Managing Complex Orthopedic Rehabilitation

Size: px
Start display at page:

Download "Managing Complex Orthopedic Rehabilitation"

Transcription

1 Managing Complex Orthopedic Rehabilitation Dynamic and Static Combination Stretching Orthosis only from...

2 Protect/Mobilize at Each Stage of Post Surgical Course Address the Challenges Presented in the Wound Healing Process Outside the Clinical Setting Treatment Specialties Biceps Tendon Rupture/Repair Triceps Rupture/Repair Severe Elbow or Forearm Trauma Loss of UE Supination and/or Pronation Patellar Tendon Rupture Quadriceps Tendon Rupture Total Knee Arthroplasty (TKA) Anterior Cruciate Ligament (ACL) Severe Fractures Burns Age Groups Pediatric, Biomechanical Rationale Ultraflex custom molded braces, custom fit braces, and components complement surgery and therapy by providing precise dynamic stimulus to address proper remodeling and prevention of adhesions and structural LOM. Dynamic stimulus technology is based on low-load prolonged stress (LLPS). This allows for consistent low level tension to be applied over an extended period of time targeting weak muscles, inadequate muscle tendon length, and adhesions. Mobilization is achieved with both low intensity stimulus and resistive strength training. Ultraflex braces are versatile, easily adjusted, and can be used in static and/or dynamic modes. All phases of healing from acute, to fibroplasia, to maturation can be addressed with a single orthosis. For the acute phase, full lockout is used for immobilization. For the fibroplasia and maturation phases, clinicians have the options of flexion dynamic assist or block and extension dynamic assist or block for protected motion and joint mobilization. A bi-directional feature, extension and flexion assist, is available for wrist, elbow, and knee orthoses. All Ultraflex combination static and dynamic orthoses address posture and scar tissue lengthening to maintain and increase tissue length for proper limb function. To learn more: Call: Visit:

3 What Do Patients Say About Their Ultraflex Dynamic and Static Combination Stretching Orthoses? It fit right into my daily routine. I just went about my day. I took it off only to shower. Since I was able to move my arm when I wore the brace, I had good range of motion when I started physical therapy. It s great to be able to do all the things I did before I was injured. Compliance/Wear Schedule The specific wearing schedule and protocol will be determined by the patient s treating physician. For post surgical immobilization, the orthosis is generally worn at all times to assure maximum protection of the surgical site. For protected/limited mobilization, the orthosis is also generally worn at all times but may be removed for showering. The range of motion allowed in the orthosis will be determined by the physician and the spring tension should be set to promote a gentle active assist motion for gentle gliding of the involved tendon. For increasing ROM in later rehab, the orthosis may be worn for 8-10 hours a day either during the day or at night as tolerated. The spring tension of the orthosis should always be set low enough for the patient to be able to tolerate MORE TIME vs. MORE TENSION in the orthosis. It is typical to start the spring tension at a setting of 2 and have the patient work toward tolerating 8-10 hours of wear time before increasing tension. Ultraflex recommends patients achieve 8-10 hours of wear time in a 24 hour period for maximum benefit for this last phase of the rehab process. Delivering Patient Inspired Solutions Clinical For Support Reimbursement Fabrication Ultraflex s Patient Assistance Program Call , Monday - Friday, 7:00am - 6:00pm (ET) brace selection/design, measurement, casting, fitting, wear schedule guidelines pricing, coding, and prior authorization recommendations fabrication tips or custom fabrication through Ultraflex; we offer a wide selection of custom interface designs and colors uninsured or patients with financial need Our FDA Class I braces are available only through a physician s prescription and are fitted and billed by certified orthotists. Ultraflex braces and components are covered by most insurance providers. Call to set up an in-service training session or private WebEx : WebEx education schedule:

4 Ultraflex Exclusive Component Technology* Component Description Elbow, Wrist, Knee, and Ankle Orthosis Power Unit and Platform Bi-directional Platform and Power Unit Adult Elbow Range of Motion Dial Lock Wrist Range of Motion Dial Lock Supination/Pronation Component Lightweight Extention Assist or Flexion Assist for Elbow, Wrist, Knee, or Ankle *Components come with a limited lifetime warranty.

