Precautions
Help!
|
|
||||
|---|---|---|---|---|---|
| THR, post op complications | DVT, infection, heterotopic ossifications, sciatic nerve injury, periprosthetic fracture, dislocation/subluxation of the femoral head, pulmonary embolis
🗑
|
||||
| THR post op precations, posterior approach | use abd pillow, maintain approp WBing status, avoid hip add, IR (med rot), AVOID HIP FLEX > 90 deg, do not sit on low surfaces, don't bend to get up frm chair or tie shoes, don't pivot to surgical side,don't cross legs, use pillow betw legs when sidelying
🗑
|
||||
| PT tx for THR | maintain appr WBing status, mobility training using hip precautions, early ambulation training, initiage stg'g w/isometric ex & progress as tolerated, implement gentle stretching using hip precautions
🗑
|
||||
| cemented TKR | cemented - immediate WBing as tolerated, used w/older & sedentary patients
🗑
|
||||
| hybrid type of TKR | toe touch WBing for up to six wks
🗑
|
||||
| noncemented TKR | toe touch WBing up to 6 wks, longer life expectancy than cemented
🗑
|
||||
| TKR post op complications | DVT, infection, chronic joint effusion, periprosthetic fracture, restricted ROM, pulmonary embolus, peroneal nerve palsy
🗑
|
||||
| TKR post op precautions | maintain approp WBing, mobility trg, early amb trng w/knee immob, use continuous passive motion machine (CPM), initiate strg'g w/isom exercises compression stocking for edema, wean from knee immob
🗑
|
||||
| THR -what motion to avoid? (posterior approach) | flexion > 90 deg, adduction across midline, avoid IR 6-12 wks
🗑
|
||||
| THR motions to avoid -anterior approach | avoid hip ext, ER, adduction
🗑
|
||||
| THR - very important part of max phase? | Education!
🗑
|
||||
| avoid what motions after subluxing peroneal tendon surgery | DF & eversion
🗑
|
||||
| avoid what motions with shoulder anterior dislocation? | full ABD, ER, Extension, worst position 90 deg abd w/ER, avoid stg in abd
🗑
|
||||
| after should anterior capsular surgery, avoid? | abduction over 90 deg, ER beyond 45 deg
🗑
|
||||
| patellar compression forces raise sharply after ______ deg of knee flexion | 30 deg
🗑
|
||||
| patella compression....most forces occur at ________ degrees! | 60-90 deg...mini squats, not a lot of full squats
🗑
|
||||
| Hip fx avoid motions of ? | avoid diagonal or rotary forces, no active SLR, no supine bridges
🗑
|
||||
| what causes bicipital tendonitis? | overhead movement, reaching, lifting, recurrent, repetitive activity
🗑
|
||||
| If someone falls on their shoulder, what is likely to happen | dislocate AC jt
🗑
|
||||
| area of relative transient hypovasularity | proximal of insertion on greater tubercle of the supraspinatus
🗑
|
||||
| what occurs in a slap lesion? | long head bicep tendon peels away from labrum
🗑
|
||||
| avoid what motions w/bicipital tendonitis | overhead reaching, lifting and until out of acute state - bicep strengthening and stretching, supination (wrist stg), AROM shoulder flexion
🗑
|
||||
| what tx for bicipital tendonitis? | initially pendulum exercises, modalities to dec inflam & stim healing,ion/phonophorsis, when out of accute stage stg to imp stability, CKC, proprioception
🗑
|
||||
| shoulder capsular pattern indicative of lesion | ER most limited, ABD, next, IR next
🗑
|
||||
| cause of adhesive capsulitis? | trauma, immob, insidios onset,
🗑
|
||||
| rehab for adhesive cap | ice if consistant pain, heat later to lengthen, jt mobs into abd, strengthen the available RO
🗑
|
||||
| what range to stay within for adhesv cap? | resting position 55 deg abd, 30 hor add
🗑
|
||||
| who is most likely to sustain lesion ( Bankart, SLAP) or instability? | younger, active adults
🗑
|
||||
| what structures offer shoulder stability? | subscapularis, GH ligament, LH bicep
🗑
|
||||
| what is most commonly dislocated jt in body? | glenohumeral
🗑
|
||||
| aprehension test is for? | anterior shoulder instability
🗑
|
||||
| avoid what motions with dislocated shoulder? | full ABD, ER, extension, 90 deg abd w/ER is the worst keep elbow ER at side not over 45 deg, shoulder in resting position abd 55 deg, horz add 30 deg, DON'T WORK ON ROM
🗑
|
||||
| MAX ph tx for shoulder dislocation | ice, etim, elboy, wrist & hand stg/motion,
