Professional Documents
Culture Documents
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| - spirometrie, analiza gazelor sanguine;
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| - testarea mobilitii articulare, scal de gradare
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| a forei musculare;
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| - indice de mas corporal;
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| - analize de laborator: hemoleucogram,
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| biochimie etc.;
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| - scale specifice cicatricilor deformante: SUAC,
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| BSHS-R, UCLA, OBERG, completate de ctre
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| - medicii specialiti, ataate referatelor de
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| specialitate;
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| - scale de evaluare a autonomiei: ADL, IADL etc.
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|________________________|
_____________________________________________________|
| DEFICIEN | HANDICAP | - cicatrici deformante ale unui membru superior, cu
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| MEDIE
| MEDIU
| redoare strns sau anchiloz de umr i cot,
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| asociat sau nu cu tulburri neurologice, cu
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| afectarea moderat a prehensiunii i manipulaiei;
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| - deformri, redori i anchiloze de mini
bilateral;|
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| - amputaia policelui de la nivelul unei mini,
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| asociat cu cicatrici deformante, cu
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| realizrii prehensiunii, cu pstrarea integritii
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| funcionale a membrului contralateral;
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| - afectare moderat a prehensiunii la nivelul
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| ambelor mini prin leziuni la nivelul degetelor II,
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| III, IV i V de tipul: anchilozelor articulare,
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| amputaiilor digitale pariale, afectrilor
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| tendoanelor flexoare i extensoare cu deformri
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| digitale (deget n butonier, deget n gt de
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| lebd);
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uoar/medie|
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| sau nu cu cicatrici postcombustionale localizate la
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| nivelul scalpului, cu alopecie restant ce
depete|
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| 50% din suprafaa scalpului;
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| - cicatrici postcombustionale localizate la nivelul
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| pleoapelor, ce determin modificri moderate ale
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| ocluziei palpebrale, cu rsunet asupra
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| funcionalitii oculare pe termen lung
(obiectivate|
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| de medicul oftalmolog), ce necesit tratament
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| chirurgical de corectare pn la soluionarea
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| chirurgical;
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| - cicatrici postcombustionale localizate la nivelul
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| regiunii nazale, cu afectare moderat a respiraiei
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| din cauza devierii cicatriciale a septului, precum
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| i a asimetriei narinare cicatriciale - leziuni ce
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| necesit tratament chirurgical de corectare pn la
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| soluionarea chirurgical;
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| - cicatrici postcombustionale localizate la nivelul
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| buzelor, ce determin modificri moderate ale
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| alimentaiei, procesului de masticaie, pronunie,
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| constnd n limitarea deschiderii i ocluzia
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| incomplet, dar fr afectarea strii nutriionale
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| pacientului - leziuni ce necesit tratament
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| chirurgical de corectare pn la soluionarea
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| chirurgical;
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| - deficiena medie vizual, respiratorie, renal,
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| hepatic, conform ncadrrii de la capitolele
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| respective.
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|____________|___________|
_____________________________________________________|
| DEFICIEN | HANDICAP
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| ACCENTUAT | ACCENTUAT
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localizate|
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(flexie/extensie,|
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unui|
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att|
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cu|
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| supradiacente;
| scalpului;
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| soluionarea chirurgical;
| chirurgical;
| la capitolele respective;
| capitolele respective.
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| terapeutic a acestor deficite, ncadrarea n grad
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| de handicap se poate stabili la un grad superior.
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|____________|___________|
_____________________________________________________|
| DEFICIEN | HANDICAP | - cicatrici deformante generalizate sau/i afectri
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| GRAV
| GRAV
| musculotendinoase ale membrelor inferioare i
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| superioare sau/i ale articulaiilor mari - old,
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| genunchi -, bilateral, n stadiul sever, n cursul
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| terapiei de reabilitare sau neoperabile sau cu
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| complicaii tardive postoperatorii, n afara
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| resurselor terapeutice, care determin limitarea
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| total a ortostatismului i locomoiei, necesitnd
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| fotoliu rulant pentru deplasarea n interiorul sau
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| exteriorul locuinei sau imobilizare total i
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| sprijin din partea altei persoane pentru
autoservire|
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| i autongrijire;
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| - amputaia tuturor degetelor de la ambele mini,
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| asociate cu bride cicatriciale i afectri
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| articulare, la orice nivel al membrelor superioare;
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| - amputaia unui membru superior la orice nivel,
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| asociat cu limitarea total de prehensiune i
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| manipulaie la membrul controlateral;
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| - alte tulburri neurologice, amputaii, care
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| genereaz o deficien funcional grav, conform
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| ncadrrii de la capitolele respective;
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| - sechele cicatriciale postcombustionale care reduc
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| capacitatea pulmonar total, persoana necesitnd
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| dispozitive medicale externe de tip OLD;
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| - cicatrici postcombustionale localizate la nivelul
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| feei, care afecteaz sever ocluzia palpebral, cu
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| leziuni conjunctivale, corneene sau ale altor
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| structuri ale ochiului, exprimate prin pierderea
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| acuitii vizuale, obiectivate prin consult
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| oftalmologic.
