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4 goals of mobilization 1) Correction of deformities 2) substitute for loss of muscle function 3) provide controlled motion 4) Aid in wound healing
Factors of PROM limitation 1) Trauma 2) prolonged immobilization 3) excess swelling that creates dense scar tissue
When are the best results from mobilization orthotic provision attained? when the OT initiates intervetion soon after the edema and pain are managed
Best way to remodel tissue is: to provide tolerable force over time (low load, long duration)
Low load, long duration the relationship of length of time a stiff joint is held at end range & the resulting gain achieved with PROM--> most effective when orthoses are worn over long periods of time compared.
general goal for mobilization is to increase PROM by how many degrees a week? 10 degrees/wk [if PROM doesn't improve following 2wks of orthotic provision, a reevaluation of the orthosis, home program & intervention should be completed.
Goals of orthotic provision are to - substitute for loss of motor activity - prevent overstretching of nonfunctional muscles - prevent joint deformity
Mobilization orthosis postoperative client functions 1) control motion and precise alignment of the repaired tissues while minimizing soft-tissue deformity 2) maintain alignment of the MCP joints for healing structures while allowing guarded mvmts of fingers in daily activities
3 stages of healing 1) acute stage (inflammatory stage) 2) Proliferative stage 3) chronic stage
What occurs in the acute/inflammatory stage of healing? in response to trauma, vasodilation brings increased numbers of leukocytes to remove damaged cells and fibroblasts to begin the healing process
What occurs in the Proliferative stage of healing? occurs after the initial inflammation subsides and tissues are in the early stages of healing. As the need for leukocytes decreases, the working fibroblasts begin the process of collagen formation
What occurs in the chronic stage of healing? chronic stage is attained when the cells are realigned and the joint response to stress is a hard end feel. Collagen continues to remodel and reorganize based on the amount of stress applied to the wound so strength is added to the wound.
Types of mobilization orthoses 1) Serial-static orthotic provision 2)
Created by: tthoma53