Exercise prescription following joint replacement Flashcards
1
Q
Which are the most commun?
A
Knee & Hip replacement (around 1 million each)
2
Q
Who is affected by those surgeries
A
- Women>Men <=> OA is higher in women
- <65 yo
3
Q
Why is it important to do exercise post surgery?
A
- Pain reduction
- To minimize disability
- Restore ROM, function, strengh, mobility
- Encourage mvt & decrease risk of DVT
4
Q
Rehabilitation phases
A
- Early phases
- Late phase
5
Q
Early phase for THR
A
2-16 weeks
6
Q
Early phase for TKR
A
3-16 weeks
7
Q
Late phase for THR
A
12 weeks to 8 months
8
Q
Late phase for TKR
A
12 weeks to 12 months
9
Q
What’s the average hospital length of stay after surgery?
A
5 to 6.50 days (UK)
10
Q
How to assess the pain during exercise?
A
Numeric pain rating scale
11
Q
What are the reccommended post acute rehab interventions?
A
- Therapeutic & functional exercises
- Gait traaining
- CV training
- Electrical/thermal modalities
- Manual therapy
- Patient education topics
12
Q
Dosage for exercises
A
Frq : 3-4 x/day
Reps : 8-12
Sets : 1-4
Rest : 2-3 min between sets
-> Incr. as rehab stages progress
13
Q
Exercise prescription for TKR
A
- Activity based focused
- Early mobilization
- Standart physiotherapy
14
Q
Early goals for TKR
A
- Control pain/swelling
- Gait w/ appropriate gait aid
- Prevent medical complication
- 90° flexion & full extension!!
15
Q
Late goals for TKR
A
- Full active knee extension
- Knee flexion at least 110° (functional range?)
-Resume o f normal activities