5 General Guidelines for Ultraflex Complex Orthopedic Intervention Post-Operative Rehabilitation Course From immobilization, to protected motion, to assisted motion, and ultimately to restoration of full active motion

6 Choosing the Proper Brace Design and Patient Body Interface Ultraflex orthopedic components and custom braces support proper muscular skeletal alignment, stabilize joints, and can be designed to produce a therapeutic or functional assist and/or strengthening resistance. Ultraflex specializes in the design and fabrication of patient-specific bracing solutions which may result in a brace design unique to a single patient.* Severe fractures and crush injuries involving the wrist, olecranon, knee, or ankle usually require a custom molded design. In addition to indication, some other factors usually indicate the need for a custom molded design. These factors include: unique anatomy/unusual anthropometric proportions; excessive adipose tissue; poor sensation, poor circulation, or poor skin integrity; and the need for relative ease in donning and doffing for the patient/caregiver. *For more information on innovative brace designs and fabrication techniques to accommodate special patient presentations, please call Other Specialty Bracing Ultraflex areas of specialty also include therapeutic bracing with precise dynamic stimulus and proper posturing for challenging neurological and congenital presentations and functional bracing with Adjustable Dynamic Response for managing gait dysfunction Ultraflex Systems Inc. U.S. and International Patents Pending , Rev. 0

7 Loss of Motion (LOM) Following Complex Orthopedic Trauma or Surgery Indications Biceps Tendon Rupture/Repair Triceps Tendon Rupture/Repair Severe elbow fracture/trauma, post-op Upper extremity burns Clinical Goals Provide immobilization following acute trauma/surgery Allow for protected mobilization/prevent adhesions Restore full active and passive elbow extension and/or flexion Ultraflex Solution Molded EO Severe wrist fracture/trauma, post-op Upper extremity burns Restore full active and passive wrist extension or flexion Molded WHO Severe upper extremity fractures/trauma, post-op Loss of upper extremity supination and/or pronation Restore full active and passive forearm supination and/or pronation Molded EWHO Supronator Severe upper extremity fractures/trauma, post-op Loss of upper extremity supination and/or pronation and loss of elbow flexion and/or extension Restore full active and passive forearm supination and/or pronation and elbow extension and/or flexion Molded EWHO Supronator with Bi-directional Elbow Severe upper extremity fractures/trauma, post op Loss of upper extremity supination and/or pronation and loss of wrist flexion and/or extension Restore full active and passive forearm supination and/or pronation and wrist extension and/or flexion Molded EWHO Supronator with Bi-directional Wrist Patella Tendon Rupture Quadriceps Tendon Rupture Total Knee Arthroplasty (TKA) Anterior Cruciate Ligament (ACL) Severe lower extremity fractures/trauma, post-op Burns Provide immobilization following acute trauma/surgery Allow for protected mobilization/prevent adhesions Restore full active and passive knee extension and/or flexion Molded KO Severe ankle fractures/trauma, post-op Loss of ankle dorsiflexion or plantarflexion Restore full active and passive ankle dorsiflexion or plantarflexion Molded AFO with Transfer Base

UVA HAND CENTER - THERAPY

UVA HAND CENTER - THERAPY Post-Op to Week 3: Distal Biceps Re-Insertion Rehabilitation Protocol - Pt is immobilized in 90 degrees of flexion, neutral rotation and wrist in a position of comfort, either a cast or brace/splint may

More information

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١ Passive ROM Exercises 9/29/2013 Dr. Enas Elsayed ١ Reference Therapeutic Exercise: Foundations and Techniques. 5 th edition by Kisner and Colby. Range of Motion (Chapter 3),pages: 41-63 9/29/2013 Dr. Enas

More information

Dynamic Stretching Devices for the Treatment of Joint Stiffness and Contracture

Dynamic Stretching Devices for the Treatment of Joint Stiffness and Contracture Harmony Behavioral Health, Inc. Harmony Behavioral Health of Florida, Inc. Harmony Health Plan of Illinois, Inc. HealthEase of Florida, Inc. Ohana Health Plan, a plan offered by WellCare Health Insurance

More information

THE THERAPIST S MANAGEMENT OF THE STIFF ELBOW MARK PISCHKE, OTR/L, CHT NOV, 17, 2014

THE THERAPIST S MANAGEMENT OF THE STIFF ELBOW MARK PISCHKE, OTR/L, CHT NOV, 17, 2014 THE THERAPIST S MANAGEMENT OF THE STIFF ELBOW MARK PISCHKE, OTR/L, CHT NOV, 17, 2014 ELBOW FUNCTION 1. Required to provide stability for power and precision tasks for both open and closed kinetic chain

More information

RX: Custom Thermoplastic AFO Compliance Documentation

RX: Custom Thermoplastic AFO Compliance Documentation RX: Custom Thermoplastic AFO Compliance Documentation Doctor Name: Phone: Patient Name: HICN: DOB: Indicate Quality ARIZONA THERMOPLASTIC ARTICULATED AFO, DORSI-ASSIST CROW L4631 A bivalved custom molded

More information

Splinting in Neurology. Jo Tuckey MSc MCSP

Splinting in Neurology. Jo Tuckey MSc MCSP Splinting in Neurology Jo Tuckey MSc MCSP Splinting in Neurology When should splinting be considered? How to choose the most appropriate splint or position for splinting. Practicalities of providing a

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 DISTAL BICEPS TENDON REPAIR PROTOCOL This rehabilitation protocol has

More information

Injuries to the elbow can be very painful and this can cause difficulties with completing the required exercises.

