Elbow Complex Treatment Flashcards
when can progressive resisted exercises be done?
acute phase
once full pain-free AROM restored
criteria to move to sub acute phase
full pain-free ROM
strength >/= 70% of contra limb
when to introduce CKC activities?
sub acute
strength, power, and endurance of SHOULDER should be ___% of contra limb at end of sub acute phase
90%
if lateral elbow tendinopathy sx are present for ____ then surgery is indicated
6 months
lateral elbow tendinopathy has pain with ___ & _____
active wrist extension and supination
typically, UCL sprain return to sport/activity in _____
3-5 months
what strengthening and stretching should be avoiding initially for UCL sprain?
ER stretch
IR strengthening
which mm strengthening should be focused on for LCL sprain?
biceps
brachialis
triceps
5 item classification system for elbow instability
- timing (acute, chronic, recurrent)
- articulations involved
- direction of displacement
- degree of displacement
- presence or absence of associated fractures
what is the most commonly affected nerve at elbow?
ulnar
prognosis for distal biceps repair
6+ months
when should full elbow ROM be regained after ORIF?
phase 3 (week 6-12)
how long are UCLR in brace?
~6 weeks
phase 1 UCLR
protect healing tissue
reduce pain and inflammation
decrease muscular atrophy
regain full wrist/shoulder motion
phase 2 UCLR
gradually restore elbow joint ROM
improve mm strength and endurance
normalize joint arthrokinematics
phase 3 UCLR
maintain/restore UE mobility
improve mm strength & endurance
re-establish NM control of elbow
continue functional progression of activity
when to add load post UCLR?
week 6-8
phase 4 UCLR
gradually increase strength, power, endurance, and NM control
phase 5 UCLR
progress towards return-to-play
when is the earliest UCLR can start throwing?
4.5 months
postero-lateral instability S&S
pain at H-R joint
feelings of slipping or unstable
pain w/ CKC UE tasks
decreased grip strength w/ or w/o pain
