FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING. Courtney Silviotti, MS, OTR/L
|
|
- Kelly Chapman
- 6 years ago
- Views:
Transcription
1 FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING Courtney Silviotti, MS, OTR/L
2 OBJECTIVES: FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING Define Compare Review Examine Functional Mobility Activities of Daily Living ADL Teaching Strategies Impact of Seating and Positioning Population Specific Strategies
3 WHAT IS FUNCTIONAL MOBILITY? Due to an injury or illness, muscles of the body may become weak/paralyzed or pain may limit movement. There are 3 main areas of functional mobility: Transfers Bed Mobility Ambulation
4 WHAT ARE ACTIVITIES OF DAILY LIVING (ADL)? Self Care or Self-Maintenance Tasks Oral Hygiene Personal Device Care Functional Mobility Sexuality and Intimacy
5 WHAT ARE IADLS? (INSTRUMENTAL ADLS) Functional Communication Using the phone & computer Caregiving Children, family, loved ones, pets Health Management Medication Routine Exercise Housework & basic home maintenance Finances Preparing meals Shopping Religious & Spirituality Transportation Driving or navigating public transit
6 TEACHING ADL STRATEGIES ALL DEPENDS ON THE INDIVIDUAL Adaptation: Compensation for loss of function Adaptive Equipment Durable Medical Equipment (DME) Alternative Strategies Recovery: Remediation of functional deficits Targeted impairment level interventions Repetitive practice of close to normal movement
7 AND THE DIAGNOSIS Stroke Spinal Cord Injury Cardiac Traumatic Brain Injury Orthopedic Cancer Amputee
8 FOR EXAMPLE STROKE/TRAUMATIC BRAIN INJURY Strength/ROM Strength training Encouraged or forced use Dominance retraining One handed techniques Adaptive equipment Balance Positioning Supine or Seated Seated or Standing Change amount of support provided
9 VIDEO OF THERAPY SESSION: IN PRONE
10 SEATING AND POSITIONING Promoting Engagement in Functional Mobility and ADLs
11 IMPACT OF SEATING AND POSITIONING ON FUNCTION Safety Prevention Accessibility
12 SEATING AND POSITIONING: CUSHIONS AND PRESSURE MAPPING
13 POSTURAL SUPPORT
14 WHAT DOES PROPER SEATING & POSITIONING DO FOR YOUR PATIENTS? Prevention Pressure Ulcers Postural abnormalities Flexible and Fixed Contractures Joint Injury Intervention Tool Pain Agitation Functional mobility
15 STROKE/TRAUMATIC BRAIN INJURY: POSITIONING NEEDS FOR THE UPPER BODY Giv-Mohr Sling Splints Arm Trough/Board
16 STROKE/TRAUMATIC BRAIN INJURY: POSITIONING NEEDS FOR THE LOWER BODY Dorsiflexion wrap (with ace wrap) to protect ankle Braces or Orthotics
17 LIMB LOSS: POSITIONING NEEDS FOR THE LOWER BODY
18 STRETCHING FOR POSITIONING: INSTRUCTING A FAMILY MEMBER Consult MD, PT, or OT prior to stretching Be aware of precautions THR precautions Shoulder elevation above 90 degrees Spinal ROM contraindications Preserving tenodesis pattern Verify the physical health of the family member 1) Isolate the movement at the desired joint 2) Stretch the muscle into the desired range 3) Stretch until mild resistance is felt 4) Hold for 30 seconds 5) Have family member return demonstration Contracture Tip: Stretch 1 minute after positioning of 1 hour
19 ACTIVITIES OF DAILY LIVING Feeding Grooming Bathing Toileting Dressing
20 FEEDING/DRINKING ADAPTIVE EQUIPMENT Plate Guards Rocker Knife Dycem
21 STROKE/TRAUMATIC BRAIN INJURY: FEEDING/DRINKING ADAPTIVE EQUIPMENT Angled Utensils Provale Cup Built-up Utensils