Injuries to the elbow can be very painful and this can cause difficulties with completing the required exercises. 1 Elbow Dislocation Rehabilitation Protocol Elbow Dislocation The Elbow Joint is the most complex joint in the body. In order for it to recover to its best function consistent rehabilitation is essential

More information

Off the shelf orthoses are commonly used to treat conditions such as foot and ankle sprains, minor shoulder injuries and to provide back support.

Off the shelf orthoses are commonly used to treat conditions such as foot and ankle sprains, minor shoulder injuries and to provide back support. Orthotic Bracing: Why and How Orthotic braces, or orthoses, are used to provide support to a weakened body part or joint. While many times they are worn for a short period of time, usually after an injury

More information

Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions

Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions Integrated Manual Therapy & Orthopedic Massage For Complicated Knee Conditions Assessment Protocols Treatment Protocols Treatment Protocols Corrective Exercises Artwork and slides taken from the book Clinical

More information

Postoperative Therapy following Complex Elbow Fractures. Handouts. Physician Orders. Topics for Discussion. Therapy Initiated 5-7 Days Postop

Postoperative Therapy following Complex Elbow Fractures. Handouts. Physician Orders. Topics for Discussion. Therapy Initiated 5-7 Days Postop Postoperative Therapy following s Handouts www.indianahandtoshoulder.com Click on THERAPY APTA Combined Sections Meeting 2015 Nancy M. Cannon, OTR, CHT Hand to Shoulder Therapy Center Email: ncannon@ihtsc.com

More information

2. Repair of the deltoid - the amount deltoid was released and security of repair

2. Repair of the deltoid - the amount deltoid was released and security of repair Johns Hopkins Shoulder Surgery Rotator Cuff Rehabilitation Program Johns Hopkins Shoulder Surgeons INTRODUCTION: This program is designed for rotator cuff repairs involving fixation of the tendon to bone,

More information

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY.

QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. QUESTION I HAVE BEEN ASKED TO REHAB GRADE II AND III MCL INJURIES DIFFERENTLY BY DIFFERENT SURGEONS IN THE FIRST 6WEEKS FOLLOWING INJURY. SOME ARE HINGE BRACED 0-90 DEGREES AND ASKED TO REHAB INCLUDING

More information

Rehabilitation Protocol: Quad and Patellar Tendon Repair

Rehabilitation Protocol: Quad and Patellar Tendon Repair Rehabilitation Protocol: Quad and Patellar Tendon Repair Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey

More information

Lateral or Medial Epicondylectomy Rehabilitation Protocol

Lateral or Medial Epicondylectomy Rehabilitation Protocol Lateral or Medial Epicondylectomy Rehabilitation Protocol 06/01/04 Lateral Epicondylectomy Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy A lateral incision is made approximately

More information

Mary LaBarre, PT, DPT,ATRIC

Mary LaBarre, PT, DPT,ATRIC Aquatic Therapy and the ACL Current Concepts on Prevention and Rehab Mary LaBarre, PT, DPT,ATRIC Anterior Cruciate Ligament (ACL) tears are a common knee injury in athletic rehab. Each year, approximately

More information

Biceps Tendon Repair at the Elbow

Biceps Tendon Repair at the Elbow Alta View Sports Medicine Dr. James R. Meadows, MD Orthopedic Surgery & Sports Medicine 74 Kimballs Ln Ste 230, Draper, UT 84020 9844 S. 1300 E. Ste 100, Sandy, UT 84094 (801) 571-9433 www.meadowsmd.com

More information

Stretch Beyond Your Expectations.

Stretch Beyond Your Expectations. CLINICIAN INSTRUCTIONS Dynasplint Supination/Pronation Forearm System Corporate Headquarters: 800.638.6771 toll-free 800.380.3784 fax Canada: 800.668.9139 toll-free 905.851.3494 fax Europe: 00131.455 230

More information

North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com

North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com Physical Therapy Protocol for Patients Following Shoulder Surgery -Rotator Cuff

More information

Patellar Tendon Tear. Anatomy. Description

Patellar Tendon Tear. Anatomy. Description Patellar Tendon Tear The patellar tendon works with the muscles in the front of your thigh - the quadriceps - to straighten your leg. Although anyone can injure the patellar tendon, tears are more common

More information

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol

Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol Anterior Cruciate Ligament Reconstruction Rehabilitation Protocol GENERAL CONSIDERATIONS * This handout serves as a general outline for you as a patient to better understand guidelines and time frames

