Rehabilitation of Elbow injuries
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Transcript of Rehabilitation of Elbow injuries
Rehabilitation of Elbow injuries
Chapter 18
Rehabilitation – Acute Phase
Acute Rehabilitation Goals
Prevent reinjury (immobilization) Prevent atrophy Minimize loss of motion Reduce edema Control Pain
Rehabilitation – Acute Phase
Acute Rehabilitation (While Immobilized) Exercises
Distally Gripping Finger Extension Wrist FLX / EXT
Proximally Shoulder AROM
FLX, EXT, ABD, ADD, HABD, HADD
Rehabilitation – Acute Phase
Acute 0-7 Days (w/o Immobilization) Maintain Sling Immobilization Previous exercises Modalities
Ice & IFC Stim before Ther Ex initially Effleurage w/ gravity assist Ice afterwards
Rehabilitation – Subacute
Subacute 7-21 Days Goals
Obtain full ROM Regain
Full Strength Endurance Neuromuscular Control
Note: Pt may be in a brace to prevent EXT
Rehabilitation – Subacute
Active Elbow ROM in Warm W/P Alternate w/ US treatment then stretching
3MHz, 100% Duty Cycle, 1.0 W/cm2, 6mins, 3-4°C increase
Superficial heat w/ Elbow EXT
Rehabilitation – Subacute
Exercises Add Pronation & Supination to wrist
strengthening Isometric Elbow Flexion & Extension
Three separate plainer areas & Pronated, Neutral, Supinated
Basketball Dribble Sets of 30 Seconds to build
muscular endurance Work into wall chest pass
Rehabilitation – Subacute
Exercises Isotonic Flexion & Extension PNF Patterns
Passive, Active, Isometric, Isotonic Progress through dynamic stability to reactive NMC
D2 Flexion / ExtensionD1 Flexion / Extension
Rehabilitation – Subacute
Dynamic Stability Swiss Ball Medicine Ball Foam Rollers Balance Disks
Reactive NMC Close Eyes
Rehabilitation – Functional
Functional – 21+ Days Goals
Engage in more sport specific or activity specific exercises
Prepare for return to full activity
Rehabilitation – Functional
Push-ups Wall Ground
Plyometrics Plyometric Wall Knee Drop Push-ups Explosive Push-up Standing Drops
Rehabilitation – Functional
Medicine Ball Strengthening Catch and Toss
Concentric Eccentric