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MobilizationOrthoses
| Term | Definition |
|---|---|
| 4 goals of mobilization | 1) Correction of deformities 2) substitute for loss of muscle function 3) provide controlled motion 4) Aid in wound healing |
| Factors of PROM limitation | 1) Trauma 2) prolonged immobilization 3) excess swelling that creates dense scar tissue |
| When are the best results from mobilization orthotic provision attained? | when the OT initiates intervetion soon after the edema and pain are managed |
| Best way to remodel tissue is: | to provide tolerable force over time (low load, long duration) |
| Low load, long duration | the relationship of length of time a stiff joint is held at end range & the resulting gain achieved with PROM--> most effective when orthoses are worn over long periods of time compared. |
| general goal for mobilization is to increase PROM by how many degrees a week? | 10 degrees/wk [if PROM doesn't improve following 2wks of orthotic provision, a reevaluation of the orthosis, home program & intervention should be completed. |
| Goals of orthotic provision are to | - substitute for loss of motor activity - prevent overstretching of nonfunctional muscles - prevent joint deformity |
| Mobilization orthosis postoperative client functions | 1) control motion and precise alignment of the repaired tissues while minimizing soft-tissue deformity 2) maintain alignment of the MCP joints for healing structures while allowing guarded mvmts of fingers in daily activities |
| 3 stages of healing | 1) acute stage (inflammatory stage) 2) Proliferative stage 3) chronic stage |
| What occurs in the acute/inflammatory stage of healing? | in response to trauma, vasodilation brings increased numbers of leukocytes to remove damaged cells and fibroblasts to begin the healing process |
| What occurs in the Proliferative stage of healing? | occurs after the initial inflammation subsides and tissues are in the early stages of healing. As the need for leukocytes decreases, the working fibroblasts begin the process of collagen formation |
| What occurs in the chronic stage of healing? | chronic stage is attained when the cells are realigned and the joint response to stress is a hard end feel. Collagen continues to remodel and reorganize based on the amount of stress applied to the wound so strength is added to the wound. |
| Types of mobilization orthoses | 1) Serial-static orthotic provision 2) |
Created by:
tthoma53
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