Interventions - AC joint injuries Flashcards
type 1 interventions include
modalities
sling for 1 week
begin isometrics
return to activity and progress as tolerated
what should we restore –> type 1
ROM
but avoid cross body movements
type 2 includes
longer immobilization
longer period of inflammation
type 2 rehab
like type 1
but everything takes a little longer
may use –> type 2
AC harness
type 3 question
conservative or surgery
type 3 interventions
sling 3-6 weeks
progress like previous but slower
may take 12 months to heal
what grades require surgical intervention
4-6
post op days 1-7
ice w/ e-stim if necessary
hand/grip strength
elbow/wrist AROM w/ arm at side
pendulum exercises
sling –> post up days 1-7
for weeks
even when sleeping
weeks 1-4 post op guidelines
same as previous
weeks 1-4 AAROM
supine wand exercises
flexion to 90
ABD to 60
weeks 1-4 includes
ER as tolerated
gentle shoulder shrugs/scap retractions w/o resistance
1-2 finger isometrics
sling weeks 4-6
d/c sling
what do we continue –> weeks 4-6
wand exercises and pendulum
what should we add –> weeks 4-6
light theraband
standing rows
biceps and supine triceps w/ weights
light therabands –> weeks 4-6
IR/ER with towel roll under arm
flex,ext, ABD to 60
weeks 6-8
AAROM
ER/IR as tolerated
body blade
AAROM –> weeks 6-8
flexion/ABD 120 degrees using wand
pulley
wall climb
weeks 8-10
AAROM
AROM
AAROM –> weeks 8-10
flexion, ABD to 120
wand, pulley, wall climb
AROM –> weeks 8-10
flexion, ABD to 120 pain free
weeks 8-10 includes
prone scap retraction w/ light weights
ball on wall
wall push ups
UBE
weeks 10-12 includes
push up progression –> wall to table
ball toss w/ arm at side
weeks 10-12 motion
full ROM, AAROM, AROM
weeks 10-12 PROM
PROM, mobilization as needed
months 3-4 include
push up progression (wall, table, chair)
ball toss overhead
PRE w/ light weights
no contact sports
until 12 months post-op
