Ther Ex: ch 21

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Author:
laneaustin
ID:
247153
Filename:
Ther Ex: ch 21
Updated:
2013-11-16 10:49:59
Tags:
knee continued
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Description:
knee
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  1. ROM goal for Max protection phase of ACLR
    0-110*
  2. Max protection phase of ACLR
    • PROM/A-AROM
    • gait training with assistive device
    • patellar mobs
    • isometric setting
    • Assistive SR
    • closed chain activities
    • hamstring strengthening
    • open chain knee extension limit to 90-40*
  3. Mod protection phase of ACLR
    • advance closed chain activities
    • LE strengthening
    • endurance training
    • proprioceptive training
    • walk/jog
  4. Min protection phase of ACLR
    • plyometrics
    • agility
    • work/sport specific training
    • full speed run & cut
  5. Max protection phase of PCLR
    • patellar mobs
    • quad sets
    • 4-way SLR
    • gravity assisted knee flexion(passive)
  6. Mod/Min Protection phase of PCLR
    • 2-3 months post-op begin hamstring strengthening
    • begin closed chain bridging
  7. Signs and Sx's of Meniscus Tear:
    • popping, clicking, catching
    • joint effusion
    • joint line tenderness

    buckethandle tears-locking of joint
  8. Anatomy of Meniscus
    • outer-highly vascular
    • central- moderately vascular
    • inner-avascular
  9. when is a meniscal repair needed?
    • indicated tear in outer 1/3 of meniscus
    • extending to central region
  10. Max protection phase of meniscal repair
    • WB: partial-full
    • restricted motion for 4-6 wks
    • flexion progressed by 10 degrees per week
    • isometrics-->SLR
  11. Mod protection phase of meniscal repair
    • low-intensity exercise: stationary bike
    • hip and ankle exercises
    • closed chain and standing balance activities
  12. return to function after meniscal repair
    3-4 months post-op
  13. Partial menisectomy
    arthroscopic excision of torn portion of meniscus
  14. post-op tx of partial menisectomy
    • control inflammation
    • ROM
    • strengthening exercises
    • return to function activities
    • limit loading activities
  15. return to function post-op partial menisectomy
    2-6 wks post-op
  16. Screw-home mechanism
    • femur rotates medially
    • tibia rotates laterally

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