Post Op Exercise and Rehab - Class 6 Flashcards
post op exercise and rehab
exam and eval
educate
begin according to tissue healing time frames
exam and eval
est goals
examine for signs of infection/thrombosis
educate
on importance of activity in reducing thrombosis
begin according to tissue healing time frames
of affected tissue or per protocol/post op instructions
common post op precautions
can range from general to specific
WB restrictions
ROM restrictions
activity level restrictions
dislocation precautions
WB restrictions
NWB
TTWB
PWB
WBAT
FWB
NWB
no axial loading through affected bones
TTWB
generally considered no more than 20% of BW
PWB
anything more than 0% and less than 100%
WBAT
pt can bear as much weight as they can tolerate symptomatically
FWB
no restrictions
encouragement to bear weight fully
ROM restrictions are typically seen
w/ musculotendinous or ligamentous procedures
why do we have ROM restrictions
minimize strain through repair or graft site
ROM restrictions will
change throughout the rehab process upon follow ups or according to the protocol
After RTC repair
no flexion or ABD >90 degrees
when are activity level restrictions commonly seen
musculotendinous or ligament repairs/reconstructions
activity level restrictions are used to
limit physical stress through repair site
activity level restriction –> ACL
no open chain knee extension after ACL repair
activity level restriction –> RTC
no resisted ER after RTC repair
activity level restriction –> hip replacement
no straight leg raises after hip replacement
activity level restrictions…
vary throughout the rehab protocol
based on follow ups
when are dislocation precautions usually present
after arthroplasties
d/t nature of surgery
after arthroplasties –> dislocation
most require surgical dislocation of the joint and incision through ligaments/joint capsule
what to precautions seek to limit
strain through scarring ligamentous structure
–> to minimize risk of dislocation of joint
posterior hip replacement –> dislocation
no hip flexion greater than 90
no IR of femur
no crossing of legs
anterior hip replacement –> dislocation
varies based on surgeon
typically no hip hyperextension and ER
shoulder replacement –> dislocation
vary greatly dependent on surgeon
typically will involve no active motion early on
some degree of limitation of ER and IR of GH joint
if there is ever concern or question
call the MD
education and reinforcement is
essential
quiz your pts