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| Stabilirea deficienei grave vizuale, respiratorii,
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| renale, hepatice se realizeaz conform ncadrrii
de|
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| la capitolele respective.
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| n funcie de rezultatul evalurii complexe,
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| persoana poate fi ncadrat n grad de handicap
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| grav, cu asistent personal, n situaia n care are
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| pierdut total capacitatea de autoservire,
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| autongrijire i necesit sprijin permanent, sau
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| grav fr asistent personal, atunci cnd necesit
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| sprijin parial pentru activitile cotidiene.
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|____________|___________|
_____________________________________________________|
| Relaionarea interpersonal
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0
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1
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2
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3 |
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|___________________________________|_______|__________|________|______|
_______|
| Activitatea interpersonal
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|___________________________________|_______|__________|________|______|
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| Termorecepia
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|___________________________________|_______|__________|________|______|
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| Organizarea tratamentului
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|___________________________________|_______|__________|________|______|
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________________________________________________________________________
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Categorie
| Puncte |
|_______________________________________________________________|________|
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Durere (maximal 10 puncte)
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| Durere pronunat, permanent, cupat cu analgezice puternice |
1
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|_______________________________________________________________|________|
| Durere periodic, la efort, cupat cu analgezice
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2
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|_______________________________________________________________|________|
| Durere moderat, permanent, cupat cu preparate salicilate
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4
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|_______________________________________________________________|________|
| Durere moderat, la efort, cupat cu preparate salicilate
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6
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|_______________________________________________________________|________|
| Durere uoar, periodic
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8
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|_______________________________________________________________|________|
| Fr durere
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10
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|_______________________________________________________________|________|
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Activitate zilnic (maximal 10 puncte)
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|________________________________________________________________________|
| Impoten funcional total
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1
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|_______________________________________________________________|________|
| Micri uoare
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2
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|_______________________________________________________________|________|
| Lucrul uor prin cas
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4
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|_______________________________________________________________|________|
| Deservire de sine stttoare
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6
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|_______________________________________________________________|________|
| Limitare nensemnat
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8
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|_______________________________________________________________|________|
| Nelimitat
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10
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|_______________________________________________________________|________|
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Satisfacia pacientului (maximal 5 puncte)
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|________________________________________________________________________|
| Nemulumit i agravare
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0
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|_______________________________________________________________|________|
| Mulumit i ameliorare
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5
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|_______________________________________________________________|________|
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Volumul micrilor (maximal 5 puncte)
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|________________________________________________________________________|
| < 30
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0
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|_______________________________________________________________|________|
| 30 - 45
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1
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|_______________________________________________________________|________|
| 45 - 90
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2
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|_______________________________________________________________|________|
| 90 - 120
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3
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|_______________________________________________________________|________|
| 120 - 150
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4
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|_______________________________________________________________|________|
| > 150
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5
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|_______________________________________________________________|________|
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Aprecierea puterii musculare (maximal 5 puncte)
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|________________________________________________________________________|
| Obinuit
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5
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|_______________________________________________________________|________|
| Bun
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4
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|_______________________________________________________________|________|
| Relativ sczut
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3
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|_______________________________________________________________|________|
| Sczut considerabil
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2
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|_______________________________________________________________|________|
| Rigiditate muscular
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1
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|_______________________________________________________________|________|
| Incapacitate muscular
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0
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|_______________________________________________________________|________|
|_________________|____________|___________|___________|____________|
__________|
| Deficit de
| 0
| 5
| 10
| 15
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| extensie
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|_________________|____________|___________|___________|____________|
__________|
| Abducia
| > 15
| 15
| 10
| 5
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| femurului
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|_________________|____________|___________|___________|____________|
__________|
| Adducia
| > 15
| 15
| 10
| 5
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| femurului
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|_________________|____________|___________|___________|____________|
__________|
| Flexia gambei
| > 115
| 100 - 115| 85 - 95 | 70 - 80
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|_________________|____________|___________|___________|____________|
__________|
| Deficit de
| 0
| 5
| 10
| 15
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| extensie
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|_________________|____________|___________|___________|____________|
__________|
| Ridicarea din
| > 25 cm
| 16 - 24 cm| 10 - 15 cm| 5 - 9 cm
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| poziia
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| semieznd
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|_________________|____________|___________|___________|____________|
__________|
| Ridicare/Aezare| 35 cm
| 40 cm
| 45 cm
| 50 cm
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|_________________|____________|___________|___________|____________|
__________|
| nlimea
| 45 cm
| 40 cm
| 25 cm
| 17 cm
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| treptei
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|_________________|____________|___________|___________|____________|
__________|
| Staionare
| 40 - 60
| 25 - 39
| 15 - 24
| 5 - 14 sec.|
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| picior
| sec.
