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PTRS 846 > Post op > Flashcards

Post op Flashcards

1
Q

stages of rehabilitation or post-operative phases

A

immobilization (phase I)
protection (phase I)
rehabilitation (phase 2)
function life/job/sport specific (phase 3)

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2
Q

methods in immobilization

A

minimize immobilization time

direct treatment to other joints or non injured tissue

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3
Q

allowing some degrees of freedom while protecting the healing structures

A

protective phase

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4
Q

methods in protective phase

A

Brace/A.D/removable splint
ROM restriction
WBing status - progress as quickly as healing structures will allow

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5
Q

understand basic rehabilitation principles

A 
promote tissue healing/protect repair
minimize scar formation
improve ROM/strength
Improve balance/proprioception
minimize swelling
improve postural deviations
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6
Q 
min joint stiffness
min muscle atrophy
minimize hyper-sensitivity
min adhesions
stimulates core activation and co-contraction
ambulates sooner
return to function/sports/job sooner
A

Benefits of early weight bearing/mobilization

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7
Q 
a devise which protects and limits the mobility of a specific joint
cast
external fixation
knee immobilizer
solid AFO, KAFO
A

immobilizer

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8
Q 
a devise used to add support, stability and or protection during functional activities
unloader
J brace
double upright
ACL
Taping
ankle lace up
ankle lace up
ankle hinged ROM
A

functional

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9
Q

a devise which protects and limits mobility of a joint, but allows some degrees of freedom, mobility and or function
hinged AFO, KAFO
ROM knee brace
Cam boot/walking boot

A

protective

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10
Q

brace for OA

A

unloader

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11
Q

brace for directional pull of the patella, good for position, want to progress out of

A

j brace

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12
Q

brace used when there is instability

A

double upright

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13
Q

static progressive stretch

A

joint activation system (JAS)

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14
Q

low load tension over a prolonged period of time

A

dynamic ROM splint

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15
Q

low load tension over a prolonged period of time but it is in a fixed position

A

night splint

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16
Q

achilles repair has benefits of

A

early weight bearing and mobilization

17
Q

Achilles tendon WBing protocol

A 
NWB 2 weeks
PWB 50% at 2 weeks in CAM
PWB 75% at 3 weeks in CAM 1 crutch
WBAT at 4 weeks in CAM
progress into shoe at 6 weeks
18
Q

Achilles tendon repair ROM protocol

A

0-2 weeks DF to neutral
3-4 weeks DF to 5 degrees
4 week on DF to tolerance

19
Q

Lateral ankle reconstruction WBing status

A

NWB 0-2 weeks in cast or splint
WBAT 2-4 weeks in CAM boot
WBAT 4-8 weeks progress to shoe with protective brace

20
Q

Lateral ankle reconstruction ROM

A

avoid passive inversion, end ROM plantar flexion 0-4 weeks

21
Q

posterior tibial reconstruction WBing

A

NWB 4-6 weeks post op, CAM or splint
WBAT 6-8 weeks in CAM with arch support
WBAT 8-12 weeks in shoe with arch support
arch support for 6 month post op

22
Q

Posterior tibial reconstruction ROM/restrictions

A

ankle in neutral 0-4 weeks

avoid end ROM DF and eversion

23
Q

ACL graft vascularation

A

strongest at implementation
weakest at 6-8 weeks
resembles normal connective tissue at 6-9 months

24
Q

ACL reconstruction WBing

A

WBAT with brace locked in ext x 4 wks; crutches 1 week

without a brace: crutches 2 weeks

25
Q

ACL reconstruction ROM

A

0-1 wk 90 degrees
2-3 wks 120 degrees
3-4 wks full
extension must be obtained ASAP (before 1 mo to avoid contracture)

26
Q

ACL reconstuction strength

A

Initiate quad contraction ASAP

27
Q

a strength measurement for after ACL reconstruction, cannot achieve or maintain full leg extension against gravity

A

quad lag

eccentric quad exercises 4-6 weeks post or sooner if you can

28
Q

ACL return to function

A

autograph 4-5 mo

allograph 6-9 mo

29
Q

meniscal repair WBing

A

TTWB 4 wks vs WBAT with leg locked in extension x 4 wks

30
Q

meniscal repair ROM

A

0-4 wks 0-90 degrees

4-6 wks full ROM

31
Q

Meniscal repair restrictions

A

no loaded flexion 4-6 wks

no transverse plane activities 6-8 wks

32
Q

Patella tendon repair WBing

A

WBAT

ROM brace locked in extension for 8 wks

33
Q

patella tendon repair ROM

A

0-2 wks 0-30
2-4 wks 0-60
4-6 wks 0-90
6-8 wks0-full

34
Q

patella tendon repair return to full activtiy

A

20+ wks

35
Q

Rotator cuff repair ptotocol

A

immobilize/protective to 4-6 weeks must do PROM
active-assisted ROM weeks 3-6
progressive resistance exercise weeks 6 on

PTRS 846 (10 decks)

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