Timeline for rehab

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Author:
tarnold11
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150263
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Timeline for rehab
Updated:
2012-04-26 04:14:58
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timeline
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Timeline for injury rehab
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  1. Medial Collateral Lig. Spain
    • Grade 1 & 2 - treated symptomatically
    • grade 1 - RTP ASAP
    • Grade 3 braced 4-6 wks (no play)
  2. Lateral collateral lig. Sprain
    • Grade 1& 2 treated symptomatically
    • Grade 3 - 4-6 wks bracing (0-19 degrees ext.)
  3. Meniscal repair
    RTP = about 6 wks
  4. Patella dislocation
    Immobilized for 3-6 wks
  5. Tibia and Fibula Fx
    • distal nondisplaced - 10-13 wks
    • displaced 16-26 wks
    • fibula - 6-8
  6. Healing time for stress fracture of the tibia
    • 6-12 wks
    • distal tibia takes longer, may need NWB
  7. Protocol for stress fracture in tibia
    • rest about 8 wks
    • maintain fitness by swimming, running in water or weight training, strengthen lower leg
  8. RTP for compartment syndrome
    • 8-12 wks for anterior
    • 3 mo. for posterior.
  9. Achilles Tendon Rupture
    • PWB 6-8 wks
    • RTP - equal # of heel raises per second.
  10. Ankle fracture
    • ~ non-displaced - walking boot for 6 wks
    • ~ displaced -NWB 2wks --> 2-3 walking boot with partial wt. bearing.
    • ~ 6wks - FWB with boot for 2-3 wks.
    • - start strengthening.
  11. Subluxed or Disloc. Peroneal tendon
    • ~5-6 wks in a walking boot
    • ~agressive strengthening of peroneal tendon after boot removal
    • ~ if that does not work, surgery.
    • ~ NWB 4-6 wks after
  12. treatment for tendinitis
    • reduce inflammation
    • correct training errors
    • correct biomechanics errors
    • strengthen the involved tendon
    • NAIDS
    • Stretching
    • correct shoe problem
  13. Treatment for Planter fascitis
    • stretching of the achilles tendon
    • orthodics
    • arch taping
    • night splint
    • strengthening of muscles
  14. General Low back pain (Chronic Rehab)
    • Core stabilization exercises
    • Strengthening exercises
    • Identify problems
    • `lack of flexibility
    • `lack of core strength
    • `improper biomechanics
  15. General Lower Back pain (Acute Rehab)
    • stretching
    • decrease pain
    • self-mobilization
    • instruct in proper body mechanics
  16. Check flexibility of these muscles in relation to lower back pain (8)
    • Hip flexors
    • Hip Adductors
    • Hip abductors
    • Hip Rotators
    • Lumbar extensors
    • Lumbar rotators
    • Lumbar lateral flexors
    • Hamstrings
  17. Sources for lower back pain (11)
    • Posture
    • arthritis
    • herniated disc
    • degenerating joint disease
    • degenerating disc disease
    • Stenosis
    • Spondololythesis
    • compression fractures
    • Strains
    • Sprains
    • Contusion
  18. Strengthening exercises for piriformis muscle
    • fire hydrants
    • abduction
    • abduction w/ hip at 60, knee at 90
    • Piriformis stretching
  19. Symptoms of lumbar facet joint sprains
    • sudden outset
    • Muscle spasms that pull patient out of alignment
    • pain may radiate
    • p! in creases with extension
    • may be confused with disc pain
    • diagnosis by imaging
  20. Treatment for spondylolythesis/ spondyloysis
    • Avoid hyper extension
    • core stabilization exercises
    • Trunk strengthening
    • Williams flexion exercises
    • hip stretching
    • ` flex, abd, lateral bend away
    • bracing may help
  21. Spinal Stenosis Exercises
    • Low impact conditioning
    • Tai chi
    • Swimming
    • Weight loss
    • Avoid repetitive flexion or lifting
  22. SI Joint Dysfunction
    • May have radiating pain
    • pain increases with flexion
    • Core stability exercises
  23. Wryneck (Acute Facet Joint Lock)
    • usually involves something being caught in joint
    • Use modalities early to help with pain
    • efflurage
    • early p! free ROM
    • traction
    • Manual traction with rotation and lateral flexion.
    • Collar may help
  24. Cervical sprain
    • Modalities for pain
    • collar may help first 48-72 hrs
    • MM manual strengthing
    • Manual traction may help
  25. Aquatic Therapy Benefits
    • 10-16% more resistance than air
    • Body weighs less because of buoyancy
    • `less stress on body
    • `minimizes impact
    • `waist deep- body weighs 1/2 as on land
    • `neck deep - body weighs 10%
  26. General rehabilitation guideline
    • Acute w/ inflammation (0-4 wks)
    • Acute w/o inflammation (0-4 wks intermittent)
    • Subacute - (4-12 wks)
    • Chronic > 12 wks
    • Chronic pain syndrome > 6 months
  27. Extension Bias (Syndrome) & dx possibilities
    • Presents with flexed posture
    • Ext decreases or centralizes the pain
    • Dx possibilities
    • ` disc lesions
    • `impaired flexed posture
    • `fluid stasis
  28. Flexion Bias ( syndrome) & dx possibilities
    • Present with flexed position and is most comfortable in flexed position
    • ext. increases or peripheralizes pain
    • dx possibilites:
    • `spondylosis
    • `stenosis
    • `extension load injuries
    • `swollen facet joints.
  29. Muscle soft tissue injury & dx
    • Presents with guarded posture
    • increased muscle tension
    • Dx possibilites:
    • ` strains
    • ` tears/ contusions
    • `overuse
  30. Aquatics Therapy
    • allows for greater ROM
    • Heart works more efficiently in water
    • `13 bpm slower
  31. Specifics of Aquatic Exercise
    • Water should be 90-100 degrees
    • exercise 3-4 day/wk
    • 15-30 min each day
    • LE workout is just like on land.
  32. Types of exercises (aquatics)
    • water walking
    • `forward
    • `backward
    • `side stepping
    • `marching
    • `stridding
  33. Body exercises (aquatics)
    • flex
    • ext
    • abd
    • add
    • int. and ext. rotation
    • wall pushups
  34. disadvantages to aquatics exer.
    • Person may be uncomfortable
    • cost
    • trouble stabilizing
    • open wounds (contraindicated)
    • allergies

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