Interventions

Question 1

Management principles - Phase 1 - Time frame and title

Answer 1

Inflammatory/Acute Phase

0-2 weeks post injury/sugery

Question 2

Management principles - Phase 1 - Description

Answer 2

Pain and inflammatory control
Maintain/improve soft tissue and joint mobility
Initiate safe ROM
Maintain good functioning of UE

Question 3

Management principles - Phase 2 - title and time frame

Answer 3

Fibroblastic/sub-acute phase

2-8 wks post surgery/injury

Question 4

Management principles - Phase 2 - Description

Answer 4

Gradually inc mm flexibility and joint mobility
Gentle strengthening
Scar management
Limit use of orthosis

Question 5

Management principles - Phase 3 - title and time frame

Answer 5

Remodeling/Return to activity

2-6 months post injury/surgery

Question 6

Management principles - Phase 3 - Description

Answer 6

Continued ROM as needed
Inc strength intensity (endurance too)
Check and improve biomechanics
Functional training and conditioning

Question 7

Goal of Immobilization

Answer 7

To restrict motion
Protect joints
Force a person to rest

Question 8

Possible problems with immobilization

Answer 8

Don’t want to be immobilized for too long - can lead to nerve adhesions

Question 9

When would you want to immobilize

Answer 9

Suspect a fracture of dislocation or maybe they have lateral epicondylitis and you need them to rest

Question 10

ROM as an Intervention

Answer 10

Always start gradually
Always be aware of imposed limitations set by physician
Use of manual therapy
MET, PNF, PROM, CPMs

Question 11

Strengthening options for intervention

Answer 11

Isometrics
PREs
Endurance
Functional activities
Be aware again with any limitations set by Dr.

Question 12

Patient education can include

Answer 12

Pathology
HEP
Work simplification
Energy conservation
Ergonomics
Prevention
Smoking
Alcohol