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FM Positions

Functional Mobility

QuestionAnswer
AKA- Positioning Avoid hip flexion and abduction. Avoid prolonged residual-limb elevation. Limit sitting to 40min/hour. Maintain residual limb in extension. Periodically position prone
AKA- Contractures to watch for Hip flexion, hip abduction, and hip internal rotation contractures
AKA- Bed Mobility Unaffected leg bridges; assist/protect residual limb. Acute: Semi-on-elbows + pivot. Later: log roll
BKA- Positioning Avoid prolonged hip and knee flexion. Elevate residual limb only briefly with knee extended. Limit prolonged sitting. Maintain residual limb extended even while sitting. Do not let residual limb hang over edge. Periodic prone positioning.
BKA- Contractures to watch for Especially hip flexion and knee flexion contractures.
BKA- Bed Mobility Unaffected leg bridges; assist/protect residual limb. Acute: semi-on-elbows + pivot. Later: log roll.
Hemiplegia/CVA – UE Positioning Avoid prolonged shoulder ADD + IR, elbow flexion, forearm pronation/supination, and wrist/finger/thumb flexion + ADD.
Hemiplegia/CVA – LE Positioning Avoid prolonged hip/knee flexion, hip ADD + ER, and ankle plantarflexion + inversion.
Hemiplegia/CVA – Other Positioning Don't let weak/flaccid limb hang dependently. Maintain neutral head/trunk. Frequent ROM. Weak/flaccid limb at heart level or above for edema.
CVA – Bed Mobility Protect affected side. Assist weak UE + LE; may also require trunk assistance.
Rheumatoid Arthritis (RA) – Positioning Avoid prolonged immobilization and flexion. Protect bony prominences. Gentle exercise unless acute inflammation.
Burns – Positioning Avoid prolonged/comfort positions. Position opposite graft site. Frequent gentle exercise within MD orders.
Burns – Bed Mobility Protect burned arms/chest. Use log roll. Use LE more; UE use based on pain tolerance.
THA – Precautions Avoid hip flexion/bending, hip IR, hip ER, and hip ADD past neutral/midline.
THA – Bed Mobility Non-surgical leg bridges. Assist/protect surgical leg. Use semi-on-elbows + pivot.
TKA – Positioning Avoid prolonged knee flexion. Maintain/promote knee extension to prevent knee flexion contracture.
Ankle Fracture – Precaution Affected LE = NWB (non-weight bearing).
Ankle Fracture – Bed Mobility Non-affected leg bridges. Assist affected leg in extension. At EOB, affected foot may rest on floor but cannot push through it.
CABG – Precautions Protect sternum/chest. Class notes: 10-lb pushing restriction. Reduce bilateral UE use.
CABG – Bed Mobility Log roll. Use LE more and provide trunk assistance as needed. Avoid heavy pushing through both UEs.
Lumbar Surgery – BLTP Avoid Bending, Lifting, Twisting, Pushing.
Lumbar Surgery – Bed Mobility Minimal bridge, only enough to clear the surface. Use log roll
SCI – Positioning/Bed Mobility Protect/control BOTH LEs. PTA places/holds legs in hooklying for bridge. For long sit + pivot, assist/control LEs.
Dependent Patient – Repositioning Reposition at least every 2 hours (q2h).
Back Surgery – Repositioning Reposition every 30–45 minutes.
Created by: user-2052658
 

 



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