Week 3- Post Surgical Rehab Progression

Question 1

Surgical protocols are based on ______ ________ properties.

Answer 1

tissue healing

Question 2

Do surgical protocols vary from surgeon to surgeon?

Answer 2

Yes

Question 3

Protocols serve as a __________ for post-surgical rehabilitation.

Answer 3

guideline

Question 4

With surgical protocols, it is important to take a _______ approach to surgical rehabilitation which includes good ___________ with the surgeon and other appropriate health care providers.

Answer 4

• team

- communication

Question 5

Surgeons can relay ________ findings as well as any additional ____________/_______________.

Answer 5

• surgical

- contraindications/precautions

Question 6

It is extremely important to have a good understanding of _________, __________, __________ procedures, and ______ _______ healing.

Answer 6

-anatomy, biomechanics, surgical procedures, and soft tissue healing

Question 7

Reasons for understanding anatomy, biomechanics, surgical procedures, and soft tissue healing? (3)

Answer 7

• To provide post-operative education
• To understand the reasoning behind surgical precautions/progression
• To develop comprehensive treatment plan

Question 8

Surgical protocols can sometimes aid in determining the __________ and _________ for a POC.

Answer 8

frequency and duration

Question 9

Determining frequency and duration depends on what? (3)

Answer 9

• The individual patient
• The progress the patient is making
• The type of surgical procedure

Question 10

Is frequency and duration the same for all individuals?

Answer 10

No, may not be the same for all individuals who have undergone the same surgical procedure.

Question 11

• ________ __________ is a vital component of post-op care.
• Important to provide patient with _______ resources.
• Education on ______ progression, ___________/____________ and ____ are crucial.

Answer 11

• Patient education
• written resources
• rehab progression, contraindication/precautions, and HEP

Question 12

Reporting Progress:

• Important to have open ____________ with the surgeon regarding ________/lack of _________.
• Appropriate to prepare a _________ note to send with the patient to surgical follow-up appointments.

Answer 12

• communication, progress/lack of progress

- progress note

Question 13

• A progress note provides more detail than a ________ note, but not as comprehensive as a ____________.
• The progress note should include specific comparison of the patient’s ________ status with a previous timeframe such as the initial evaluation or the most recent examination.

Answer 13

• daily note, reexamination

- current

Question 14

What is an example of an appropriate time to write a progress note?

Answer 14

To send with a patient returning for an MD follow-up.

Question 15

When reporting ack of progress, communicate concerns ________ rather than _______.

Answer 15

sooner rather than later

Question 16

It is important to make the surgeon aware of what? (3)

Answer 16

• lack of anticipated progress
• patient non-compliance
• change in status

Question 17

With prognosis, still need to consider __________ factors when developing prognostic status.

Answer 17

-prognostic

Question 18

Anticipated timelines associated with specific surgical procedure can be helpful in determining appropriate timeframe for _____.

Answer 18

POC

Question 19

Should the patient ever be progressed beyond established timeframe prior to reaching that timeframe?

Answer 19

No, despite progress a patient should not be progressed.

-Timeframe is based on healing of tissue.

Question 20

Is it appropriate to hold progression the the next phase of rehab if the patient is not making appropriate progress?

Answer 20

Yes, progress should be held.

-Significant reports of pain/swelling, minimal gains in ROM, poor neuromuscular control are some reasons to hold.

Question 21

Rehabilitation Guideline for Large or Massive Rotator Cuff Tears Following Surgical Repair by phases.

Answer 21

Phase 1
-Passive/protective

Phase 2
-Active

Phase 3
-Resisted strengthening

Phase 4
-Work conditioning, return to sport