Therapy of the Hand and Upper Extremity: Rehabilitation by Scott F. M. Duncan, Christopher W. Flowers
By Scott F. M. Duncan, Christopher W. Flowers
Presenting over a hundred rehabilitation protocols for the hand and top extremity in an easy-to-use, step by step layout, this functional reference offers surgeons and therapists alike with a go-to resource for the remedy method or approach applicable for his or her sufferers. overlaying accidents from the shoulder, elbow, wrist, hand and arms, each one protocol comprises bullet-pointed steps in day-by-day or weekly increments following the harm or surgical procedure and are inherently adaptable to the explicit surgical intervention or rehabilitation requirement. techniques following arthroplasty, extensor and flexor tendon accidents, fractures and dislocations, ligament and gentle tissue injures, and nerve compression syndromes are one of several and multifaceted treatments provided. This ebook might be a useful source for the orthopedic health care provider, hand health care provider, actual therapist, occupational therapist, hand therapist and any energetic clinician treating accidents to the hand and top extremity.
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Extra resources for Therapy of the Hand and Upper Extremity: Rehabilitation Protocols
16 4. Arthroscopic Anterior Stabilization… * Full elevation in scapular plane before elevation in other planes * Open and closed chain exercises * NO heavy lifting or plyometrics at this time * Initiate*: * Full scapular plane raises to 90° with good mechanics * ER/IR strengthening with resistance tubing at 0° Abd using towel roll * Sidelying ER with towel roll * Manual resistance ER supine in scapular plane (light resistance) * Prone rows at 30/45/90° Abd to Neutral arm position **Criteria before Phase 3: Passive forward elevation (115°), Passive external rotation (within 8–10° of contralateral side at 20° abduction), Passive external rotation at least 75° at 90° Abduction, Appropriate scapular posture at rest and dynamic scapular control with ROM and functional activities Phase III • 10–15 Weeks: ° Goals: – Normalize strength, endurance, and neuromuscular control – Return to chest level full functional activities – Gradual and planned buildup of stress to anterior joint capsule ° Restrictions: – Do not overstress the anterior capsule with aggressive overhead activities/strengthening – Avoid contact sports/activities – Do not perform strengthening or functional activities in a given plan until the patient has near full ROM and strength in that plane of movement 4.
Advance ROM and strength as tolerated. • Focus on returning to work or activity-related goals. Chapter 15 Midshaft Humerus ORIF Sling 4 weeks. Limit ER to neutral and IR to chest 0–4 Weeks • Keep in Sling, except for therapy and bathing (after 2 weeks). • Begin shoulder pendulums, and elbow/wrist/finger PROM and AROM. 4–8 Weeks • Discontinue Sling. • Gradually increase ROM exercises and stretching tolerances. Stretch to threshold of pain, not beyond. 8–12 Weeks • MD to verify union. • Begin stretching starting with isometric shoulder strengthening exercises with arm in adduction.
M. W. 1007/978-3-319-14412-2_16, © Springer International Publishing Switzerland 2015 53 54 16. Proximal Humerus Fracture Nonoperative 6–8 Weeks • Active forward flexion-supine, active forward flexion with weights, supine, forward flexion-erect-with towel. 8 Weeks • Resistive exercises, stretching. ***Note: crepitus at the fracture site with ROM should be noted and stopped until the MD has been notified. Discharge Criteria • Patient will be able to comb hair, wash face, reach into shoulder-high cabinets.