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 TRICEPS TENDON REPAIR PROTOCOL This rehabilitation protocol has been

More information

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE

ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE ACCELERATED REHABILITATION PROTOCOL FOR POST OPERATIVE POSTERIOR CRUCIATE LIGAMENT RECONSTRUCTION DR LEO PINCZEWSKI DR JUSTIN ROE January 2005 Rationale of Accelerated Rehabilitation Rehabilitation after

More information

Total Elbow Arthroplasty and Rehabilitation

Total Elbow Arthroplasty and Rehabilitation Total Elbow Arthroplasty and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: There are three bones and four joint articulations that have a high degree of congruence in

More information

LSU Health Sciences Center Occupational Therapy Flexor Tendon Injury Treatment Protocol

LSU Health Sciences Center Occupational Therapy Flexor Tendon Injury Treatment Protocol . LSU Health Sciences Center Occupational Therapy Flexor Tendon Injury Treatment Protocol DIP PIP MCP Zone 1 Zone 2 T 1 T 2 Zone 3 T 3 Zone 4 Zone 5 Zone 5 cs Carla M. Saulsbery LOTR, CHT Dr. A. Hollister,

More information

The rehabilitation of Multi ligament Knee injuries. Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability

The rehabilitation of Multi ligament Knee injuries. Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability The rehabilitation of Multi ligament Knee injuries Multi-ligamentous knee injuries are rare but serious injuries that can threaten limb viability Challenges associated with multiligament knee injuries

More information

Common Causes. Identification. Treatment

Common Causes. Identification. Treatment Anterior Cruciate Ligament Tear Rupture of the anterior cruciate ligament (ACL) occurs more often in females than in males, from adolescents to older adults. Noncontact injuries to the knee are responsible

More information

Corporate Medical Policy Orthotics

Corporate Medical Policy Orthotics Corporate Medical Policy Orthotics File Name: Origination: Last CAP Review: Next CAP Review: Last Review: orthotics 6/1990 2/2016 2/2017 2/2016 Description of Procedure or Service An orthotic (orthosis)

More information

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet

Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Thumb Basal Joint Arthritis Orthopaedic Department Patient Information Leaflet Page 1 Arthritis of the CMC joint of the thumb The joint where the thumb attaches to the hand can suffer from wear and tear.

More information

Patellofemoral/Chondromalacia Protocol

Patellofemoral/Chondromalacia Protocol Patellofemoral/Chondromalacia Protocol Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap)

More information

Sports Injury Treatment

Sports Injury Treatment Sports Injury Treatment Participating in a variety of sports is fun and healthy for children and adults. However, it's critical that before you participate in any sport, you are aware of the precautions

More information

Integrated Manual Therapy & Orthopedic Massage For Complicated Forearm, Wrist & Hand Conditions

Integrated Manual Therapy & Orthopedic Massage For Complicated Forearm, Wrist & Hand Conditions Integrated Manual Therapy & Orthopedic Massage For Complicated Forearm, Wrist & Hand Conditions Assessment Protocols Treatment Protocols Treatment Protocols Corrective Exercises Artwork and slides taken

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Meniscal Repair The rehabilitation guidelines are presented in a criterion based progression. Specific time frames, restrictions and precautions are

More information

OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES

OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY PROTOCOL GUIDELINES General Therapy Guidelines 1. Therapy evaluations must be provided by licensed physical and/or occupational therapists. Therapy evaluations

More information

Rehabilitation Protocol: Biceps Tenodesis

Rehabilitation Protocol: Biceps Tenodesis Rehabilitation Protocol: Biceps Tenodesis Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center,

More information

Clinical Pathways. Product Selection Guide. DynaPro. OrthoPro. SoftPro. AirPro. 800/ Ongoing Care Solutions, Inc.

Clinical Pathways. Product Selection Guide. DynaPro. OrthoPro. SoftPro. AirPro. 800/ Ongoing Care Solutions, Inc. Ongoing Care Solutions, Inc. Clinical Pathways Product Selection Guide DynaPro The next generation of NeuroFlex Technology OrthoPro SoftPro AirPro 800/375-0207 www.ongoingcare.com Introduction to Clinical

More information

Anterior Cruciate Ligament (ACL) Reconstruction Post-op Packet

Anterior Cruciate Ligament (ACL) Reconstruction Post-op Packet L. Ryan Smart, MD Anterior Cruciate Ligament (ACL) Reconstruction Post-op Packet Contents: Post-op Reference Sheet Physical Therapy Prescription Exercise Sheet Surgical Pictures SOS Fayetteville 4115 Medical

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Microfracture Procedures to the Knee The rehabilitation guidelines are presented in a criterion based progression. Specific time frames, restrictions

