Post Op Exercise and Rehab - Class 6

Question 1

post op exercise and rehab

Answer 1

exam and eval

educate

begin according to tissue healing time frames

Question 2

exam and eval

Answer 2

est goals

examine for signs of infection/thrombosis

Question 3

educate

Answer 3

on importance of activity in reducing thrombosis

Question 4

begin according to tissue healing time frames

Answer 4

of affected tissue or per protocol/post op instructions

Question 5

common post op precautions

Answer 5

can range from general to specific

WB restrictions

ROM restrictions

activity level restrictions

dislocation precautions

Question 6

WB restrictions

Answer 6

NWB

TTWB

PWB

WBAT

FWB

Question 7

NWB

Answer 7

no axial loading through affected bones

Question 8

TTWB

Answer 8

generally considered no more than 20% of BW

Question 9

PWB

Answer 9

anything more than 0% and less than 100%

Question 10

WBAT

Answer 10

pt can bear as much weight as they can tolerate symptomatically

Question 11

FWB

Answer 11

no restrictions

encouragement to bear weight fully

Question 12

ROM restrictions are typically seen

Answer 12

w/ musculotendinous or ligamentous procedures

Question 13

why do we have ROM restrictions

Answer 13

minimize strain through repair or graft site

Question 14

ROM restrictions will

Answer 14

change throughout the rehab process upon follow ups or according to the protocol

Question 15

After RTC repair

Answer 15

no flexion or ABD >90 degrees

Question 16

when are activity level restrictions commonly seen

Answer 16

musculotendinous or ligament repairs/reconstructions

Question 17

activity level restrictions are used to

Answer 17

limit physical stress through repair site

Question 18

activity level restriction –> ACL

Answer 18

no open chain knee extension after ACL repair

Question 19

activity level restriction –> RTC

Answer 19

no resisted ER after RTC repair

Question 20

activity level restriction –> hip replacement

Answer 20

no straight leg raises after hip replacement

Question 21

activity level restrictions…

Answer 21

vary throughout the rehab protocol

based on follow ups

Question 22

when are dislocation precautions usually present

Answer 22

after arthroplasties

d/t nature of surgery

Question 23

after arthroplasties –> dislocation

Answer 23

most require surgical dislocation of the joint and incision through ligaments/joint capsule

Question 24

what to precautions seek to limit

Answer 24

strain through scarring ligamentous structure

–> to minimize risk of dislocation of joint

Question 25

posterior hip replacement –> dislocation

Answer 25

no hip flexion greater than 90

no IR of femur

no crossing of legs

Question 26

anterior hip replacement –> dislocation

Answer 26

varies based on surgeon

typically no hip hyperextension and ER

Question 27

shoulder replacement –> dislocation

Answer 27

vary greatly dependent on surgeon

typically will involve no active motion early on

some degree of limitation of ER and IR of GH joint

Question 28

if there is ever concern or question

Answer 28

call the MD

Question 29

education and reinforcement is

Answer 29

essential

quiz your pts