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pre surgical phase

patient eval, pt education (timeline, exercises, safety, transfers), general strength and ROM to be optimized

stage 1 acute stage

timeline: time of injury to about 3 days important stage of healing focus is to control affects of inflammation and maintain function in unaffected areas *early movement worth the risk

acute stage (s&s)

how the pt presents - redness, edema, warmth, pain and loss of function -


surgery, surgeon, how fast the pt heals

stage 2 repair stage

crtical stage for PT. timeline : 10 days to 3 weeks post injury
focus is to initiate exercises and activities w respect to healing processes that the injured tissues are undergoing

stage 2 (repair S&S)

reduce inflammation and increase collagen production

stage 2 goals

50% strength and ROM

stage 3 (remodeling stage)

timeline this phase can last year or longer
depend on tissues injured and proceudres performed
primary focus - design a program that safely stresses the tissue in both flexibility and strength so that the pt may return to occupational or sports activities

stage 3 (s&s)

maturation of scar, increase tensile strength and flexibility *there is NO inflammation left at this point

goal of stage 3

90% return

fine tuning

return to ADL occupation or sports, skill and compex drills

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