NPTE REHAB PROTOCOLS QUESTIONS
WITH CORRECT ANSWERS
Anterior vvTHA vv- vvAnswer vvAvoid vv90* vvhip vvflexion
Hip vvextension, vvadduction, vvER
Posterior vvTHA vv- vvAnswer vvAvoid vvhip vvflexion vv>90*, vvIR, vvADD
THA vvPhase vv1: vvMaximal vvprotection vv- vvAnswer vv• vvEducation vvto
vvpatient/caregiver vvto vvavoid vvprecautions
• vvUsually vvWBAT
• vvAnkle vvpumps vvto vvprevent vvDVT vvformation
• vvMonitor vvfor vvpossible vvinfection
• vvMaximize vvFunctional vvmobility vv(bed vvmobility, vvtransfer vvtraining,
appropriate vvtrunk vvmechanics vvwhen vvsit vvto vvstand vvto vvavoid vvviolating
dislocation vvprecautions)
• vvStrengthen vvUE's vvfor vvassistance vvwith vvdaily vvtasks
• vvAvoid vvhip vvflexion vvcontracture
THA vvStage vv2 vv- vvAnswer vvTypically vvbegins vv4-6 vvweeks vvpost-op
• vvRegain vvstrength vvand vvmuscular vvendurance
• vvStrengthen vvhip vvabductors vvand vvER's
• vvImprove vvCV vvand vvPulmonary vvendurance
• vvRestore vvROM vvwithin vvdislocation vvprecautions
• vvImprove vvpostural vvstability, vvbalance, vvgait
THA vvStage vv3 vv- vvAnswer vvBegins vvaround vv12 vvweeks vvpost-op
• vvExtended vvrehab vvand vvmodification vvof vvactivities vvif vvnecessary
• vvEnsure vvgood vvstrength vvof vvhip vvabductors vvand vvER's
• vvReturn vvto vvsport vvand vvhigher vvlevel vvactivities
TKA vvStage vv1 vv- vvAnswer vv(Weeks vv1-4)
• vvControl vvpostoperative vvswelling
• vvMinimize vvpain
• vvControl vvfor vvDVT vvand vvinfection vvdevelopment
• vvIncrease vvROM vvto vv0-90 vv(Extension vvpriority!)
• vv3/5 vvto vv4/5 vvstrength vvof vvquadriceps
• vvAmbulate vvwith vvor vvwithout vvassistive vvdevice
• vvEstablish vvHEP
, Intervention
• vvAnkle vvpumps
• vvQuad/Hamstring/Abductor/Adductor vvSetting
• vvGait vvTraining
• vvPatellar vvMobilization
TKA vvStage vv2 vv- vvAnswer vv(Weeks vv4-8)
• vvReduce vvswelling
• vvROM vv0-110
• vv4/5 vvto vv5/5 vvstrength vvin vvall vvLE vvmusculature
• vvUnrestricted vvADL vvfunction
• vvImprove vvbalance, vvfunctional vvmobility, vvneuromuscular vvcontrol
Interventions
• vvPatellar vvmobilization
• vvLE vvstretching
• vvClosed vvchain vvstrengthening vvand vvPRE's
• vvTibiofemoral vvjoint vvmobilization vvif vvneeded
• vvProprioceptive vvtraining
• vvAerobic vvexercise vv(cycling, vvswimming, vvwalking)
TKA vvStage vv3 vv- vvAnswer vv(Week vv8 vvonward)
• vvDevelop vvmaintenance vvprogram
• vvCommunity vvambulation
• vvImprove vvcardiopulmonary vvendurance vvand vvaerobic vvfitness vvtraining
Interventions
• vvSame vvas vvStage vvII vvwith vvprogressions
• vvProgress vvbalance vvand vvadvanced vvfunctional vvactivities
• vvExercises vvspecific vvto vvsport vvor vvhigher vvlevel vvactivity
Total vvShoulder vvArthroplasty vv- vvAnswer vv• vvThe vvmost vvimportant vvthing vvto vvnote
vvon vva vvTSA vvis vvwhether vvor vvnot vvrotator vvcuff vvrepair vvwas vvperformed
• vvIf vvso, vvsling vvwill vvbe vvneeded vvfor vvat vvleast vv4-6 vvweeks
• vvIf vvnot, vvsling vvwill vvbe vvweaned vvoff vvwithin vvthe vvsame vvday vvas vvsurgery
• vvThe vvtwo vvmost vvprominent vvforms vvof vvshoulder vvarthroplasty vvare
-the vvintact vvrotator vvcuff vvTSA vv
-reverse vvTSA
Intact vvCuff vvTSA vvPhase vv1 vv- vvAnswer vv(Weeks vv0-4)
• vvElevation vvof vvthe vvarm vvrestricted vvto vv< vv120 vvdegrees
• vvER vvof vvarm vvrestricted vv< vv30 vvdegrees vv(with vvarm vvat vvside)
• vvGrade vvI/II vvjoint vvoscillation
• vvAROM vvscapular vvand vvelbow
