NPTE Musculoskeletal
Help!
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| Gold standard to Dx RTC tear | arthrogram
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| Sx of RTC tear | signif decr ABD AROM, no reduction in PROM, + drop arm, poor SHR
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| Flexor tendon repairs in hand initial immobilization | 3-4wk in splint with wrist/digit FLEX
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| Progression of PT for hand flexor tendon repairs | In splint – resisted extension, passive flexion. 4wk- AROM to tolerance. Wound mgmt, edema control, passive exercise first. Active extension initiated first, then flexion. Resisted and fxnl exercise when full AROM.
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| Extensor tendon repairs of hand immobilization | Distal: 6-8wk with DIPs in neutral. Proximal: wrist/digits in extension 4wk.
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| Ext tendon repair PT progression | 6wk- AROM with PIPs neutral, Active extension followed by flexion, Resistive ex once full AROM.
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| Cemented THR | tolerates full WB immediately, better for fragile bones, those that need to benefit from immediate mobility, may crack with aging with loosening
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| Noncemented THR | more stressful on bones during surgery, used with younger and active
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| Positioning in bed for THR | wedge to prevent ADD
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| Position to avoid with THR | FLEX >90d, ADD, IR.
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| ORIF for Femoral Fx initial mobility | NWB for 1-2wk with crutches/FWW. Partial WBAT after that.
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| P.O. considerations for ACL reconstruction | Hinged brace 20-70d initially, NWB for 1wk, off brace in 2-4wk
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| PCL repair bracing | 0d at first
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| Partial meniscectomy P.O. considerations | PWBAT once full knee EXT achieved, AROM encouraged PO Day 1, Strengthening by Day 3
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| Meniscal repairs PO considerations | NWB for 3-6wk, rehab begins 7-10d PO
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| PO considerations for Harrington rod placement | early mobilization in bed, effective coughing, amb 4-7d PO, no heavy lifting or twisting/bending
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