Rehab for 1 Bunionectomy - Des Moines University · Bunionectomy Nate Schmidt PT, DPT Capital...
Transcript of Rehab for 1 Bunionectomy - Des Moines University · Bunionectomy Nate Schmidt PT, DPT Capital...
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Rehab for 1st Ray Bunionectomy
Nate Schmidt PT, DPT
Capital Orthopaedics Hand and Physical Therapy
Relevant to the content of this lecture, Dr. Schmidt has nothing to disclose.
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Topics for Discussion:
What are main focuses of Rehabilitation
Expectations with Rehabilitation
Return to Wellness Activities
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Topics for Discussion:
What are main focuses of Rehabilitation
Expectations with Rehabilitation
Return to Wellness Activities
![Page 4: Rehab for 1 Bunionectomy - Des Moines University · Bunionectomy Nate Schmidt PT, DPT Capital Orthopaedics Hand and Physical Therapy ... Pichler, F.G., Schuh, R. (2009). Rehabilitation](https://reader034.fdocuments.in/reader034/viewer/2022042218/5ec3996e3f06703a991254a9/html5/thumbnails/4.jpg)
PROTOCOL
Foot and Ankle Center Vienna
Pichler, F.G., Schuh, R. (2009). Rehabilitation Program After Hallux Valgus
Surgery. Physical Therapy Journal, Volume 89 (Number 9)
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Rehab Session 1
Edema Management
Scar Management
Restoring Joint Mechanics
Active Range of Motion
Gait Mechanics Education
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Edema management
muscle pump
elevation
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Scar Management
Cross friction mobilization
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Restoring Joint Mechanics
Mobility Lacking secondary to immobilization
Joint Mobilization
– Talocrural Joint – Sub Talar Joint – MTP – Forefoot Pronation
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AROM exercises
– Foot, ankle, knee, hip Gait Education
– Weight bearing on 1st MTP Joint
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Rehab Sessions 2-3
Mobilization
Strengthening
Neuromuscular Re-education
Wellness Activities
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Strengthening
Interosseous musculature
Peroneal Longus/Brevis, Flexor Hallucis Longus/Brevis
Promotes 1st ray contact Proximal Stability
Quadriceps Gluteus Medius
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Neuromuscular Re-Education
Static Dynamic Surfaces
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Returning to Wellness Activities
Normal Gait
Low Impact
Bike Elliptical
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Running • Surgeon's preference • Pool Jogging • Alter G Treadmill