More information

WALKING BOOTS WALKING BOOTS. AFO s: Provider vs Prescriber? Provider. Prescriber

WALKING BOOTS WALKING BOOTS. AFO s: Provider vs Prescriber? Provider. Prescriber Douglas H. Richie, Jr., D.P.M. 550 Pacific Coast Highway Suite 209 Seal Beach, California 90740 562.493.2451 phone 562.596.3157 fax DRichieJr@aol.com WALKING BOOTS Definitions: L 4360 (defined by HCPS):

More information

GALLAND/KIRBY UCL RECONSTRUCTION (TOMMY JOHN) POST-SURGICAL REHABILITATION PROTOCOL

GALLAND/KIRBY UCL RECONSTRUCTION (TOMMY JOHN) POST-SURGICAL REHABILITATION PROTOCOL GALLAND/KIRBY UCL RECONSTRUCTION (TOMMY JOHN) POST-SURGICAL REHABILITATION PROTOCOL INTRODUCTION The ulnar collateral ligament reconstruction is a tendon transfer procedure. No muscles are transected during

More information

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME

ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ACL RECONSTRUCTION POST-OPERATIVE REHABILITATION PROGRAMME ABOUT THE OPERATION The aim of your operation is to reconstruct the Anterior Cruciate Ligament (ACL) to restore knee joint stability. A graft,

More information

The Complete Guide to Upper Extremity Surgery and Injury Recovery

The Complete Guide to Upper Extremity Surgery and Injury Recovery The Complete Guide to Upper Extremity Surgery and Injury Recovery INTRODUCTION... 1 COMMON UPPER EXTREMITY INJURIES... 1 HAND OR WRIST FRACTURE... 2 HAND OR WRIST SPRAINS... 3 CHRONIC PAIN... 3 REOCCURING

More information

William J. Robertson, MD UT Southwestern Orthopedics 1801 Inwood Rd. Dallas, TX 75390-8882 Office: (214) 645-3300 Fax: (214) 3301 billrobertsonmd.

William J. Robertson, MD UT Southwestern Orthopedics 1801 Inwood Rd. Dallas, TX 75390-8882 Office: (214) 645-3300 Fax: (214) 3301 billrobertsonmd. Anterior Cruciate Ligament Reconstruction Postoperative Rehab Protocol You will follow-up with Dr. Robertson 10-14 days after surgery. At this office visit you will also see one of his physical therapists.

More information

Biceps Tenodesis Protocol

Biceps Tenodesis Protocol Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone

More information

DROP FOOT AND TREATMENTS YOUNGMEE PARK

DROP FOOT AND TREATMENTS YOUNGMEE PARK DROP FOOT AND TREATMENTS YOUNGMEE PARK WHAT IS FOOT DROP Foot drop / Drop foot the inability to lift the front part of the foot not a disease a symptom of some other medical problems a sign of an underlying

More information

RETURN TO PLAY AFTER ACL RECONSTRUCTION

RETURN TO PLAY AFTER ACL RECONSTRUCTION RETURN TO PLAY AFTER ACL RECONSTRUCTION 7/29/2016 Grant Bowman, MD Orthopaedic Surgery and Sports Medicine 1 Disclosures I have no relevant financial disclosures or other conflicts of interest pertaining

More information

Theodore B. Shybut, M.D. 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-5590 Fax: 713-986-5521. Sports Medicine

Theodore B. Shybut, M.D. 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-5590 Fax: 713-986-5521. Sports Medicine Anterior Cruciate Ligament Reconstruction Accelerated Rehab This rehabilitation protocol has been designed for patients with ACL reconstruction who anticipate returning to a high level of activity as quickly

More information

ACL Reconstruction: Patellar Tendon Graft/Hamstring Tendon Graft

ACL Reconstruction: Patellar Tendon Graft/Hamstring Tendon Graft ACL Reconstruction: Patellar Tendon Graft/Hamstring Tendon Graft Patellar Tendon Graft/Hamstring Tendon Graft General Information: The intent of these guidelines is to provide the therapist with direction

More information

ROTATOR CUFF REPAIR PROTOCOL

ROTATOR CUFF REPAIR PROTOCOL ROTATOR CUFF REPAIR PROTOCOL This rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. This protocol is based on slower progressions, typically for larger

More information

Total Shoulder Arthroplasty/Hemiarthroplasty Protocol:

Total Shoulder Arthroplasty/Hemiarthroplasty Protocol: : The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a Total Shoulder Arthroplasty (TSA) or Hemiarthroplasty

More information

Active Range of Motion: A. Flexion: Gently try to bend your wrist forward. Hold for 5 seconds. Repeat for 3 sets of 10.

