Pre-Operative Class Therapy Presentation
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1 Pre-Operative Class Therapy Presentation Physical and Occupational Therapy after Spine Surgery Preparation for your surgery Agenda q Pre-Operative Exercises q What to Expect q Post-Operative Plan q Spinal Precautions q Post-Discharge Plan SAINT LUKE S HEALTH SYSTEM 2 What to Expect SAINT LUKE S HEALTH SYSTEM 3 What to Expect from Physical and Occupational Therapy Physical and occupational therapy will evaluate you following your surgery. They will be looking at the following: Reviewing home layout and availability of caregivers. Identifying any barriers to a safe discharge to home. Strength Range of motion Balance Mobility Getting out bed Getting up from a chair Walking and use of any assistive device Stairs Getting in and out of a car Activities of daily living Dressing, bathing, grooming, cooking, housework, etc. Discharge planning begins from day 1. SAINT LUKE S HEALTH SYSTEM 4 42 SPINE SURGERY GUIDEBOOK
2 After Surgery SAINT LUKE S HEALTH SYSTEM 5 Post-Operative Day #0 Attempt activity with patient as pain, sedation allows. Sit up or dangle legs at the edge of the bed. Transfer to a chair. SAINT LUKE S HEALTH SYSTEM 6 Post-Operative Day #1 Out of bed to the chair. Walk within the room. Education regarding spinal precautions and log rolling. Occupational Therapy consultation. SAINT LUKE S HEALTH SYSTEM 7 Post-Operative Day #2 Go to the rehabilitation gym for therapy sessions. Via wheelchair transportation Increase walking distances. Practice stairs. Practice car transfer. Continued education on spinal precautions. Determine medical equipment needs and set up with provider. Rolling walker, cane Bathroom, dressing supplies with OT SAINT LUKE S HEALTH SYSTEM 8 SPINE SURGERY GUIDEBOOK 43
3 Your Hospital Room Use log rolling to get out of bed. Sit up in chair rather than in bed when possible. Eating, reading, watching TV Use walker until you are steady on your feet and cleared by therapist. SAINT LUKE S HEALTH SYSTEM 9 Therapy Gym SAINT LUKE S HEALTH SYSTEM 10 Therapy Gym SAINT LUKE S HEALTH SYSTEM 11 Therapy Gym SAINT LUKE S HEALTH SYSTEM SPINE SURGERY GUIDEBOOK
4 Spinal Precautions SAINT LUKE S HEALTH SYSTEM 13 Precautions Therapists will emphasize No BLT Bending Lifting Twisting SAINT LUKE S HEALTH SYSTEM 14 Bending Do not bend any further than you would with comfortable sitting. Bend at your waist, not your back, when standing. SAINT LUKE S HEALTH SYSTEM 15 Lifting Do no lift anything greater than 10 pounds, until cleared by your surgeon. Approximate weights: 1 gallon of milk 8.6 pounds 12 stainless steel skillet 6 pounds 2 liter bottle of soda/water 4.4 pounds Pack grocery bags light. Use a rolling bag or cart; ask for help with loading/unloading. Do not lift overhead. Place frequent used items at arms reach prior to surgery. SAINT LUKE S HEALTH SYSTEM 16 SPINE SURGERY GUIDEBOOK 45
5 Twisting Move your feet instead of twisting at your waist Turn your hips and shoulders together Take short steps around turns Imagine rods connecting your shoulders and your hips so that your whole body turns together Turn your whole body to look behind you Log roll when getting out of bed Turn full body when getting out of the car, rather than just swinging your legs out SAINT LUKE S HEALTH SYSTEM 17 Lifting and Carrying Wrong: Avoid carrying objects that are held away from your body. Right: Only carry light objects and always keep them close to your body. SAINT LUKE S HEALTH SYSTEM 18 Bending and Lifting Wrong: Do not bend through the back if you need to lift something off of the floor. Right: Kneeling or using the golfer s lift, is a better option for reaching down to the floor. SAINT LUKE S HEALTH SYSTEM 19 Bending Wrong: Avoid full bending in through the spine. Avoid a fully rounded out back to protect your surgery. Right: Rather, bring your foot to your body to put on your shoes and socks. This will avoid excessive bending. SAINT LUKE S HEALTH SYSTEM SPINE SURGERY GUIDEBOOK
