UE Practical

About this set

Created by:

klunde22  on February 24, 2012

Subjects:

MS Extremities

Classes:

MGH IHP DPT 2014

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UE Practical

early healing
movement w/o stress
1/17
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early healing movement w/o stress
consolidated healing can take full stress
skin healing early healing 1 week
consolidated healing 3 weeks
early healing, 3 weeks tendon to tendon
tendon to bone
ligament repair
nerve
bone to bone
consolidated healing, 6-12 weeks tendon to tendon
tendon to bone
ligament repair
bone to bone
consolidated healing, 6 weeks nerve
acute, 1 wk PROM, AAROM
gentle submax isometrics
modified aerobic
subacute, 1-3 wks mobilize tight structures
progress to AROM, protected WB, and stabilization exercises
multi angle isometrics
progress to resistance later in this stage
chronic, >3 weeks functional activities
mobilize tight structures
aerobic exercises
progress from single plane to multiple plane
theraband strengths from lightest to heaviest resistance:
yellow
red
green
blue
black
silver
% of 1RM 90% of 1RM - will be able to complete 4-5 reps
75% of 1RM - 10 reps
60% of 1RM -15 reps
how much resistance 30-50% for endurance or pts w/ significant deficits (3-5 sets of 10-25 reps)
60-70% for strength (2-3 sets of 6-12 reps)
for power, it's enough as soon as we see a change in speed and quality of performance
Rest intervals 8-12RM, 30-60 seconds
3-5RM, 1-2 minutes
Moderate intensity, 48 hours btw sessions
PNF for mobility Lacking some element of ROM
HR/HRAC: submax, muscle spindle
CR/CRAC: max, GTO
Rhythmic Initiation (RI): PROM > AAROM > AROM > RROM
PNF for stability Proximal muscle weakness
strength for muscle grades 2 to 3
endurance grades 3 to 4
ALL ARE SUBMAX, 40%
alternating isometrics (AI): "and hoooold"
rhythmic stabilization (RS): cocontraction/counter-rotational
shortened held resisted contractions (SHRC)
PNF for controlled mobility Motor control (timing), muscle strength, power; joint ROM
slow reversal (SR)
slow reversal hold (SRH)
agonist reversals (AR)
quick stretch (QS)
isometrics 6-10s for strengthening, longer for stability
perform every 15-20ยบ throughout the range and do a set of 10

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