Term | Definition |
piriformis syndrome max protected phase | AROM in pain free range- mm setting of glutes |
piriformis syndrome mod protected phase | isometrics of glutes- deep tissue massage |
piriformis syndrome min protected phase | piriformis stretching- tubing exercises for strengthening in ER- strengthen hip ext/abd SLR- deep tissue massage |
OA/Bursitis of hip max protected phase | pain-free AROM all planes- glute sets/quad sets/ ham sets |
OA/Bursitis of hip mod protected phase | AROM- TKEs- knee rocks |
OA/Bursitis of hip min protected phase | stretching of TFL, Rectus, Hamstrings- open & closed chain strengthening glute max, glute med & hamstrings using theraband & free wts |
THA/Post Op Hip Fx ORIF max protected phase | IP 1st wk-AP, QS, GS, HS, heel slides, AROM, ABD slides, TKE & SLR-protected WB w/wheeled walker/ WBAT. if biological-may be TDWB. hip precautions for THA. |
THA/Post Op Hip Fx ORIF mod protected phase | Immediate Post-Op period wk 2-3-Home or SNF-prone/standing hip ext-bridging-closed chain (minisquats)- standing ABD, knee flex. hip precautions for THA |
THA/Post Op Hip Fx ORIF min protected phase | I @ home wk 3-6-Return to Normal ADL-walking -swimming-stepper/treadmill-sidelying ABD- step ups/down- Basic Balance Exercises- one legged bridging- std pelvis drop- hip precautions |
Lat ankle sprain/Pes Planus/Pronation max protective phase | PROM/AROM?- Gentle mm setting-limited WB |
Lat ankle sprain/Pes Planus/Pronation mod protective phase | AROM- isometrics (all but esp inversion, eversion)- proprioception (alphabet, NWB rocker board) |
Lat ankle sprain/Pes Planus/Pronation min protective phase | stability/proprioception/plyo-isometrics (all but esp inv, ev)-theraband for inv/ev- glute med strengthening-intrinsincs proprioception (marbles, sand, towel ex w/toes)-towel stretch |
Post Op ORIF Ankle Fx Max Protective Phase | gentle mm setting, limited WB in Bledoe |
Post Op ORIF Ankle Fx Mod Protective Phase | AROM, isometrics (all but esp inv, ev), proprioception (alphabet, NWB rocker board) Bledsoe off |
Post Op ORIF Ankle Fx Min Protective Phase | stability/proprioception/plyo, isometrics (all but esp inv/ev), theraband for inv/ev, towel stretch, stretching for inv/ev |
ant shin splints max protective phase | gentle mm setting |
ant shin splints mod protective phase | AROM, proprioception (alphabet, NWB rocker board) |
ant shin splints min protective phase | stability/proprioception/ply, isolated strengthening/endurance sets for ant tib, strengthening of inv/ev, towel stretch |
non-operative MCL/LCL/ACL sprain 1st/2nd degree max protected phase | mm setting/isometrics, AROM-painfree, AP if edema, may be PWB/cx |
non-operative MCL/LCL/ACL sprain 1st/2nd degree mod protected phase | 2 wks post injury-AROM, 4 way SLR (avoid shearing force by placing wt abv knee) |
non-operative MCL/LCL/ACL sprain 1st/2nd degree min protected phase | stability, agility plyo, glute med strengtheing, ITB stretching, HS/Quad stretching |
Post Op-ACL reconstruction max protected phase- full open chain resisted ext may be contraindicated (TKEs) | 1st 8 wks-patellar mobilization, QS & more QS, HS/GS/cocontraction, ham curls/heel slides, SLR, multiangle isometrics, AROM flex to >90, full passive knee ext-propping heel/prone hand, 4way SLR-brace on-pt may be in brace locked @ 0& initially PWB |
Post Op-ACL reconstruction mod protected phase | Immediate post hospital (2-3 wks)-patellar mobs, scar massage, 4-way SLR, AROM/stretching to regain full range |
Post Op-ACL reconstruction min protected phase | 12-24 wks-patellar mobilization, stability, ply, balance & agility, mini tramp hopping & progress to plyo, progress to sport specific |
Post Op-TKR max protected phase | IP phase (1st wk) QS, HS, GS, cocontraction, heel slides, ABD slides, AP, AA SLR, TKE-if biological fixation pt may be PWB for longer period. pt will be in immobilizer-PWB-WBAT-remove for ex |
Post Op-TKR mod protected phase | immediate post hospital (2-3 wks) patellar mobs, scar massage, 4-way SLR, AROM/stretching to regain full range |
Post Op-TKR min protected phase | pt I @ home-patellar mobs, scar massage, closed chain ex-squats, std ABD, step-ups, balance ex, bike or pool, cont stretching until full ROM 135 |
Menisectomy/Partial Menisectomy max protected phase | pain free full AROM, QS, HS, GS, patellar mobilization-may be PWB/WBAT for up to 2 wks |
Menisectomy/Partial Menisectomy mod protected phase | start at 2 wks, stretching hams/quads, minisquats, patellar mobilization, 4 way-SLR, closed chain ex |
Menisectomy/Partial Menisectomy min protected phase | start @ 6 wks, low level plyo & agility w/slow progression to impact exercises, cycling, closed chain strengthening, stretching hams, quads & ITB |
meniscus repair max protected phase | pain free AROM to 90, QS, HS, GS, patellar mobilization, 4-way SLR if pt NWB- pt is in brace locked @ 90 of flexion & may be NWB/PWB for up to 4 wks |
meniscus repair mod protected phase | starts @ 4 wks, stretching hams/quads, minisquats, patellar mobilization, 4 way SLR, closed chain ex |
meniscus repair min protected phase | starts @ 4 months, low level plyo & agility w/slow progression to impact ex, cycling, stretching hams, quads & ITB |
PFPS max protected phase | mm setting, AROM-pain free |
PFPS mod protected phase | stengthen glute med, VMO strengthening (TKEs), SLR, ITB stretching, patellar mobs w/lat retinaculum stretch/ medial glide- avoid closed chain knee flex in range of 45-90. Avoid TKEs initially |
PFPS min protected phase | step-ups/step down w/knee control, slowly increasing step ht, lat step-ups recruit VMO, ankle stability, minisquats w/ABD, progress to plyo & agility |
plantarflexors | gastroc, soleus, flexor hallicus, flexor digitorum, post tib |
dorsiflexors | ant tib, ext hallicus longus, ext digitorum |
ankle evertors | fibularus longus, peroneus breis, peroneus longus, peroneus tertious |
ankle invertors | post tib, flexor hallicus, flexor digitorum |
cause of anterior shin splints (ant tib) | repeated dorsiflex |
cause of posterior shin splints (post tib) | repeated plantarflex |
1st degree inversion ankle sprain | single ligament rupture-usually ant talofibular |
2nd degree inversion ankle sprain | ant talofibular & fibulocalcaneal |
3rd degree inversion ankle sprain | ant talofibular & fibulocalcaneal & post talofibular |
eversion ankle sprain | deltoid ligament/medial collateral |
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