6 Getting out of Bed: Log Rolling Roll onto your side Keep your knees together. Flatten your stomach muscles to keep your back from arching. Put your hands on the bed in front of you. Raise your body Push your upper body off the bed as you swing your legs to the floor. Keeping your back straight, move your whole body as one unit. Don t bend or twist at the waist. Let the weight of your legs help you move. Stand up Lean forward from your hip and roll onto the balls of your feet. Flatten your stomach muscles to keep your back from arching. Using your arm and leg muscles, push yourself to a standing position. SAINT LUKE S HEALTH SYSTEM 21 Getting In and Out of the Car Sit Down Back up to the car seat. Hold on to the side of the car or the dashboard for support. Lower yourself slowly onto the seat edge. Watch your head. Bring your legs into the car Slide back to the center of the seat. Lift your legs one at a time into the car. SAINT LUKE S HEALTH SYSTEM 22 Proper Posture Keep your head, shoulders, and hips in line. Chin slightly tucked. Shoulders back, pull shoulder blades in. Lightly draw abdominal muscles in. Avoid slumping back. Avoid sway back. Keep your weight equal on both sides. SAINT LUKE S HEALTH SYSTEM 23 Proper Sitting Do not sit for longer than 30 minutes. Keep your feet flat. Don t cross your legs. Make sure your back and your legs are supported. Use a foot stool if needed. Support your arms. Avoid slouching or slumping. Avoid very soft or plush chairs and couches. SAINT LUKE S HEALTH SYSTEM 24 SPINE SURGERY GUIDEBOOK 47
7 Sitting Down Follow these steps to sit down. Reverse them to get back up. Make sure the chair is behind you. Place one foot slightly behind the other. Tighten your stomach muscles. Bend forward from the hips, keeping your back straight. Hold the armrests or sides of the seat for support. Bend your knees. Use your leg muscles to lower yourself onto the seat. Scoot back in the seat until you are comfortable. SAINT LUKE S HEALTH SYSTEM 25 Sleeping Positions SAINT LUKE S HEALTH SYSTEM 26 On Your Back On your back Pillow for head Pillow supporting legs SAINT LUKE S HEALTH SYSTEM 27 Side-Lying Right: Use a pillow between your knees. Wrong: Avoid twisting the spine. SAINT LUKE S HEALTH SYSTEM SPINE SURGERY GUIDEBOOK
8 On Your Stomach If allowed by your surgeon Support feet. Support your abdomen. Keep your head and neck in center. SAINT LUKE S HEALTH SYSTEM 29 Post-Discharge SAINT LUKE S HEALTH SYSTEM 30 Outpatient Therapy Following Discharge Outpatient physical therapist will do an evaluation of your status. Therapists will continue to progress your motion, mobility, balance, and strengthespecially core strength. You will be provided with a home exercise program. Individualized goals will be set. Walking and cardiovascular exercises will be emphasized. You will have a goal to get up to 45 min of activity per day to keep your spine healthy. SAINT LUKE S HEALTH SYSTEM 31 Outpatient Therapy Gym at Saint Luke s Hospital of Kansas City SAINT LUKE S HEALTH SYSTEM 32 SPINE SURGERY GUIDEBOOK 49
9 Outpatient Therapy Gym at Saint Luke s Hospital of Kansas City SAINT LUKE S HEALTH SYSTEM 33 Questions? SAINT LUKE S HEALTH SYSTEM SPINE SURGERY GUIDEBOOK
10 SPINE SURGERY GUIDEBOOK 51
11 saintlukeskc.org Saint Luke s Health System shall not discriminate on the basis of race, color, national origin, gender, pregnancy status, sexual orientation, age, religion, disability, veteran status, gender identity or expression. Saint Luke s Health System cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Saint Luke s Health System tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính. Saint Luke s Health System 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而歧視任何人
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