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Ortho Final timelines > Protocols and timelines > Flashcards

Protocols and timelines Flashcards

1
Q

Ankle sprain: phase 1

A

protect
edema control
temporary immobilization
NWB

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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

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3
Q

ankle sprain phase 3

A

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

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4
Q

ankle sprain phase 4

A

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

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5
Q

preventing acute lateral ankle sprain CPG grades

A

prophylactic bracing- A
Prophylactic balance exercise- C

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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

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7
Q

Chronic ankle sprain CPG grades

A

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

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8
Q

Tx for post tib dysfunction

A

unclear

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9
Q

Insertional achilles tendinopathy

A

floor level eccentric first

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10
Q

Non-insertional achilles tendinopathy

A

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

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11
Q

Achilles rupture phase 1

A

0-4wks
NWB
compression

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12
Q

achilles rupture phase 2

A

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

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13
Q

achilles rupture phase 3

A

6-8 weeks
full WB
AROM
allow full DF

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14
Q

achilles rupture phase 4

A

12+ weeks
return to sport readiness

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15
Q

Plantar fasciitis CPG

A

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

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16
Q

Bunionectomy phase 1

A

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

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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

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18
Q

bunionectomy phase 3

A

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

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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

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20
Q

ACL phase 1

A

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

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21
Q

ACL return to jogging

A

4-5 months

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22
Q

ACL return to sport minimum

A

9 months

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23
Q

PCL phase 1

A

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

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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

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25
Q

PCL phase 3

A

10+ weeks
strengthen
low level hamstring
non-impace proprio and balance
light plyo

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26
Q

Meniscus repair

A

NWB 6 weeks

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27
Q

Menisectomy phase 1

A

0-2 weeks
WBAT
quad sets
SLR
heel slides
partial squats
NMES

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28
Q

menisectomy phase 2

A

2-8 weeks
strength and balance
full painfree rom
normal gait
stairmaster
treadmill walk

29
Q

menisectomy phase 3

A

8+ weeks
plyo
running
cutting
sports specific

30
Q

Patellafemoral CPG

A

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
Q

TKA phase 1

A

week 1
full extension, 90 flexion
WBAT with AD
ADL training
ankle pump, quad set, glute set

32
Q

TKA phase 2

A

week 2-3
Prom and arom flex 90-120
ice

33
Q

TKA return to sport

A

min 3 months, avg 6 months
**recommend min WB sports

34
Q

FAI repair phase 1

A

0-2 weeks
protect
full WB
min ROM

35
Q

FAI repair phase 2

A

2-6 weeks
progress to this when: full WB and 75% rom
achieve full ROM
balance
closed chain body weight exercise

36
Q

FAI repair phase 3

A

6-8 weeks
progress to this when: full rom and painfree gait
multidirectional strengthen
increase variability and make dynamic

37
Q

FAI repair phase 4

A

8-16 weeks
progress to this when: can perform basic agility painfree
return to sport activity (avg time 7 months)

38
Q

AC joint repair phase 1

A

0-6 weeks
sling!!
only flex to 90
pendulum
scap movement
isometric

39
Q

AC joint repair phase 2

A

7-12 weeks
inc rom as tolerated
no end rom stretching
rhythmic stabilization

40
Q

AC joint repair phase 3

A

13-18 weeks
strength, endurance
dynamic stability

41
Q

AC joint repair phase 4

A

19-28 weeks
functional activities, sport and unrestricted mvmt
**push up at 20 weeks

42
Q

Rotator cuff repair phase 0

A

immob for 2 weeks

43
Q

rotator cuff phase 1

A

2-8 weeks
<15 emg
prom and aarom

44
Q

rotator cuff phase 2

A

8-12 weeks
<20 emg
arom unaffected plane, aarom affected

45
Q

rotator cuff phase 3

A

approx 12 weeks
<50 emg
arom

46
Q

rotator cuff phase 4

A

approx 15 weeks
>50 emg
full maturity of tissues at 15 weeks
more advance strength

47
Q

Frozen shoulder CPG

A

grade A: steroid injection, laser, shock wave
grade B: everything else
grade C: manual muscle release

48
Q

Bicep tendonitis treatment themes

A

do not:
strengthen UT or pect
thrust
cross friction bicep tend
modalities
tens

49
Q

SLAP repair phase 1

A

week 1-2
prom and aarom rom as tol

50
Q

SLAP repair phase 2

A

week 2/3-6
isometric and initiate arom

51
Q

SLAP repair phase 3

A

week 6-12
increase AROM
PNF
stretch post capsule
increase resistance and reps

52
Q

SLAP repair phase 4

A

weeks 12-24
strength, sport specific

53
Q

Total shoulder surg precautions

A

no extension past neutral
no IR
no lifting
no WB through arm
^6-12 weeks

54
Q

Reverse total shoulder sling time and drive time

A

6 weeks

55
Q

reverse total shoulder precautions

A

no IR, hor add, no WB for 6-12 weeks

56
Q

Reverse total shoulder ROM expectations

A

90-140 flexion
30 ER will always be weak
scaption
flexion abduction

57
Q

Little league elbow # of pitches

A

7-10= approx 75 or below
11-16= 85-95
17-22= 105-120

58
Q

Radial head fx internal fix timeline

A

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
Q

Radial head fracture type 1 timeline

A

Immob 2 weeks
iso at 3 weeks
conc at 5-6 weeks
resistance training at 8 weeks

60
Q

Bicep tendon repair timeline

A

brace 6-8 weeks with protected rom
return to activity 6 months

61
Q

Tricep tendon grade 2 strain timeline

A

immob 3 weeks then gradual increase in rom and strength

62
Q

Tricep tendon rupture phase 1

A

0-3 weeks
immob for 2 weeks
gentle prom at 3 weeks

63
Q

tricep tendon rupture phase 2

A

3-6 weeks
no arom extension
arom flexion
wear brace

64
Q

tricep tendon rupture phase 3

A

6-12 weeks
full arom all dir

65
Q

tricep tendon rupture phase 4

A

12-16 weeks
progress to full lifting and function
return to sport approx 6 months

66
Q

Scaphoid fx protocol

A
  1. immob with dx prescription
  2. arom wrist flex extens
  3. prom at 2 weeks
  4. strengthen with putty progression
67
Q

Boutenniere repair splint time

A

6 weeks

68
Q

Gamekeepers thumb recovery and surg timeline

A

spica immob 3 weeks
splint 2 weeks
arom at 3 weeks
strength at 8 weeks
NO ABD STRESS TIL 6 weeks!

Ortho Final timelines (1 decks)

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