Active Range of Motion: A. Flexion: Gently try to bend your wrist forward. Hold for 5 seconds. Repeat for 3 sets of 10. Rehabilitation Exercises for Wrist and Hand Injuries If instructed by your medical doctor, you may begin these exercises when the pain has started to decrease. Active Range of Motion: A. Flexion: Gently

More information

Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center

Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center Rehabilitation Protocol Post-operative treatment for arthroscopic/ mini-open rotator cuff repair Dr.

More information

ELBOW FRACTURE (Epicondyle)

ELBOW FRACTURE (Epicondyle) Montefiore Pediatric Orthopedic and Scoliosis Center Children s Hospital at Montefiore Norman Otsuka MD Eric Fornari MD Jacob Schulz MD Jaime Gomez MD Christine Moloney PA 3400 Bainbridge Avenue, 6 th

More information

Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair

Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair Considerations: 1. Mini-Open - shoulder usually assessed arthroscopically and acromioplasty is usually performed.

More information

Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair

Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair UW Health Sports Rehabilitation Rehabilitation Guidelines for Patellar Tendon and Quadriceps Tendon Repair The knee consists of four bones that form three joints. The femur is the large bone in the thigh

More information

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament

Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament Brian P. McKeon MD Jason D. Rand, PA-C, PT Patient Information Sheet: Anterior Cruciate Ligament The anterior cruciate ligament or ACL is one of the major ligaments located in the knee joint. This ligament

More information

Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction

Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction UW Health Sports Rehabilitation Rehabilitation Guidelines for Knee Multi-ligament Repair/Reconstruction The knee joint is comprised of an articulation of three bones: the femur (thigh bone), tibia (shin

More information

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide

International Standards for the Classification of Spinal Cord Injury Motor Exam Guide C5 Elbow Flexors Biceps Brachii, Brachialis Patient Position: The shoulder is in neutral rotation, neutral flexion/extension, and adducted. The elbow is fully extended, with the forearm in full supination.

More information

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life. This highly mobile and versatile joint is one of the most common reasons people visit their health care

More information

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC

Rehabilitation after ACL Reconstruction: From the OR to the Playing Field. Mark V. Paterno PT, PhD, MBA, SCS, ATC Objectives Rehabilitation after ACL Reconstruction: From the OR to the Playing Field Mark V. Paterno PT, PhD, MBA, SCS, ATC Coordinator of Orthopaedic and Sports Physical Therapy Cincinnati Children s

More information

B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY

B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY B. TED MAURER, MD POSTOPERATIVE REHABILITATION PROTOCOL TOTAL KNEE ARTHROPLASTY Goals addressed prior to discharge from hospital setting: Independence with bed mobility, transfers (supine to sit and sit

More information

Dr Doron Sher MB.BS. MBiomedE, FRACS(Orth)

Dr Doron Sher MB.BS. MBiomedE, FRACS(Orth) Dr Doron Sher MB.BS. MBiomedE, FRACS(Orth) Knee, Shoulder, Elbow Surgery ACL REHABILITATION PROGRAM (With thanks to the Eastern Suburbs Sports Medicine Centre) The time frames in this program are a guide

More information

Forearm fractures Volker Braunstein

Forearm fractures Volker Braunstein Forearm fractures Volker Braunstein How to use this handout? The left column is the information as given during the lecture. The column at the right gives you space to make personal notes. Learning outcomes

More information

PROXIMAL HAMSTRING TENDON REPAIR

PROXIMAL HAMSTRING TENDON REPAIR MGH Sports Medicine Center 175 Cambridge St., 4 th floor Boston, MA 02114 http://orthodoc.aaos.org/mdprice PROXIMAL HAMSTRING TENDON REPAIR The hamstrings are a group of three muscles that run along the

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

POST SURGICAL INSTRUCTIONS

POST SURGICAL INSTRUCTIONS POST SURGICAL INSTRUCTIONS When coming for your post op visit, please bring this folder that includes your surgical pictures. The doctor would like to go over them with you during your post op appointment.

More information

Inland Orthopaedic Surgery & Sports Medicine. Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach, Cohen, and Romeo)

Inland Orthopaedic Surgery & Sports Medicine. Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach, Cohen, and Romeo) Inland Orthopaedic Surgery & Sports Medicine Dr. Ed Tingstad 825 SE Bishop Blvd., Suite 120 Pullman, WA 99163 (509)332-2828 Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach,

More information

The Insall Scott Kelly Center for Orthopaedics and Sports Medicine 210 East 64th Street, 4 th Floor, New York, NY 10065

The Insall Scott Kelly Center for Orthopaedics and Sports Medicine 210 East 64th Street, 4 th Floor, New York, NY 10065 ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION POST-OPERATIVE REHABILITATION PROTOCOL 2003 AUTOGRAFT BONE-PATELLA TENDON-BONE and ALLOGRAFT PROTOCOL PHASE I-EARLY FUNCTIONAL (WEEKS 1-2) Goals: 1. Educate re:

