of the diagnosis and inadequate working conditions are part of the everyday work in the patronage. The implementation of procedures in community physiotherapy and the need of people with SCI for them indicate the importance of this special part of physiotherapy