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Physical rehabilitation after myocutaneous flaps
G Har-El1, Y P Krespi, R Har-El
1Department of Otolaryngology, State University of New York, Brooklyn.
Head & Neck
|May 1, 1990
Summary
Physical therapy is crucial for preventing functional loss after head and neck reconstruction using shoulder flaps. This program focuses on shoulder muscle rehabilitation to restore range of motion and prevent complications.
Area of Science:
- Reconstructive surgery
- Physical therapy
- Anatomy and kinesiology
Background:
- Head and neck reconstruction frequently utilizes flaps from the neck, shoulder, and upper trunk.
- Donor site morbidity can lead to functional deficits if not managed.
- A structured physical therapy program is essential for mitigating these issues.
Observation:
- The anatomy, physiology, and kinesiology of shoulder muscles used in myocutaneous flaps are reviewed.
- Functional deficits and compensatory mechanisms of these muscles are described.
- Specific exercise protocols were developed for targeted muscle groups.
Findings:
- Immediate post-operative care should focus on preventing "frozen shoulder" and protecting the transposed muscle pedicle from tension and torsion.
- Long-term goals include strengthening agonistic muscles and retraining correct usage.
- Regaining a full range of motion is the primary objective of the rehabilitation.
Implications:
- Implementing this physical therapy program can prevent permanent functional disabilities in patients undergoing head and neck reconstruction.
- Early and late rehabilitation strategies are vital for optimal patient outcomes.
- Understanding muscle function and biomechanics is key to effective post-surgical recovery.