protocol Flashcards
what is typically included in a protocol
time component
precautions/contraindications
sampled of tx
designing a protocol
time
phases
prereqs
progression
outcomes
pro tips
factors that influence tissue healing timeline
age
smoking
comorbidities
obesity
sleep
patient adherence
early phase
protection
- reduce pain and inflammation
- restore basic NM control
- protext the healing structures from deleterious structures
- criterion to progress to middle phase: little to no pain and swelling, muscle contraction, may include ROM/imaging milestones
middle phase
restore function/impairement resolution
- restore full ROM
- restore muscle performance
- ACSM principles
- motor control principles
- normalize movement patterns
- return to prior level of function
- restore full ROM
- ## restore ms performance, power
progression thru protocol
combo of time and readiness (must meet both or risk of injury increases)
ROM progressions
ACSM principles
motor control principles
outcomes
a protocol typically describes the minimum requirement to return to full function
needs to be specific to the person
tips
Post-operative rehabilitation is a race between tissue healing and fixation failure
Minimize effects of immobilization during protective phase (if possible)
Common sense
Need to walk without aberrant movement before attempting to run
Everything is not always linear
Develop a working relationship with surgeons
“ A great PT can make an average surgeon look great”
most common elective ortho surgeries
ACL Reconstruction
Knee Arthroscopy (Meniscal)
Total Knee Arthroplasty
Total Hip Arthroplasty
Reverse Total Shoulder Arthroplasty
Shoulder Arthroscopy (Rotator Cuff or Bankart)
Spinal Fusion
