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    Oral Dislocation Rehabilitation Program - First

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    Priyaki Sebastian
    The rehabilitation program is evidence-based and focuses on soft tissue healing to allow patients to safely progress activities. It is divided into 3 phases over 6+ weeks. Phase 1 focuses on ROM and strengthening exercises within limits of 0-30 degrees. Phase 2 progresses ROM to 0-90 degrees and strengthening. Phase 3 aims for full ROM and strength over 75% before returning to sport with approval. The program utilizes techniques like heat/ice and therapeutic exercises tailored to the individual.

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    Oral Dislocation Rehabilitation Program - First

    Uploaded by

    Priyaki Sebastian
    127 views2 pages
    The rehabilitation program is evidence-based and focuses on soft tissue healing to allow patients to safely progress activities. It is divided into 3 phases over 6+ weeks. Phase 1 focuses on ROM and strengthening exercises within limits of 0-30 degrees. Phase 2 progresses ROM to 0-90 degrees and strengthening. Phase 3 aims for full ROM and strength over 75% before returning to sport with approval. The program utilizes techniques like heat/ice and therapeutic exercises tailored to the individual.

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    oral Dislocation Rehabilitation Program _First

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    The rehabilitation program is evidence-based and focuses on soft tissue healing to allow patients to safely progress activities. It is divided into 3 phases over 6+ weeks. Phase 1 focuses on ROM and strengthening exercises within limits of 0-30 degrees. Phase 2 progresses ROM to 0-90 degrees and strengthening. Phase 3 aims for full ROM and strength over 75% before returning to sport with approval. The program utilizes techniques like heat/ice and therapeutic exercises tailored to the individual.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    127 views2 pages

    Oral Dislocation Rehabilitation Program - First

    Uploaded by

    Priyaki Sebastian
    The rehabilitation program is evidence-based and focuses on soft tissue healing to allow patients to safely progress activities. It is divided into 3 phases over 6+ weeks. Phase 1 focuses on ROM and strengthening exercises within limits of 0-30 degrees. Phase 2 progresses ROM to 0-90 degrees and strengthening. Phase 3 aims for full ROM and strength over 75% before returning to sport with approval. The program utilizes techniques like heat/ice and therapeutic exercises tailored to the individual.

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    Patellofemoral Dislocation Rehabilitation Program (First Occurrence)

    The GLSM Patellofemoral Dislocation [Rehabilitation Program is an evidence-based and soft tissue healing dependent program which allows patients to progress to vocational and sports-related activities as quickly and safely as possible. Individual variations will occur depending on surgical details and patient response to treatment. Avoid ROM with chondrosis or pain when performing OKC knee extension strengthening exercises. Please contact us at 1-800-362-9567 ext. 58600 if you have questions or concerns. Phase 1: 0-2 weeks ROM: Drop lock brace 0-1 wk: 0 1-2wk:0-30 WB: 50 % with brace locked for ambulation Modalities: Cryotherapy 4x/day IFCfor pain/effusion NMES quadriceps RX: Recommendations: Modified Sapega-McClure technique: 1. Heat in stretch: Prone hang 1stTERT TERT= Total End Range Time 2. Mobilization / ROM: PF mobs if indicated - avoid lateral glides 3. Therapeutic exercises: Flexibility exercises: Hams, Gastroc-soleus Biofeedback QS with adductor squeeze, SLR Hip 4 way SLR Gastroc strengthening (50%WB) M<l quadriceps/hamstrings at 0 and 30 deg Short arc 0-30 quadriceps if no chondrosis Balance/proprioception exercises at 50%WB CV conditioning, Core stability Upper body exercises 4. Ice in stretch: 2nd TERT 5. HEP for 3rd TERT Phase II: 2-4 weeks ROM: Drop lock brace 2-3 wks: 0-60 3-4 wks: 0-90 WB: 2-3 wks:' Full WB with brace locked for ambulation 3-4 wks: Open brace for ambulation if good quad control Modalities: Cryotherapy IFC for pain/effusion NMES quadriceps RX: Recommendations: Sapega-McClure technique: 1. Active warm-up: Bike high seat for ROM 2. Heat in stretch: Prone hang 1st TERT 3. Mobilizations / ROM: PF mobs if indicated - avoid lateral glides AROM/AAROM/PROM 4. Therapeutic exercises: Flexibility exercises Biofeedback QS with adductor squeeze, SLR, CKC knee extensions Total leg strengthening Hip 4 way SLR Gastrocsoleus exercises M<l quadriceps/hamstrings at 10, 30, 50,70,90 per ROM Short arc quads/hams per ROM if no chondrosis Hamstring isotonics CKC exercises - leg press w/adductor squeeze, step-ups, mini-squats, partial lunges, lateral step-over Balance/proprioception CV conditioning, Core stability 5. Ice in stretch: 2nd TERT 6. HEP for 3rd TERT
    Updated 11/03

    Phase III: 4-6 weeks+ ROM: Patellofemoral brace 4-5 wks: No limitations with progression to full ROM WB: No restrictions Patellofemoral brace Modalities: Cryotherapy NMES quadriceps RX: Recommendations: Sapega-McClure technique if needed (see previous) Bike with resistance Elliptical Runner / Stairmaster Flexibility exercises Biofeedback Total Leg Strengthening Hip strengthening Heel raises Hamstrings isotonics Quadriceps isotonics in ROM without chondrosis Isokinetic quad/hams in ROM without chondrosis CKC exercises- leg press, step-ups, lunges to 90, squats to 90 Baiance/proprioception CV conditioning, Core stability Return to running if 75% strength Plyometrics / Agility exercises / Sport-specific exercises if 75% strength Testing: 6-8 wks Linea / Biodex FXN tests when appropriate Return to Work/Sport No pain or effusion Full ROM Isokinetic Strength- 90% Functional Tests - 90% MD approval

    Patellar Dislocation References

    Arendt, Elizabeth A., et a!: Current Concepts of Lateral Patella Dislocation. Clinics in Sports Medicine, 2002; 21: 499-519 Atkin, Dave M, et al: Characteristics of Patients With Primary Acute Lateral Patellar Dislocation and Their Recovery Within the First 6 Months of Injury. The American Journal of Sports Medicine, 2000; 28(4): 472-479 Cosgarea, Andrew J., et al: Evaluation and Management of the Unstable Patella. The Physician and Sports Medicine, 2002; 30(10): 33-40 Davies GJ, Zillmer DA: Functional progression of exercise during rehabilitation in Knee Ligament Rehabilitation, Ellenbecker, 2000; 345-360 Davies GJ, Heiderscheit B, Clark M: Open kinetic chain assessment and rehabilitation. Athletic Training: Sports health care perspectives, 1995; 1(4): 347-370 McClure PW, Blackburn LG, Dusold C. The use of splints in the treatment of joint stiffness: biological rational and algorithm for making clinical decisions. Phy Ther,1994 74:1101-1107 Neitzel JA, Kernozek TW, Davies GJ: Loading response following anterior cruciate ligament reconstruction during the parallel squat exercises. Clinical Biomechanics, 2002; 17(7): 551554 Post, William R., et al: Patellofemoral Malalignment: Looking Beyond the Viewbox. Clinics in Sports Medicine, 2002; 21: 521-546 Sapega AA, Quedenfeld TC. Biophysical factors in range of motion exercises. Physician and Sports Medicine, 1981; 9: 57-65 Straker JS, Johnson-Stuhr P: Clinical application of closed kinetic chain exercises in the lower extremities. Orthopaedic Physical Therapy Clinics of North America, 2000; 9(2): 185-207

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