Interventions - AC joint injuries

Question 1

type 1 interventions include

Answer 1

modalities

sling for 1 week

begin isometrics

return to activity and progress as tolerated

Question 2

what should we restore –> type 1

Answer 2

ROM

but avoid cross body movements

Question 3

type 2 includes

Answer 3

longer immobilization

longer period of inflammation

Question 4

type 2 rehab

Answer 4

like type 1

but everything takes a little longer

Question 5

may use –> type 2

Answer 5

AC harness

Question 6

type 3 question

Answer 6

conservative or surgery

Question 7

type 3 interventions

Answer 7

sling 3-6 weeks

progress like previous but slower

may take 12 months to heal

Question 8

what grades require surgical intervention

Answer 8

4-6

Question 9

post op days 1-7

Answer 9

ice w/ e-stim if necessary

hand/grip strength

elbow/wrist AROM w/ arm at side

pendulum exercises

Question 10

sling –> post up days 1-7

Answer 10

for weeks

even when sleeping

Question 11

weeks 1-4 post op guidelines

Answer 11

same as previous

Question 12

weeks 1-4 AAROM

Answer 12

supine wand exercises

flexion to 90

ABD to 60

Question 13

weeks 1-4 includes

Answer 13

ER as tolerated

gentle shoulder shrugs/scap retractions w/o resistance

1-2 finger isometrics

Question 14

sling weeks 4-6

Answer 14

d/c sling

Question 15

what do we continue –> weeks 4-6

Answer 15

wand exercises and pendulum

Question 16

what should we add –> weeks 4-6

Answer 16

light theraband

standing rows

biceps and supine triceps w/ weights

Question 17

light therabands –> weeks 4-6

Answer 17

IR/ER with towel roll under arm

flex,ext, ABD to 60

Question 18

weeks 6-8

Answer 18

AAROM

ER/IR as tolerated

body blade

Question 19

AAROM –> weeks 6-8

Answer 19

flexion/ABD 120 degrees using wand

pulley

wall climb

Question 20

weeks 8-10

Answer 20

AAROM

AROM

Question 21

AAROM –> weeks 8-10

Answer 21

flexion, ABD to 120

wand, pulley, wall climb

Question 22

AROM –> weeks 8-10

Answer 22

flexion, ABD to 120 pain free

Question 23

weeks 8-10 includes

Answer 23

prone scap retraction w/ light weights

ball on wall

wall push ups

UBE

Question 24

weeks 10-12 includes

Answer 24

push up progression –> wall to table

ball toss w/ arm at side

Question 25

weeks 10-12 motion

Answer 25

full ROM, AAROM, AROM

Question 26

weeks 10-12 PROM

Answer 26

PROM, mobilization as needed

Question 27

months 3-4 include

Answer 27

push up progression (wall, table, chair)

ball toss overhead

PRE w/ light weights

Question 28

no contact sports

Answer 28

until 12 months post-op