Post-op/Post injury precaution

Question 1

Laminectomy

Answer 1

• Do not sit for > 20–30 minutes continuously for the first 2 weeks post-op
• log roll in and out of bed–> neutral spine
• Do not lift/push/pull/carry anything that weighs more than 5 to 10 pounds
• Do not repetitive and/or excessive bending, twisting/ reaching in any direction
• Permission from their surgeon before returning to sports and other physical activities
• Surgeon is advised right away if the patient experiences new numbness, tingling, or increased weakness as this could be a sign of nerve compression/surgical complications

Question 2

ACL repair with Hamstring graft

Answer 2

• No isolated hamstring strengthening x 4 weeks
• No OKC knee extension strengthening x 4 months
• No MMT on Hamstring/Gracillis

Question 3

ACL repair with Patella tendon graft

Answer 3

Patella mobilisation–>prevent excessive scarring

Question 4

Achilles Tendon Rupture

Answer 4

7-10 wks:
- WB in walker boot
- neutral DF
- ankle joint mob
- Core/Hip/Knee strengthening

10-12 wks:
- out of boot
- active DF/PF to tolerance
- stationary cycling

16 wks:
- proprioception & strength training

25+ wks:
- return to sports

Question 5

Bankart lesion

Answer 5

wk 1:
- IR isometric, pendulum
- Splint in Slight Abd+ER–>limit ant. capsule shortening

wk 3:
- active ER–>gradual strengthening
- Avoid combined Abd+ER x 6 wks

3-4 mo:
- Return to spors

Question 6

THR precaution

Answer 6

Post. Lat. approach:
Don’t:
- > 90 deg flexion
- IR pass neutral
- Adduction pass neutral

Ant. approach:
Don’t:
- >90 deg flexion
- Adduction pass neutral
- Ext
- ER