Exercise protocols

Question 1

THR

Answer 1

0. RIB
1. 2xA
   a. Post. = SOEOB, STS, few steps along bed with SF
   b. Lat. = SOOB (high chair) 30 min, 2x day
2. 2xA; SOOB with SF, mobilise 5m away
3. 1-2xA; mobilise 15m, progress gait aid (2 W/S), teach step
4. > >
   7. Independent bed mobility, mobility with RF, few metres 1 W/S

Question 2

NOF

Answer 2

0. 2xA; SOEOB, dangle legs 2-4 hrs post-surgery, mobilise with gait aid after 4hrs
1. 2xA; WBAT with frame, SOOB 3xday for ½ hr, walk 2-5m 2xday with frame
2. 2xA; SOOB 3x1hr, walk 2-5m with aid
3. 1-2xA; SOOB 3x1hr, walk 5-10m with aid
4. SOOB 2x2hrs, walk 5-15m
5. Encourage independent mobility with frame or crutches

Question 3

TKR

Answer 3

1. 2xA; SOOB and WBAT with frame, encourage Kn F while SOOB
2. 2xA; progress to move away from bedside
3. -4; 1-2xA; teach step
5. -7; independent bed mobility, lie to SOEOB, STS, mobility with RF, few metres with 1-2 W/S

Question 4

Arthroscopy limitations

Answer 4

• Chondroplasty = nil specific
• Osteoplasty = limit excessive WB for first few days
• Lateral release = encourage flexion despite pain
• Menisectomy = nil specific
• Meniscus repair = avoid flexion > 90, WB restricted 6/52, avoid squatting 6/52

Question 5

ACL

Answer 5

• Start with closed chain, PROM stretches and Isom
• Stage 1- 0-4/52 = reduce swelling, ROM, quads activation
• Stage 2- 4-16/52 = SLS, strength, neuromuscular control
• Stage 3- 6/52-6/12 = technique (run, jump, land), agility, full strength and balance
• Stage 4- 6-9/12 = RTS plyometrics
• RTS dictated by surgeon
• Re-injury/prevention important to consider- FIFA 11

Question 6

RC exercises

Answer 6

• Pendulums day 1- 6/52
• Active assisted ROM day 8-6/52 (ER/IR, F/Ex)
• Hand behind back towel stretch (6-12/52)
• Isometric F, Ex, Add, ER (6-12/52)
• Theraband ER, rows, Add, IR, Ex (3-6/12)
• Straight arm raise, wall crawls active assisted elevation, occasional overhead work (3-6/12)

Question 7

TSR

Answer 7

• Phase 1: 1-7 days- pendulum&raquo_space; assisted active ROM, DoE sling
• Phase 2: 1-6/52- active assisted ROM, reduce sling use
• Phase 3: 6-12/52- physician clearance for AROM?; isometrics
• Phase 4: 12+/52- physio goals (ROM, strength, functional)

Question 8

LL bed exercises

Answer 8

• Hip/knee flexion in supine
• F + A
• Leg extension stretch
• Static quads&raquo_space; IRQ&raquo_space; SLR
• Static glutes
• Bridging
• Hip Abd
• SOOB Kn F with floor towel
• SOOB active assisted Kn F/Ex