Post Op Knee Rehab Flashcards
1
Q
3 Systems of Function
A
- Articular
- Muscular
- Neural
2
Q
Articular System
A
- joint motion
- joint range
- hypermobility vs hypomobility
3
Q
Muscular System
A
- length/strength
- strength vs stability
- facilitation/inhibition
4
Q
Instability
A
uncontrolled motion at passive end range
5
Q
Neurological
A
- Neural length
- sensitivity
6
Q
DAY 1
A
-work on full extension
7
Q
Phase I Rehab
A
- ROM
- Pn
- swelling control
- restore muscular stability
- -Stability vs strength
8
Q
Phase II Rehab
A
- strength
- type I fibers
- Phasic muscles
9
Q
Phase III Rehab
A
-function
10
Q
Meniscal Repair ROM Limitations
A
90* (4-6 weeks)
11
Q
Pay Attention to these:
A
- uncontrolled pain/swelling
- erythema/red streaking
- night sweats/chills
- fever
- color/odor to drainage
- compliance with WB restrictions
12
Q
Meniscal Tear
A
- loading + rotation injury
- medial>lateral
- debride vs repair
13
Q
Meniscal Debridement ROM Limitations
A
-no limitations
14
Q
Extension Limitations
A
-none
15
Q
WB for Menisectomy
A
-WBAT
16
Q
WB for Meniscal repairs
A
- NWB
- TTWB
17
Q
ACL ROM Limitations
A
-ext none
18
Q
OATS
A
- osteochondral autograft transfer system
- take plugs of chondrocytes from one area to put in another
- all in one procedure
19
Q
ACI
A
- autologous chondrocyte implantation
- harvest cells and grow for 6 weeks and implant into pt
- less common
20
Q
Post op ACI/OATS
A
- NWB 0-2 weeks
- TTWB (20-30#) 2-4 weeks
- PWB (50-60#) 4-6 weeks
- WBAT >6 weeks
21
Q
TTWB
A
20-30 #
22
Q
PWB
A
50-60#
23
Q
Open Chain Post ACL
A
-may be limited 90-40*
24
Q
Open Chain post cartilage defects
A
-open then progress to CKC
25
ACL Hamstring Grafts
- strength will return SLOWLY
| - wait 4-6 weeks before loading to allow healing
26
More concern with:
| contact vs non-contact injury
- non-contact injury
| - worried about safety of return to sport
