{"id":4345,"date":"2019-03-15T07:00:05","date_gmt":"2019-03-15T06:00:05","guid":{"rendered":"https:\/\/www.activasalut.com\/?p=4345"},"modified":"2019-03-14T18:19:26","modified_gmt":"2019-03-14T17:19:26","slug":"rizartrosis-pulgar","status":"publish","type":"post","link":"https:\/\/www.activasalut.com\/ca\/rizartrosis-pulgar\/","title":{"rendered":"Rizartrosi de polze"},"content":{"rendered":"\n<p>L&#8217;<strong><em>articulaci\u00f3 trapecimetacarpiana <\/em><\/strong>(TM) es localitza a la base de la columna m\u00f2bil del polze. \u00c9s la segona articulaci\u00f3 del membre superior m\u00e9s comunament afectada per l\u2019artrosi..<\/p>\n\n\n\n<!--more-->\n\n\n\n<h3>Qu\u00e8 \u00e9s la Rizartrosi del polze<\/h3>\n\n\n\n<p>La malaltia degenerativa d&#8217;aquesta articulaci\u00f3 es denomina <em>Rizartrosi<\/em>. \u00a0<\/p>\n\n\n\n<h3>Com es presenta <\/h3>\n\n\n\n<p><strong>Dolor d&#8217;intensitat variable a la base del dit polze que limita la funci\u00f3 de realitzar pin\u00e7a, prensi\u00f3 i amplitud per abastar objectes grans.  <\/strong><\/p>\n\n\n\n<h3>L&#8217;estad\u00edstica <\/h3>\n\n\n\n<p><em>Prevalen\u00e7a:\n42% en dones i 26% en homes (10-15 dones per cada home)<\/em><\/p>\n\n\n\n<p><em>Edat mitjana: 54 anys per a homes i 53 per a dones (1)<\/em><\/p>\n\n\n\n<h3>Una curiositat<\/h3>\n\n\n\n<p>Les forces articulars compressives que s&#8217;exerceixen en el tou del polze, durant la pin\u00e7a i l&#8217;agarri es multipliquen a nivell de l&#8217;articulaci\u00f3 <em>trapecimetacarpiana\u00a0(TM)<\/em>.<\/p>\n\n\n\n<h3>Un exemple<\/h3>\n\n\n\n<p>Si subjectem una moneda amb polze i \u00edndex amb una for\u00e7a d&#8217;un quilo, la nostra articulaci\u00f3 TM est\u00e0 fent una for\u00e7a de 13 quilos.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Els canvis articulars comencen a la base de l&#8217;articulaci\u00f3 <\/p><\/blockquote><\/figure>\n\n\n\n<h3>S\u00edmptomes<\/h3>\n\n\n\n<ul><li>Dolor localitzat en <em>l&#8217;emin\u00e8ncia t\u00e8nar<\/em> i a nivell de l&#8217;articulaci\u00f3 TM, en la realitzaci\u00f3 de moviments, especialment durant la pin\u00e7a i el puny. (2)<\/li><li>Alteracions en l\u2019anatomia del polze, destacant perduda de l&#8217;amplitud del polze (dificultat a posar la m\u00e0 plana, per realitzar pin\u00e7a amb precisi\u00f3,\u00a0 augment del volum articular sobretot la base del polze). (3)<\/li><li>Sensaci\u00f3 de lliscament\u00a0 i crepitaci\u00f3 articular.<\/li><\/ul>\n\n\n\n<h3><a href=\"https:\/\/www.activasalut.com\/ca\/enfermedades-reumaticas\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (abre en una nueva pesta\u00f1a)\">Educaci\u00f3 sanitaria<\/a><\/h3>\n\n\n\n<h4>Objectiu dels exercicis (4)<\/h4>\n\n\n\n<ul><li>Millorar la mobilitat articular dels dits\u00a0 <\/li><li>Mantenir el primer espai articular <\/li><li>Enfortir la musculatura abductora del polze per donar estabilitat<\/li><\/ul>\n\n\n\n<h4>Exercicis<\/h4>\n\n\n\n<p>3 s\u00e8ries de 15 repeticions lentes.<\/p>\n\n\n\n<p>1.Realitzar desc\u00e0rrega de la musculatura adductora del polze utilitzant una esfera dura per massejar la zona, la qual cosa vulgarment es diu <em>coixeta de pollastre<\/em>.<\/p>\n\n\n\n<p>2.Amplitud de la primera comissura, utilitzant un con o similar, col\u00b7locarem els dits \u00edndex i polze en forma de &#8220;O&#8221; subjectant un extrem del con, sempre mantindrem el tal\u00f3 de la m\u00e0 en contacte amb el con i evitarem compensacions amb la nina.