More information

Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463

Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 Phase I Passive Range of Motion Phase (postop week 1-2) Minimize shoulder pain and inflammatory response Achieve gradual restoration of gentle active range of motion Enhance/ensure adequate scapular function

More information

ASPETAR POST-SURGICAL ACHILLES TENDON RUPTURE REHABILITATION ALGORITHM. (D Hooghe et al)

ASPETAR POST-SURGICAL ACHILLES TENDON RUPTURE REHABILITATION ALGORITHM. (D Hooghe et al) ASPETAR POST-SURGICAL ACHILLES TENDON RUPTURE REHABILITATION ALGORITHM (D Hooghe et al) PHASE I (surgery to 10 days after surgery) Rehabilitation appointments begin 10 days after surgery Protection of

More information

The R- Wrap AFO: An Old Concept, A New Application

The R- Wrap AFO: An Old Concept, A New Application The R- Wrap AFO: An Old Concept, A New Application By Beverly Cusick, MS, PT, BOC Orthotist, John Russell, CPO, BOCOP, CPO, BOCOP Anne Russell, MA, PT. John G. Russell Jr. Academic Degrees AA. Primary

More information

Quad/Patella Tendon Repair

Quad/Patella Tendon Repair Quad/Patella Tendon Repair Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap) and the groove

More information

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery / Sports Medicine

More information

Anterior Cruciate Ligament (ACL) Rehabilitation

Anterior Cruciate Ligament (ACL) Rehabilitation Thomas D. Rosenberg, M.D. Vernon J. Cooley, M.D. Charles C. Lind, M.D. Anterior Cruciate Ligament (ACL) Rehabilitation Dear Enclosed you will find a copy of our Anterior Cruciate Ligament (ACL) Rehabilitation

More information

Heikki Uustal, M.D. Medical Director, Prosthetic/Orthotic Team JFK - Johnson Rehab Institute

Heikki Uustal, M.D. Medical Director, Prosthetic/Orthotic Team JFK - Johnson Rehab Institute Upper Extremity Orthotics Pathology and Prescription Heikki Uustal, M.D. Medical Director, Prosthetic/Orthotic Team JFK - Johnson Rehab Institute 1 Upper Extremity Orthotic Goals Substitute for absent

More information

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Elbow Arthroplasty

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Elbow Arthroplasty 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 2 7.0 Guideline... 3 7.1 Indications... 3 7.2 Types of

More information

Corporate Medical Policy Continuous Passive Motion in the Home Setting

Corporate Medical Policy Continuous Passive Motion in the Home Setting Corporate Medical Policy Continuous Passive Motion in the Home Setting File Name: Origination: Last CAP Review: Next CAP Review: Last Review: continuous_passive_motion_in_the_home_setting 9/1993 6/2016

More information

Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior

Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington

More information

Radial Head Fracture Repair and Rehabilitation

Radial Head Fracture Repair and Rehabilitation 1 Radial Head Fracture Repair and Rehabilitation Surgical Indications and Considerations Anatomical Considerations: The elbow is a complex joint due to its intricate functional anatomy. The ulna, radius

More information

Common Orthopedic Conditions

Common Orthopedic Conditions Common Orthopedic Conditions Clayton E Turner, MD Casper Orthopaedic Associates Casper, Wyoming Frontiers in Wyoming Medicine 2014 Common Orthopedic Conditions 1. Ankle Sprain 2. Plantar Fasciitis 3. Tennis

More information

Integra. MCP Joint Replacement POSTOPERATIVE THERAPY

Integra. MCP Joint Replacement POSTOPERATIVE THERAPY Integra MCP Joint Replacement POSTOPERATIVE THERAPY Postoperative Guidelines This technique has been developed in conjunction with Robert D. Beckenbaugh, MD and Ann Lund, OTR, CHT. As the manufacturer

More information

FLEXION AND SUPINATION DEFORMITIES OF THE ELBOW IN TETRAPLEGICS

FLEXION AND SUPINATION DEFORMITIES OF THE ELBOW IN TETRAPLEGICS Paraplegia (1977-78), IS, 221-225 FLEXION AND SUPINATION DEFORMITIES OF THE ELBOW IN TETRAPLEGICS By ALVIN A. FREEHAFER, M.D. Division of Orthopaedic Surgery, Highland View Hospital and Case Western Reserve

More information

How to be Medicare Compliant with Richie Brace devices

How to be Medicare Compliant with Richie Brace devices How to be Medicare Compliant with Richie Brace devices Introduction When prescribing and dispensing pre-fabricated and custom Richie Brace products, the practitioner has certain obligations in order to

