Post op Flashcards
(35 cards)
stages of rehabilitation or post-operative phases
immobilization (phase I)
protection (phase I)
rehabilitation (phase 2)
function life/job/sport specific (phase 3)
methods in immobilization
minimize immobilization time
direct treatment to other joints or non injured tissue
allowing some degrees of freedom while protecting the healing structures
protective phase
methods in protective phase
Brace/A.D/removable splint
ROM restriction
WBing status - progress as quickly as healing structures will allow
understand basic rehabilitation principles
promote tissue healing/protect repair minimize scar formation improve ROM/strength Improve balance/proprioception minimize swelling improve postural deviations
min joint stiffness min muscle atrophy minimize hyper-sensitivity min adhesions stimulates core activation and co-contraction ambulates sooner return to function/sports/job sooner
Benefits of early weight bearing/mobilization
a devise which protects and limits the mobility of a specific joint cast external fixation knee immobilizer solid AFO, KAFO
immobilizer
a devise used to add support, stability and or protection during functional activities unloader J brace double upright ACL Taping ankle lace up ankle lace up ankle hinged ROM
functional
a devise which protects and limits mobility of a joint, but allows some degrees of freedom, mobility and or function
hinged AFO, KAFO
ROM knee brace
Cam boot/walking boot
protective
brace for OA
unloader
brace for directional pull of the patella, good for position, want to progress out of
j brace
brace used when there is instability
double upright
static progressive stretch
joint activation system (JAS)
low load tension over a prolonged period of time
dynamic ROM splint
low load tension over a prolonged period of time but it is in a fixed position
night splint
achilles repair has benefits of
early weight bearing and mobilization
Achilles tendon WBing protocol
NWB 2 weeks PWB 50% at 2 weeks in CAM PWB 75% at 3 weeks in CAM 1 crutch WBAT at 4 weeks in CAM progress into shoe at 6 weeks
Achilles tendon repair ROM protocol
0-2 weeks DF to neutral
3-4 weeks DF to 5 degrees
4 week on DF to tolerance
Lateral ankle reconstruction WBing status
NWB 0-2 weeks in cast or splint
WBAT 2-4 weeks in CAM boot
WBAT 4-8 weeks progress to shoe with protective brace
Lateral ankle reconstruction ROM
avoid passive inversion, end ROM plantar flexion 0-4 weeks
posterior tibial reconstruction WBing
NWB 4-6 weeks post op, CAM or splint
WBAT 6-8 weeks in CAM with arch support
WBAT 8-12 weeks in shoe with arch support
arch support for 6 month post op
Posterior tibial reconstruction ROM/restrictions
ankle in neutral 0-4 weeks
avoid end ROM DF and eversion
ACL graft vascularation
strongest at implementation
weakest at 6-8 weeks
resembles normal connective tissue at 6-9 months
ACL reconstruction WBing
WBAT with brace locked in ext x 4 wks; crutches 1 week
without a brace: crutches 2 weeks
