Exam (elaborations)
NPTE REVIEW PROTOCOL S P SURGERY QUESTIONS WITH CORRECT ANSWERS.
- Course
- Institution
NPTE REVIEW PROTOCOL S P SURGERY QUESTIONS WITH CORRECT ANSWERS.
[Show more]
Content preview
NPTE REVIEW PROTOCOL S PSURGERY QUESTIONS WITH CORRECT
ANSWERS
Total Hip Replacement Exercise - Answer Day 1 - 2 = Bed mobility and gait training
(cemented or non-cemented)... usually start the day after surgery
5 - 6 WEEKS later = Active Hip ABD against gravity
Total Hip Replacement Precautions - Answer Posterior Hip = can't do flexion pass 90*,
ADD, IR
for 3 - 6 MONTHS!
Transfers must be towards the sound side to avoid ADD and IR (cause ER which is
good) - same with reaching
Wedge pillow btw legs when sleeping
Also stand pivot is better than squat pivot or lateral slide to avoid hip flexion angle
Cemented THA Exercise Progression - Answer Isometrics (immediately after per
tolerance)
WBAT for 3 weeks - crutches or walker
*Weeks 1 - 4 may start AROM
4 weeks - cane
5 weeks - FWBing
No AD when trendelenburg is gone and safe to do so
NON-Cemented THA Exercise Progression - Answer Isometrics (immediately after per
tolerance)
NWB to TTWB for 6 weeks - transitioning to PWBing crutches or walker
*Weeks 1 - 4 may start AROM
8 weeks - Increase to PWBing
10 weeks - FWBing
No AD when trendelenburg is gone and safe to do so
ORIF Hip - Answer NWBing for 1 - 2 weeks with crutches or walker
, TKA Exercise (Cemented & Non-Cemented) - Answer Isometrics (immediately after per
tolerance)
Weeks 1 - 3 PROM, AROM - reduce swelling
2nd phase - strengthen muscles for functional activities
Last phase - return to PLOF
Keep btw 0 - 90* for 2 weeks
Progress to 0 - 120* within 3 - 4 weeks
*Transition for cemented and non = same as THA
Resistance exercise not till 2 - 3 weeks later
Ottawa Knee Rules - Answer 1. > 55 yo
2. Post Knee Trauma
3. Unable to WB for 4 steps (4 feet)
4. TTP along patella or fibular head
5. Inability to flex the knee > 90*
Means need X-ray for possible fracture
ACL Reconstruction - Answer Acute Phase of PT = RICE AND ROM
Immediately after PROM in CPM from 0 - 70*
Brace set to 20 - 70* flexion (weaned weeks 2 - 4)
NWBing 1 week
In rehab:
- AVOID OKC (LAQ, SAQ, kicking in sitting) - not in sagittal plane
- SLR only with the mobilizer
- Isometrics for quads
CAN = AROM to 90 knee flexion in prone, isometric quad contraction, hip strengthening
with knee straight (even with weight)
Subacute Phase of PT = CLOSED CHAIN exercises to emphasize function
Motion increased 0 - 120* by the 6th week
- Both phases want to focus on extension (TKE) for functional gains and to prevent tibia
from sliding anteriorly due to the ACL damage
- CC is safer
ACL Time frame and Focus - Answer Timeline
• Acute - 1 to 2 weeks
• Subacute 2 - 12 weeks ish
• Chronic > 12 weeks or 3 months
Immediate mobilization following reconstruction is important to get ROM - emphasis on
knee extension
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LucieLucky. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now