<\/p>\n\n\n\n<p>3.Reeducar l&#8217;agarri, reaprendre a subjectar els objectes. Utilitzarem un recipient amb arr\u00f2s, agafarem l&#8217;arr\u00f2s amb la m\u00e0 per\u00f2 el mes important \u00e9s la col\u00b7locaci\u00f3 del polze que ha de quedar davant del 2\u00ba i 3\u00ba dit (\u00edndex i anul\u00b7lar). <em>&#8220;Observarem la forma de puny&#8221;.<\/em><\/p>\n\n\n\n<p>Canviarem l&#8217;arr\u00f2s d&#8217;un recipient a un altre\namb grapats.<\/p>\n\n\n\n<p>IMPORTANT: &#8220;NO s&#8217;ha d&#8217;ESTR\u00c8NYER\nl&#8217;arr\u00f2s&#8221;. <\/p>\n\n\n\n<h3>F\u00e8rules<\/h3>\n\n\n\n<p>1. F\u00e8rules de rep\u00f2s (nocturn). Per mantenir\nles amplituds articulars i descans.<\/p>\n\n\n\n<p>2. F\u00e8rules funcionals (per realitzar\nactivitats quotidianes). Per estabilitzar l&#8217;articulaci\u00f3 <em>trapecimetacarpiana<\/em> en realitzar activitat quotidiana.<\/p>\n\n\n\n<h3> Ajudes t\u00e8cniques\/ elements d&#8217;ajuda <\/h3>\n\n\n\n<p>Els agarris dels <strong>utensilis<\/strong> que usem en el nostre dia a dia \u00e9s recomanable que siguin <strong>gruixuts<\/strong>.<\/p>\n\n\n\n<ul><li> Obre pots f\u00e0cils<\/li><li> Obre ampolles<\/li><li> Tisores amb moll <\/li><li> Peladores<\/li><li> Ganivets de m\u00e0nec engrossit<\/li><\/ul>\n\n\n\n<h3>Altres<\/h3>\n\n\n\n<p>Posar calor sec* + <em>Crema de ARNICA 10 mini cada nit.<\/em><\/p>\n\n\n\n<ul><li> Borsa d&#8217;aigua calenta* <\/li><li> Estoreta el\u00e8ctrica*<\/li><li> Borses de llavors que s&#8217;escalfen al micro* <\/li><\/ul>\n\n\n\n<h3>Visita el nostre servei de\u00a0<a rel=\"noreferrer noopener\" href=\"http:\/\/www.fisiogestion.com\/ca\/terapiaocupacional\/\" target=\"_blank\">Ter\u00e0pia Ocupacional\u00a0<\/a><\/h3>\n\n\n\n<pre class=\"wp-block-preformatted\">BIBLIOGRAFIA<br> \u00a0<br>(1)Arthritis Rheumatol. 2014 Nov;66(11):3013-7. doi: 10.1002\/art.38795.<br>Prevalence of radiographic and symptomatic hip osteoarthritis in an urban United States community: the Framingham osteoarthritis study.<br> \u00a0<br> (2)Eaton RG, Glickel SZ, Littler JW. Trapeziometacarpal osteoarthritis.1987 Hand clin.<br> \u00a0<br> (3)Kell JH, Lawrence JS Radiologic assessment of ostheoarthritid. Ann\u00a0 Rheum Dis 1957.<br> \u00a0<br> (4) LeflerC,Armatrong .Exercise in the tratment of ostearthritis in the hands of the elderly.Clin Kinesiol.BmJ 2000;58(2) <\/pre>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;articulaci\u00f3 trapecimetacarpiana (TM) es localitza a la base de la columna m\u00f2bil del polze. \u00c9s la segona articulaci\u00f3 del membre superior m\u00e9s comunament afectada<a class=\"moretag\" href=\"https:\/\/www.activasalut.com\/ca\/rizartrosis-pulgar\/\">Llegeix m\u00e9s&#8230;<\/a><\/p>\n","protected":false},"author":83,"featured_media":4339,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[572,570,599,612,2302],"tags":[3084,2457,3087,800,1819,772,3085,3086,1349],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Qu\u00e9 es la Rizartrosis de pulgar | Corporaci\u00f3 Fisiogesti\u00f3<\/title>\n<meta name=\"description\" content=\"\u00bfEn qu\u00e9 consiste la Rizartrosis del pulgar? \u00bfC\u00f3mo se presenta? \u00bfQu\u00e9 ejercicios se pueden hacer para trabajar la movilidad? Respondemos todas las preguntas.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.activasalut.com\/ca\/rizartrosis-pulgar\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rizartrosis de pulgar\" \/>\n<meta property=\"og:description\" content=\"\u00bfEn qu\u00e9 consiste la Rizartrosis del pulgar? \u00bfC\u00f3mo se presenta? \u00bfQu\u00e9 ejercicios se pueden hacer para trabajar la movilidad? 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