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5 Cards in this Set
- Front
- Back
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- What dictates the post-surgical treatment plan - What sorts of diagnosis result in surgery |
- Doctors protocol (MUST HAVE) - Tendon rupture, dislocations, severe fractures, muscle ruptures and severe arthritis |
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- What is a acromioplasty - Why is it done? - Are any muscles repaired? - What is pain level? |
- Anterior inferior surface of acromion is reduced and smoothed to reduce rotator cuff impingement - When acromion has bone spur or is hooked (causing shoulder impingement) - No - Pain is severe due to bone healing |
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Acromioplasty Rehab - Initial 10 days - After 10 days |
- Codman's exercises, self weaning off sling, wand exercises, pullys - Work to achieve full AROM in all planes, once AROM is achieved, resistance can be introduced, impingement signs and positions should be avoided, discharge form OT is about 6-8 weeks after surgery |
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Rotator Cuff Repair - What is done? - What is procedure for first 4-5 weeks - What is procedure after 5 weeks - 8-12 weeks |
- Muscle is sutured together and/or reattached to the bone - Arm is in a sling continuously, NO AROM, only gentle PROM (Continuous passive motion machine @ home "CPM"), SROM (self ROM) - AROM - Strengthening |
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- How many visits will a typical non-surgical patient seek w/ OT vs. Surgical |
- Non: 10-12 visits - MRI/X-ray should be done if not progressing - Surgical: 20-30 depending on diagnosis (typically start at 3 visits per week and gradually reduce to 1) |