More information

Reverse Total Shoulder Protocol

Reverse Total Shoulder Protocol Marion Herring, M.D. Advanced Orthopaedics Sports Medicine Center PH: (804) 270-1305 FX: (804) 273-9294 www.advancedortho.me Reverse Total Shoulder Protocol General Information: Reverse Total Shoulder

More information

w w w. m e d i c u s. c a

w w w. m e d i c u s. c a www.medicus.ca Not only is the knee the largest joint of the human body but it is also the most complex. For close to fifty years now, Médicus, in collaboration with healthcare professionals, has been

More information

Rotator Cuff Repair Protocol

Rotator Cuff Repair Protocol Rotator Cuff Repair Protocol Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of

More information

Clients w/ Orthopedic, Injury and Rehabilitation Concerns. Chapter 21

Clients w/ Orthopedic, Injury and Rehabilitation Concerns. Chapter 21 Clients w/ Orthopedic, Injury and Rehabilitation Concerns Chapter 21 Terminology Macrotrauma A specific, sudden episode of overload injury to a given tissue, resulting in disrupted tissue integrity (Acute)

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Arthroscopic Rotator Cuff Repair with Bicep Tenodesis Type 1 Repairs (+/- subacromial decompression) The rehabilitation guidelines are presented in

More information

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS

APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS APPENDIX 1: INTERDISCIPLINARY APPROACH TO PREVENTION AND MANAGEMENT OF DIABETIC FOOT COMPLICATIONS Template: Regional Foot Programs should develop a list of available health professionals in the following

More information

Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Dr. Mark Adickes

Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Dr. Mark Adickes Anterior Cruciate Ligament Reconstruction Accelerated Rehabilitation Protocol Introduction: This rehabilitation protocol is designed for patients with ACL injuries who anticipate returning early to a high

More information

Triceps Pronation-Supination Orthosis

Triceps Pronation-Supination Orthosis Triceps Pronation-Supination Orthosis Daniel P. Cole, C.O. Paula J. Clarkson, COTA/L INTRODUCTION The Triceps-Supination Orthosis* was designed for a patient with flexion contractures of the right elbow

More information

ROTATOR CUFF REPAIR REHAB PROTOCOL

ROTATOR CUFF REPAIR REHAB PROTOCOL Joshua D. Stein, M.D. Trinity Clinic Orthopaedic and Sports Medicine 1327 Troup Hwy Tyler, TX 75701 (903) 510-8840 ROTATOR CUFF REPAIR REHAB PROTOCOL This rehabilitation protocol has been developed for

More information

SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes

SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes Introduction: This rehabilitation protocol has been developed for the patient following a SLAP (Superior Labrum Anterior Posterior) repair. It

More information

Corporate Medical Policy

Corporate Medical Policy File name: Prosthetics and Orthotics Origination: 10/2004 Last Review: 11/07 Next Review: 11/08 Effective Date: 11/6/07 Corporate Medical Policy Medical Equipment and Supplies Prosthetics and Orthotics

More information

ACL Reconstruction with Hamstring Graft

ACL Reconstruction with Hamstring Graft ACL Reconstruction with Hamstring Graft 1. Defined a. Replacement of a torn anterior cruciate ligament with the hamstring tendon. This is a soft tissue fixation method. b. ACL reconstruction is often combined

More information

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Rotator Cuff Repair

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Rotator Cuff Repair 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 3 7.0 Guideline... 3 7.1 Pre-Operative... 3 7.2 Post-Operative...

More information

Shoulder Arthroscopy Combined Arthoscopic Labrum Repair Rehabilitation Protocol

Shoulder Arthroscopy Combined Arthoscopic Labrum Repair Rehabilitation Protocol LUKE S. CHOI, M.D. 14825 N. Outer Forty Road, Suite 360 Chesterfield, MO 63017 Office: (314) 392-5063 Fax: (314) 336-2571 Shoulder Arthroscopy Combined Arthoscopic Labrum Repair Rehabilitation Protocol

More information

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION

KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION KNEE LIGAMENT REPAIR AND RECONSTRUCTION INFORMED CONSENT INFORMATION The purpose of this document is to provide written information regarding the risks, benefits and alternatives of the procedure named

More information

UVA HAND CENTER - THERAPY

UVA HAND CENTER - THERAPY ANDREW S PROTOCOL POST-OPERATIVE REHABILITATION PROTOCOL FOLLOWING ULNAR COLLATERAL LIGAMENT RECONSTRUCTION USING AUTOGENOUS PALMARIS LONGUS GRAFT 1. IMMEDIATE POST-OPERATIVE PHASE (0-3 WEEKS) Protect

More information

Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy

Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Open Rotator Cuff Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Rotator Cuff Repair is a surgical procedure utilized for a tear in the

More information