wk 3- rehab: immobilisation/taping Flashcards
peace stands for
protect
elevations
avoid anti flam
compression
educate
what does exercise as rehab do
- stimulates tissue repair and remodelling
- alters biomechanics
- exercise induced hypoalgesia (transient)
what is mobilisation and maniulation good for (manual therapy)
joints
what is massage and myofascial release good for
soft tissue
what is dry needling good for
nerve
how long do muscle injuries need to be immobilised for
2 days approx
how long do ligament sprains need to be immobilised for
approx 10 days
conditions that require immobilisation/bracing
ankle sprains
fractures of foot/ankle
achilles tendon injuries
tibialis posterior dysfunction
grading an ankle sprain
1- mild: minimal tenderness and swelling from micro tears of ligament fibres (taping or air stirrup)
2- mod: moderate tenderness/swelling and decreased ROM or instability from complete tears of some fibres (cam walker)
3- severe: significant tenderness/swelling and instability from complete rupture of ligament (surgery or CAM walker)
what does an airform stirrup do
good for acute phase injury rehab
provides stability, compression and swelling control
what is a rebound hinged ankle brace good for
stpe down from CAM walker, good for grade 2/3
what is a ASO brace good for
plastic stirrups and figure 6 and reverse figure 6 straps
good for people with allergies to tape or not wanting to tape for prevention
what type of CAM walker to use for forefoot fracture and other options
fracture distal to talonavicular joint - use low top walker with or without arch
cast or soft cast
rigid sole post op shoe with rocker
or high top if unsure
options for ankle fracture
proximal to talonavicular joint fracture
cast
high top CAM walker
positives and negatives of CAM walkers
P:
-removable for hygiene, inspection and exercises
-adjustable
-rocker sole assists
N:
-non compliant patients
-costs
types of CAM walkers
-standard
-inflatable
-circumferential
-ROM
reasons for knee bracing
- ligament injury
- knee OA
types of acute knee bracing and what do they do
zimmer splint
richard splint
ROM
immobilise
stabilise
limit and control movement
types of knee braces for chronic injuries
- CTi (OTC and custom)
- flex sport
- hinged knee sleeves
compensate for ligament insufficiency
functional knee bracing
what can rigid taping do
- reduce pain/swelling
- limit ROM
- builds confidence
- correct biomechanics
- muscle inhibition/facilitation
- proprioception
how long does the mechanical support last for rigid tape
10-20mins
joint support, alignment and biomechanical correction
what does low dye do
- reduces muscle activity of tib post, ant and peroneus longus
-reduce midfoot mobility
-increase arch height
-alter ankle motion
tape and neuromusular effects
tape applied across the ling of muscle fibres may inhibit
tape applied in line with muscle fibres may facilitate
-not completely confirmed
how does tape increase proprioception
stimulation of cutaneous receptors and muscle/joint mechanirecptors which causes an earlier activation of protective muscle reflex arc
