Special Mobility Precautions

Question 1

posterior total hip precautions

Answer 1

• no hip flexion past 90 degrees
• no hip adduction past midline
• no hip rotation

Question 2

spinal precautions

Answer 2

B - no bending - avoid excessive trunk flexion
L - no lifting more than 10 lbs (gallon is 8.6 lbs)
T - no twisting - use log rolling to get in/out bed
- need to don spinal orthosis prior to mobilization if they have one

Question 3

sternal precautions

Answer 3

• no pushing/pulling w/ UEs
• no UE ROM past 90 degrees flexion
• no lifting more than 10 lbs
• driving is also generally restricted

Question 4

anterolateral and 2 incision total hip precautions

Answer 4

limit hip ext especially w/ ER

Question 5

total shoulder precautions

Answer 5

• NO AROM
• no lifting, pushing, or pulling
• no excessive shoulder motion behind back, especially IR
• no excessive stretching, especially ER
• no supporting body weight by hand on involved side
• no driving for 3 weeks

Question 6

Abdominal surgery precautions

Answer 6

• no lifting > 10 lbs
• no bending > 90 degrees at hips
• no Valsalva maneuvers
• use of velcro-fastened elasticized soft abdominal binder