Protocols and timelines Flashcards

1
Q

Ankle sprain: phase 1

A

protect
edema control
temporary immobilization
NWB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ankle sprain phase 2

A

progress to this phase when: painfree PWB, dec pain and swelling
low level balance
low level strength with theraband

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ankle sprain phase 3

A

progress to this phase when: FWB painfree, may still wear brace
unilateral balance
single heel raises
walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ankle sprain phase 4

A

progress to this phase when: unilat heel raise painfree
jog, run
shuttle and cutting
sport specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

preventing acute lateral ankle sprain CPG grades

A

prophylactic bracing- A
Prophylactic balance exercise- C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Treating acute lateral ankle sprain CPG grades

A

proprioception and balance- A
bracing, taping and progressive WB- A
manual therapy and ultrasound-A
protected AROM, strength, NM re-ed, posture and balance- A
ice, diathermy, laser, NSAIDS, needle- C
augemented unsup HEP, electro, acupuncture- D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Chronic ankle sprain CPG grades

A

proprioception and balance exercise- A
manual therapy-A
external support-B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tx for post tib dysfunction

A

unclear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Insertional achilles tendinopathy

A

floor level eccentric first

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Non-insertional achilles tendinopathy

A

eccentric exercise
expect 3-6 months to dec pain
only allow 4/10 pain during exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Achilles rupture phase 1

A

0-4wks
NWB
compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

achilles rupture phase 2

A

4-6 weeks
controlled ankle motion in brace
DF to neutral
WBAT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

achilles rupture phase 3

A

6-8 weeks
full WB
AROM
allow full DF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

achilles rupture phase 4

A

12+ weeks
return to sport readiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Plantar fasciitis CPG

A

grade A: taping, foot orthoses, night splint
grade B: assess risk factors, impairment measures, ICD classification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bunionectomy phase 1

A

0-2 weeks
NWB
rest and elevate
knee and hip rom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

bunionectomy phase 2

A

2-6 weeks
ankle rom and 1 mtp gentle rom
heel touch WB with boot on at all times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

bunionectomy phase 3

A

6-10 weeks
full WB in bood
Arom
joint mobs to unfused joints
scar massage
increase rom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Achilles tendinopathy CPG

A

grade A: mechanical ecc loading
grade B: ionophoresis
grade c: stretching plantar flexors
grade d: laser
Grade F: everything else

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ACL phase 1

A

0-2 weeks
dec swelling and pain
patellar mob
full extension
quad sets
brace locked

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

ACL return to jogging

A

4-5 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

ACL return to sport minimum

A

9 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

PCL phase 1

A

0-4 weeks
WBAT
brace locked
patellar mob
flex to 90
quad sets
SLR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

PCL phase 2

A

4-10 weeks
brace unlocked; d/c at 6-8 wks
flex 120
strength at 6 weeks
NO HAMSTRING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
PCL phase 3
10+ weeks strengthen low level hamstring non-impace proprio and balance light plyo
26
Meniscus repair
NWB 6 weeks
27
Menisectomy phase 1
0-2 weeks WBAT quad sets SLR heel slides partial squats NMES
28
menisectomy phase 2
2-8 weeks strength and balance full painfree rom normal gait stairmaster treadmill walk
29
menisectomy phase 3
8+ weeks plyo running cutting sports specific
30
Patellafemoral CPG
grade A: dx with squat and stairs hip and knee exercise dry needle manual therapy foot orthoses grade B: presence of retropatellar pain taping bracing modalities grade C: patellar tilt, accupuncture
31
TKA phase 1
week 1 full extension, 90 flexion WBAT with AD ADL training ankle pump, quad set, glute set
32
TKA phase 2
week 2-3 Prom and arom flex 90-120 ice
33
TKA return to sport
min 3 months, avg 6 months **recommend min WB sports
34
FAI repair phase 1
0-2 weeks protect full WB min ROM
35
FAI repair phase 2
2-6 weeks progress to this when: full WB and 75% rom achieve full ROM balance closed chain body weight exercise
36
FAI repair phase 3
6-8 weeks progress to this when: full rom and painfree gait multidirectional strengthen increase variability and make dynamic
37
FAI repair phase 4
8-16 weeks progress to this when: can perform basic agility painfree return to sport activity (avg time 7 months)
38
AC joint repair phase 1
0-6 weeks sling!! only flex to 90 pendulum scap movement isometric
39
AC joint repair phase 2
7-12 weeks inc rom as tolerated no end rom stretching rhythmic stabilization
40
AC joint repair phase 3
13-18 weeks strength, endurance dynamic stability
41
AC joint repair phase 4
19-28 weeks functional activities, sport and unrestricted mvmt **push up at 20 weeks
42
Rotator cuff repair phase 0
immob for 2 weeks
43
rotator cuff phase 1
2-8 weeks <15 emg prom and aarom
44
rotator cuff phase 2
8-12 weeks <20 emg arom unaffected plane, aarom affected
45
rotator cuff phase 3
approx 12 weeks <50 emg arom
46
rotator cuff phase 4
approx 15 weeks >50 emg full maturity of tissues at 15 weeks more advance strength
47
Frozen shoulder CPG
grade A: steroid injection, laser, shock wave grade B: everything else grade C: manual muscle release
48
Bicep tendonitis treatment themes
do not: strengthen UT or pect thrust cross friction bicep tend modalities tens
49
SLAP repair phase 1
week 1-2 prom and aarom rom as tol
50
SLAP repair phase 2
week 2/3-6 isometric and initiate arom
51
SLAP repair phase 3
week 6-12 increase AROM PNF stretch post capsule increase resistance and reps
52
SLAP repair phase 4
weeks 12-24 strength, sport specific
53
Total shoulder surg precautions
no extension past neutral no IR no lifting no WB through arm ^6-12 weeks
54
Reverse total shoulder sling time and drive time
6 weeks
55
reverse total shoulder precautions
no IR, hor add, no WB for 6-12 weeks
56
Reverse total shoulder ROM expectations
90-140 flexion 30 ER will always be weak scaption flexion abduction
57
Little league elbow # of pitches
7-10= approx 75 or below 11-16= 85-95 17-22= 105-120
58
Radial head fx internal fix timeline
internal fixator for 12 weeks rom flex and extension by week 2 isometric pro sup only 2-6 weeks AAROM pro and sup week 6 week 7 arom and progress from there
59
Radial head fracture type 1 timeline
Immob 2 weeks iso at 3 weeks conc at 5-6 weeks resistance training at 8 weeks
60
Bicep tendon repair timeline
brace 6-8 weeks with protected rom return to activity 6 months
61
Tricep tendon grade 2 strain timeline
immob 3 weeks then gradual increase in rom and strength
62
Tricep tendon rupture phase 1
0-3 weeks immob for 2 weeks gentle prom at 3 weeks
63
tricep tendon rupture phase 2
3-6 weeks no arom extension arom flexion wear brace
64
tricep tendon rupture phase 3
6-12 weeks full arom all dir
65
tricep tendon rupture phase 4
12-16 weeks progress to full lifting and function return to sport approx 6 months
66
Scaphoid fx protocol
1. immob with dx prescription 2. arom wrist flex extens 3. prom at 2 weeks 4. strengthen with putty progression
67
Boutenniere repair splint time
6 weeks
68
Gamekeepers thumb recovery and surg timeline
spica immob 3 weeks splint 2 weeks arom at 3 weeks strength at 8 weeks NO ABD STRESS TIL 6 weeks!