🗑
|
||||
| MOD ph for shoulder dislocation | pulleys, codman's, sub max isometrics (add & IR), ROM, isometrics (0 deg of abduction)
🗑
|
||||
| avoid what motion in mod ph shoulder disclocation? | strengthening in abduction
🗑
|
||||
| tx for anterior dislocation? | strengthen anterior compartment - pec major, teres major, latissimus dorsi, subscapularis
🗑
|
||||
| MOD/MIN ph shoulder dislocation | maintain jt play, avoid anterior glide, isotonics, theraband to beging, shoulder ABD, IR for anterior, UBE, CKC stg
🗑
|
||||
| avoid what with soulder disl? | limit ER to 50 deg initially
🗑
|
||||
| surgical anterior capsular shift, restrict? | avoid abd over 90 deg, ER beyond 45 deg
🗑
|
||||
| MAX - tx for surgical ant cap shift | (stg immediately GH & scap stabilizers), splint 1-2 wks, AAROM flex & abd (wand) -gradually gain motion, isom contractions IR, ER, flexion, extension, abd GOAL;;;;; SCAPTION OF 135 DEG, 35 ER
🗑
|
||||
| MOD tx for surgical ant cap shift | 3wk-3 mo, IR/ER w/tubing, ext in prone, proprioception, GOAL; FULL AROM (NOT EXCESSIVE) RETURN TO SEDENTARY WK, 60% RETURN OF STG
🗑
|
||||
| MIN tx for surgical ant cap shift | advance PRE's, eccentric, isokinetics, sport specific, adv CKC
🗑
|
||||
| avoid what motions with impingment? | 60-120 deg forward flex, IR w/90 deg ABD
🗑
|
||||
| causes of impingment | musc imbalances, faulty biomechanics, trauma, poor posture, SICK scapula
🗑
|
||||
| painful arc 60-120 flex or abd, pain w/resistance or stretch, tenderness to palpation at distal insertions, limited IR is indicative of? | shoulder impingment
🗑
|
||||
| shoulder imp rehab & what mm's to stg? | stretch external rotators, strg external rotators, & scapulothoracic mms (Serratus ant, trap, levator scap, rhomboid)
🗑
|
||||
| avoid_____with imp. | avoid ABD below 45 deg, flexion above 90 deg (watershed)
🗑
|
||||
| MAX ph imp | modify ADL's, rest - aviod painful motions, painfree motion, ice, codman's, ionophoresis/phono, cross-friction massage, ice, PROM, TREAT SHLDR SUPPORTED AT 45 DEG ABD
🗑
|
||||
| MOD ph imp | scap ex - rowing-rhomboids, scapular plane elevation - scaption elev w/ER, press ups (seated) - traps, push ups at end push up plus. AROM limted to 90 deg abd, stretch (restore normal internal rot w/90 deg ABD, strg (painfree) isometrics, isot, isok
🗑
|
||||
| why is scaption plane preferrable? | less muscle effort required to raise the arm in scaption plane
🗑
|
||||
| MOD cont, imp | posture, biomechanics functional
🗑
|
||||
| MIN ph imp | full functional activ, above 90 deg rotator cuff, supraspinatus, infraspin, teres minor, subscap (concen & eccen), stretch bilateral, stg in available range ASAP! CONCENTRATE ON SCAP RETRACTORS & STABILIZERS - RHOMB, SERRATUS ANT, TRAPS, LEVATOR SCAPULAE
🗑
|
||||
| if one medial malleoli appears to lengthen or shorten as patient does long sit-uo, could be? | SI jt
🗑
|
||||
| what causes MCL injury? | valgus force to the knee
🗑
|
||||
| what mm to stg for MCL injury? | gracilis, sideline hip adductors, knee extended
🗑
|
||||
| tx for MCL injury MAX | isomentric, quad set, SLR
🗑
|
||||
| MCL injury MOD | wall slides, SLR w/wts
🗑
|
||||
| MCL injury MIN | leg press, step ups w/wts, adductor w/theraband, GRACILIS IS STABILIZER
🗑
|
||||
| avoid? w/MCL injury? | avoid valgus str, valgus forces - rotational stresses,
🗑
|
||||
| symptoms of Meniscus lesion | giving way, may lack extension, joint line pain
🗑
|
||||
| Meniscus repair rehab precaution | limited knee flex 0-100 4-6 wks, isom stg for first 3-4 wks, NWB 4-6 wks, no vertical compressive loads, no full squats 3-6 mo, CKC after 8 wks, OKC 4-8 wks
🗑
|
||||
| long term effects of meniscectomy | degeneration, narrowing of the tibiofemoral jt space, bone spurs, degenerative articulate surface
🗑
|
||||
| difference betw meniscus repair & meniscectomy | meniscus repair needs time to heal by limiting loads & stresses, meniscectomy is early wb'ing as tolerated
🗑
|
||||
| avoid w/meniscus repair? | knee flex 90-100, wtb'ing 4-6 wks, NO WT'D FULL SQUATS 3-6 MONTHS!!
🗑
|
||||
| Ober test, you should work on which muscle? | IT band
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
djbari
Popular Physical Therapy sets