Rehabilitation of the elbow Flashcards

1
Q

What are some common traumatic elbow injuries?

A
  • Elbow dislocation
  • Olecranon fracture
  • Olecranon bursitis
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2
Q

What are some common overuse elbow injuries?

A
  • Lateral epicondylitis (tennis elbow)

- Medial epicondylitis (golfer’s elbow

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3
Q

What causes lateral epicondylitis?

A
  • Eccentric load in backhand motions
  • Overuse
  • Poor stroke mechanics
  • Poor equipment
  • Training errors
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4
Q

What causes medial epicondylitis?

A

Eccentric load in forehand motions

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5
Q

What causes elbow dislocation?

A

Traumatic impact

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6
Q

What are some injuries that can occur with an elbow dislocation?

A
  • Capsular disruption

- Fracture

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7
Q

What is the objective of elbow dislocation rehabilitation?

A
  • All for capsular healing (surgery)
  • Regain range of motion
  • Strength
  • Ensure protective proprioception
  • Address psychological fear
  • Return to function
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8
Q

How would you treat an elbow dislocation during the acute phase?

A
  • Support (limit elbow extension)
  • Allow for full capsular repair/healing
  • Hinge brace
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9
Q

What are some consequences that may occur with an elbow dislocation?

A
  • Loss of flexion/extension

- Loss of supination/pronation

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10
Q

How would you treat an elbow dislocation during the sub acute phase?

A
  • Regian range of motion
  • Progressions
  • Mobilizations
  • Massage
  • Strength progressions
  • Isometric
  • Concentric exercises
  • Stability proprioception
  • Plyometrics
  • Whole body
  • Sport specific skills
  • Return to sport
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11
Q

What are some examples of progressions for the sub acute phase?

A
  • Constant passive motion
  • Table exercises
  • Water exercises
  • PNF
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12
Q

What are some examples of concentric exercises for the sub acute phase?

A
  • Tubing
  • Dumbbells
  • Hammer exercises (pronation/supination)
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13
Q

What are some sport specific skills for the sub acute phase?

A
  • Shooting
  • Throwing
  • Swimming
  • Spiking
  • Grappling
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14
Q

What causes pain with a lateral epicondylitis injury?

A

Inflammation of the common extensor origin

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15
Q

What muscles are weak with a lateral epicondylitis injury?

A

wrist and finger extensors

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16
Q

What is the purpose of a support strap for lateral epicondylitis

A

Takes the load off of the attachment point by creating a new ‘attachment’ point

17
Q

What are some modalities that can be used on chronic fibrosis of the enthesis and what does it do?

A
  • Transverse friction
  • Ultrasound

Decreases adhesions

18
Q

What are some modalities that can be used on a acute injury of the enthesis and what does it do?

A
  • Laser

Increase collagen formation

19
Q

What are some range of motion exercises for lateral epicondylitis?

A
  • Elbow extension with wrist flexion

- Active soft tissue release

20
Q

What is the purpose of eccentric exercises?

A
  • Stimulate enthesis strength

- Increase tendon strength

21
Q

What is an example of an eccentric exercise and when should they be done?

A
  • Drop and stop

Should only be done after healing has occurred