Joint Mobilizations
What are grades I & II used for?
To reduce pain and muscle guarding.
What type of exercise is contraindicated for people with osteoporosis?
Spinal flexion.
What are the signs of a DVT?
•dull aching or severe exquisite pain
•swelling
•changes in skin temperature and color (heat, redness)
What type of exercises are used for patients with shoulder hypermobility to increase stability?
Isometrics
Following total joint arthroplasty of the elbow or wrist, what is a lifelong limitation common to both areas?
No impact or racquet sports
Given the convex/concave rule, what direction should you mobilize the femur to address hip flexion contracture?
Anterior.
Major muscle groups, target areas of decreased bone density.
Frequency: 2-3 days per week with a day of rest in between each bout of exercise.
Intensity: 8-12 repetitions that lead to muscle fatigue.
What are signs of infection at the incision site?
Redness, swelling, increased temperature, drainage that is not clear, tissue necrosis.
According to the Clinical Practice Guidelines (CPG) for frozen shoulder, what treatments should you focus on?
Education, ROM, stretching.
Show the tendon gliding sequence.
Hand straight
Hook first
Full fist
Table top
Straight fist
Anterior
What is the difference in the goal for ROM exercise for people with RA vs OA?
RA = maintain, OA = gain
What are the 3 components of a preoperative rehabilitation program?
Evaluation, education, practice (exercises, equipment).
What arthroplasty surgery is used when the rotator cuff is not intact?
Reverse total shoulder.
What putty exercise can you use to increase palmer interossei strength
Finger scissors.
Name 2 contraindications to joint mobilizations.
•Joint hypermobility
•Active disease
•Infection
•Acute inflammation
•Advanced osteoporosis
•Joint replacement
•Fracture
•Significant muscle guarding
What is the general timeline for healing of lower extremity fractures?
6-12 weeks.
What surgery is used to address painful joints related to advanced arthritis?
What resistance exercises should be used for patients in the moderate protection phase of healing from rotator cuff impingement?
Shoulder ER, IR, and ABD to 90
Scapular retraction and depression
What is the special test for carpal tunnel syndrome?
What grade is performed with large amplitude movement up to the end range for stretching?
Grade 3.
Describe how you would advise patients with chronic conditions such as RA, myofascial pain syndrome, or fibromyalgia to accomplish their daily tasks.
work : rest schedules, pacing
What types of exercises do you do with patients in the maximum protection phase of healing after surgery?
PROM, AAROM, setting (isometrics), exercises for associated areas and to prevent complications (ankle pumps, breathing).
Name 2 special tests for shoulder impingement.
Hawkins Kennedy
Neer
When treating patients with elbow injuries, what condition do you need to watch for that may result in brachialis tenderness.
Myositis Ossificans