Precautions

Question 1

Anterior hip

Answer 1

NO…
I. Hip extension – stepping backwards
ii. Prone positioning – laying on stomach
iii. External rotation – toes turning outward
iv. Abduction – crossing legs

Question 2

Posterior hip

Answer 2

NO…
I. Hip flexion > 90 – bending forward/knee up
ii. Internal rotation – toes turning inward
iii. Adduction – crossing legs

Question 3

Sternal

Answer 3

*heart pillow
The “3 P’s”
NO…
I. Pushing *cannot use arm to push during sit to stand!
ii. Pulling
iii. Lifting more than 5 pounds for 8 weeks (gallon of milk ~7)
iv. Shoulder flexion >90 or horizontal abd w/exten - tube

Question 4

Spinal

Answer 4

*move in a tube, be mindful of brace
“BLT”
No…
I. Bending
ii. Lifting
iii. Twisting

Question 5

Abdominal

Answer 5

No…
I. Heavy lifting
ii. Bending forward

Question 6

Sinus

Answer 6

No…
I. Nose blowing
sneezing/coughing with mouth open
ii. Using drinking straws
iii. Bending over – keep head above heart
iv. Heavy lifting
v. Bearing down/pushing

Question 7

Knee arthroplasty

Answer 7

flexion/extension okay, but try to limit excess motion, and no rotation of knee

Question 8

shoulder arthroplasty

Answer 8

no...
heavy lifting
driving
passive ER
resisted IR

“no reaching behind back, across the body to put a seatbelt on, heavy lifting”

Question 9

Peripheral nerve injury and carpal tunnel

Answer 9

Sensory testing!
education on sensory return: pain/temp first, stereognosis last

carpal tunnel: symptoms worse at night - sleep hygiene!

Question 10

UE fractures and arthritis

Answer 10

strength, pain, pinch, orthoses management

pt education: adaptive devices, prevent deformity, maximize function

Question 11

Stroke

Answer 11

connection between brain and muscles is disrupted
encourage use and input on the hemi side (visual, tactile)
positioning in bed - hemi arm on pillow
lean: “your brain is playing tricks on you” - sit next to them, use a mirror or pole to center them

Question 12

SCI

Answer 12

preserve tenodesis - stretch fingers out only when wrist is flexed, and curl fingers into a fist only when wrist is extended (DO NOT DO OPPOSITE)

Question 13

TBI - rancho levels

Answer 13

1. No response
2. Generalized response
3. Localized response
4. Confused, agitated
5. Confused, inappropriate
6. Confused, appropriate
7. Automatic, appropriate
8. Purposeful, appropriate

Question 14

MS

Answer 14

progressive
might have dizziness, weakness
education: energy conservation, adaptive equip
avoid heat!!!!

Question 15

GBS

Answer 15

weakness, paresthesia
prevent DVTs - move limbs
energy conservation, BP
eventually strength training

Question 16

ALS

Answer 16

progressive
weakness, muscle atrophy
no sensory involvement!
education: energy conservation, breathing, adaptive equip

Question 17

Parkinson’s

Answer 17

progressive
tremors
balance, gait