8.29 Aqatic Therapy + Misc Flashcards
buoyancy: waist
~50% BW
buoyancy: neck/clavicle
~10% BW
buoyancy: normal nipple level
~25% BW
Temperature for a warm pool
88-92˚
Who would not need to do aquatic therapy (esp in a warm pool)?
- MS » fatigue
- exacerbation phase of RA
- Guillain-Barré
What are some benefits of pool therapy?
- buoyancy
- temperature (warmth)
- hydrostatic pressure
- fear, anxiety, avoidance issues
Which patients would have issues with pressure from aquatic therapy? Why?
- CHF
- Don’t put them in the pool without talking to the doc
- They’ll drown without being under water
Which patients would benefit a lot from the pressure of the pool?
preggos
Why would a CHF pt drown in a pool?
too much fluid being pushed up
How does the pool help with fear, anxiety, and avoidance?
- sometimes people who are afraid to move or don’t move well may be more apt to move in the water
- be aware that fatigue can happen quicker
How might pool therapy benefit an SCI pt?
buoyancy can give them a greater sense of freedom
Why would an external fixation be used?
- slightly less invasive
- physician doesn’t think they’ll get good alignment and maintain it
- avoids massive incision to put a plate in
What type of fx is an external fixator likely to be used with?
closed
WB and external fixator
typically joints around it can still be used and/or have some WB
What is a major risk with an external fixator?
infection at the screw holes
What is a hybrid fixation?
- half cemented
- half press-fit
Hip replacement: hybrid fixation
- cement femoral (prevent pistoning)
- press-fit acetabular component
Why use press-fit for the acetabular component?
- mostly compression through the hip
- don’t get distraction
- salvages bone
Primary determinant for rehab for a hip fx
WB status
How would bone density affect physical therapy following THA?
- bone density around the screws
- may need additional time to heal completely
Does the type of repair affect therapy? Why is mobility following a hip fx so important?
not usually - need to have early movement!
- If you don’t get a hip fx pt moved early, it’s essentially a death sentence
- 80% of hip fx pts over 75 die within the year due to immobility
Do hip dislocation pts need to go to the ER? Why or not?
- yes
- blood supply can be a major problem with this
vertebral compression fx: acute treatment stuff
- sit to stand (emphasizing eccentric control)
- transfers
- education on movements to avoid
- proper lifting techniques
- gait
stuff to work on with gait
- TUG
- balance
- functional reach
- fall recovery within the limits of their mobility
What condition will be likely to show a capsular pattern of the hip?
OA
