Post Op Knee Rehab Flashcards by Chelsea Mcclenning | Brainscape

Q

3 Systems of Function

A

Articular
Muscular
Neural

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Q

Articular System

A

joint motion
joint range
hypermobility vs hypomobility

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Q

Muscular System

A

length/strength
strength vs stability
facilitation/inhibition

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Q

Instability

A

uncontrolled motion at passive end range

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Q

Neurological

A

Neural length

- sensitivity

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Q

DAY 1

A

-work on full extension

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Q

Phase I Rehab

A

ROM
Pn
swelling control
restore muscular stability
-Stability vs strength

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Q

Phase II Rehab

A

strength
type I fibers
Phasic muscles

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Q

Phase III Rehab

A

-function

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Q

Meniscal Repair ROM Limitations

A

90* (4-6 weeks)

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Q

Pay Attention to these:

A

uncontrolled pain/swelling
erythema/red streaking
night sweats/chills
fever
color/odor to drainage
compliance with WB restrictions

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Q

Meniscal Tear

A

loading + rotation injury
medial>lateral
debride vs repair

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Q

Meniscal Debridement ROM Limitations

A

-no limitations

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Q

Extension Limitations

A

-none

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Q

WB for Menisectomy

A

-WBAT

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Q

WB for Meniscal repairs

A

NWB

- TTWB

Q

ACL ROM Limitations

A

-ext none

Q

OATS

A

osteochondral autograft transfer system
take plugs of chondrocytes from one area to put in another
all in one procedure

Q

ACI

A

autologous chondrocyte implantation
harvest cells and grow for 6 weeks and implant into pt
less common

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

Q

TTWB

A

20-30 #

Q

PWB

A

50-60#

Q

Open Chain Post ACL

A

-may be limited 90-40*

Q

Open Chain post cartilage defects

A

-open then progress to CKC

Q

ACL Hamstring Grafts

A

strength will return SLOWLY

- wait 4-6 weeks before loading to allow healing

Q

More concern with:

contact vs non-contact injury

A

non-contact injury

- worried about safety of return to sport