| sec.
| sec.
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|_________________|____________|___________|___________|____________|
__________|
| Ridicare scri | independent| monosuport| suport
| suport
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> 15
< 65
> 15
< 5 cm
> 55 cm
< 10 cm
< 5 sec.
nu poate
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| dublu
| suplimentar|
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|_________________|____________|___________|___________|____________|
__________|
| Deplasare
| > 1,4
| 1 - 1,3
| 0,7 - 0,9 | 0,5 - 0,6 |
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| (m/sec.)
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|_________________|____________|___________|___________|____________|
__________|
| Ajutor
| fr
| 2 crje
| mergtor | crucior
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|_________________|____________|___________|___________|____________|
__________|
| Conduce
| fr limite| autocamion| autoturism| pasager
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| transport
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|_________________|____________|___________|___________|____________|
__________|
| Lucrul n cas | fr limite| cu durere | limitat
| nu lucreaz|
|
|_________________|____________|___________|___________|____________|
__________|
| Activitate
| fr limite| lucreaz | ajutor
| ajutor
|
n|
| zilnic
|
| eznd
| periodic | permanent |
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|_________________|____________|___________|___________|____________|
__________|
| Hobby
| fr limite| cu durere | 50%
| limitat
|
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| sever
|
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|_________________|____________|___________|___________|____________|
__________|
| Durere
| fr
| efort
| repaus
| efort i
|
permanent|
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| repaus
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|_________________|____________|___________|___________|____________|
__________|
< 0,5
nu merge
special
nu poate
ajutor
toate
limitat
complet
|Pigmentare
|normal
|hipo|pigmentare |hiper|||
|
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|pigmentare |
|pigmentare|
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|_____________|_________|____________|___________|__________|____________|
_______|
|Vascularizare|normal
|roz
|rou
|purpuriu |||
|_____________|_________|____________|___________|__________|____________|
_______|
|Flexibilitate|normal |flexibil
|moderat
|ferm
|bride
|
redoare|
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|flexibil |
|cicatriciale|
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|_____________|_________|____________|___________|__________|____________|
_______|
|Grosime
|plat
|0 - 2 mm
|2 - 5 mm
|> 5 mm
|||
|_____________|_________|____________|___________|__________|____________|
_______|
|Relieful
|neted
|25%
|50%
|75%
|100%
||
|suprafeei
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|reliefat
|reliefat |reliefat |iregular
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|_____________|_________|____________|___________|__________|____________|
_______|
|Ulcerare
|absent |regenerare |persistent|progresiv|||
|_____________|_________|____________|___________|__________|____________|
_______|
|Temperatur |identic |sczut
|> 0,5C
|> 1C
|||
|_____________|_________|____________|___________|__________|____________|
_______|
|Prurit,
|absent |periodic,
|permanent, |permanent,|||
|parestezie
|
|nepronunat |moderat
|pronunat |
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|_____________|_________|____________|___________|__________|____________|
_______|
|Progresare
|absent |nepronunat|moderat
|pronunat|||
|_____________|_________|____________|___________|__________|____________|
_______|
|Sensibilitate|obinuit|mrit
|sczut
|absent
|||
|_____________|_________|____________|___________|__________|____________|
_______|
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