• vvPROM vvand vvAAROM
WITH CORRECT ANSWERS
Anterior vvTHA vv- vvAnswer vvAvoid vv90* vvhip vvflexion
Hip vvextension, vvadduction, vvER
Posterior vvTHA vv- vvAnswer vvAvoid vvhip vvflexion vv>90*, vvIR, vvADD
THA vvPhase vv1: vvMaximal vvprotection vv- vvAnswer vv• vvEducation vvto
vvpatient/caregiver vvto vvavoid vvprecautions
• vvUsually vvWBAT
• vvAnkle vvpumps vvto vvprevent vvDVT vvformation
• vvMonitor vvfor vvpossible vvinfection
• vvMaximize vvFunctional vvmobility vv(bed vvmobility, vvtransfer vvtraining,
appropriate vvtrunk vvmechanics vvwhen vvsit vvto vvstand vvto vvavoid vvviolating
dislocation vvprecautions)
• vvStrengthen vvUE's vvfor vvassistance vvwith vvdaily vvtasks
• vvAvoid vvhip vvflexion vvcontracture
THA vvStage vv2 vv- vvAnswer vvTypically vvbegins vv4-6 vvweeks vvpost-op
• vvRegain vvstrength vvand vvmuscular vvendurance
• vvStrengthen vvhip vvabductors vvand vvER's
• vvImprove vvCV vvand vvPulmonary vvendurance
• vvRestore vvROM vvwithin vvdislocation vvprecautions
• vvImprove vvpostural vvstability, vvbalance, vvgait
THA vvStage vv3 vv- vvAnswer vvBegins vvaround vv12 vvweeks vvpost-op
• vvExtended vvrehab vvand vvmodification vvof vvactivities vvif vvnecessary
• vvEnsure vvgood vvstrength vvof vvhip vvabductors vvand vvER's
• vvReturn vvto vvsport vvand vvhigher vvlevel vvactivities
TKA vvStage vv1 vv- vvAnswer vv(Weeks vv1-4)
• vvControl vvpostoperative vvswelling
• vvMinimize vvpain
• vvControl vvfor vvDVT vvand vvinfection vvdevelopment
• vvIncrease vvROM vvto vv0-90 vv(Extension vvpriority!)
• vv3/5 vvto vv4/5 vvstrength vvof vvquadriceps
• vvAmbulate vvwith vvor vvwithout vvassistive vvdevice
• vvEstablish vvHEP
, Intervention
• vvAnkle vvpumps
• vvQuad/Hamstring/Abductor/Adductor vvSetting
• vvGait vvTraining
• vvPatellar vvMobilization
TKA vvStage vv2 vv- vvAnswer vv(Weeks vv4-8)
• vvReduce vvswelling
• vvROM vv0-110
• vv4/5 vvto vv5/5 vvstrength vvin vvall vvLE vvmusculature
• vvUnrestricted vvADL vvfunction
• vvImprove vvbalance, vvfunctional vvmobility, vvneuromuscular vvcontrol
Interventions
• vvPatellar vvmobilization
• vvLE vvstretching
• vvClosed vvchain vvstrengthening vvand vvPRE's
• vvTibiofemoral vvjoint vvmobilization vvif vvneeded
• vvProprioceptive vvtraining
• vvAerobic vvexercise vv(cycling, vvswimming, vvwalking)
TKA vvStage vv3 vv- vvAnswer vv(Week vv8 vvonward)
• vvDevelop vvmaintenance vvprogram
• vvCommunity vvambulation
• vvImprove vvcardiopulmonary vvendurance vvand vvaerobic vvfitness vvtraining
Interventions
• vvSame vvas vvStage vvII vvwith vvprogressions
• vvProgress vvbalance vvand vvadvanced vvfunctional vvactivities
• vvExercises vvspecific vvto vvsport vvor vvhigher vvlevel vvactivity
Total vvShoulder vvArthroplasty vv- vvAnswer vv• vvThe vvmost vvimportant vvthing vvto vvnote
vvon vva vvTSA vvis vvwhether vvor vvnot vvrotator vvcuff vvrepair vvwas vvperformed
• vvIf vvso, vvsling vvwill vvbe vvneeded vvfor vvat vvleast vv4-6 vvweeks
• vvIf vvnot, vvsling vvwill vvbe vvweaned vvoff vvwithin vvthe vvsame vvday vvas vvsurgery
• vvThe vvtwo vvmost vvprominent vvforms vvof vvshoulder vvarthroplasty vvare
-the vvintact vvrotator vvcuff vvTSA vv
-reverse vvTSA
Intact vvCuff vvTSA vvPhase vv1 vv- vvAnswer vv(Weeks vv0-4)
• vvElevation vvof vvthe vvarm vvrestricted vvto vv< vv120 vvdegrees
• vvER vvof vvarm vvrestricted vv< vv30 vvdegrees vv(with vvarm vvat vvside)
• vvGrade vvI/II vvjoint vvoscillation
• vvAROM vvscapular vvand vvelbow
• vvPROM vvand vvAAROM