22 SPINAL CORD INJURY: FEEDING STRATEGIES BASED UPON INJURY LEVEL C5 Wrist/forearm support C6 U-cuff C7 Adapted techniques Plate guard, dycem Adapted utensil Finger Weave Possible Mobile Arm Support (MAS) Wean off adaptive equipment
23 SPINAL CORD INJURY: FEEDING STRATEGIES May utilize with C4/C5/C6 tetraplegia Assists with tasks requiring against gravity planes of movement Mobile Arm Support (MAS) by JAECO Orthopedic
24 SPINAL CORD INJURY: FEEDING STRATEGIES Trial adaptive equipment Container management Alternative techniques for utensil management Cutting food Various food types Solids & liquids Finger foods
25 SPINAL CORD INJURY: UTENSIL MANAGEMENT STRATEGIES Tenodesis Flexing of the fingers through tendon action of the extrinsic finger flexor muscles when they are stretched across the wrist joint during wrist extension. Tenodesis splint Custom splint that assists the hand and wrist in performing tenodesis grasp Finger Weave Technique (C6, C7)
26 BATHING: DURABLE MEDICAL EQUIPMENT Shower Seats With &without backs Tub Benches Padded & plastic Roll-in Shower Chairs Support (seatbelts, headrest, leg rests) Tilt & non-tilt feature
27 DECREASED MOBILITY: ADAPTIVE EQUIPMENT FOR BATHING Long Handled Sponge Hand Held Shower Head & Grab Bars
28 STROKE/TRAUMATIC BRAIN INJURY: ADAPTIVE EQUIPMENT FOR BATHING Hand Mitts Long Handled Sponges
29 ADAPTIVE EQUIPMENT FOR DRESSING Elastic Laces Button Hooks Dressing Sticks
30 DECREASED MOBILITY: ADAPTIVE EQUIPMENT FOR DRESSING Long Handled Shoe Horn Reacher Sock Aid
31 STROKE/TRAUMATIC BRAIN INJURY: DRESSING STRATEGIES Allow for immediate success Loose fitting clothing Fasteners: Limit or position on non-affected side Clothing in physical reach and intact visual field Stable (seated or supine) position One-handed dressing strategies
32 DRESSING VIDEO
33 SPINAL CORD INJURY: DRESSING STRATEGIES Stable (seated or supine) position: bed, wheelchair Evaluate hamstring flexibility Back extensor muscle length for stability Promote lower extremity flexibility Positioning & momentum for lower extremity management Introduce adaptive equipment
34 TOILETING: DURABLE MEDICAL EQUIPMENT 3-in-1 Commode Stand pivot Transfers Drop Arm Commode Lateral Transfers
35 STROKE/TRAUMATIC BRAIN INJURY: TOILETING STRATEGIES Toilet tissue positioned on the unaffected side for ease of access Use modified fasteners or limit use of fasteners Snaps Elastic Bands Trial onehanded strategies Toileting Schedules Reduce urgency/ emergency situations
36 SPINAL CORD INJURY: TOILETING ADAPTIVE EQUIPMENT Clothing management Pants Clips Wheelchair skills Catheter management Clips Guides Mirrors Urinals
37 ORTHOPEDIC: JOINT REPLACEMENT AND ADLS Weight bearing status Adaptive Equipment Durable Medical Equipment Safety Extended leg for sitting/standing Long handled equipment Elevated height DME Chairs with arms Proper Footwear Total Hip Replacement Reinforce hip precautions during all tasks Anterolateral vs. Posterolateral Total Knee Replacement Encourage functional movement of affected knee Squatting motion to reach for clothes from drawers)
38 POSITIONING, TRANSFERS & MOBILITY
39 Transfer types Stand pivot Lateral With and without transfer board Ambulatory Dependent lift
40 BODY MECHANICS DURING TRANSFERS: PROTECT YOUR BACK
41 STROKE/TRAUMATIC BRAIN INJURY: TRANSFER STRATEGIES Facilitate anterior weight shifting Guarding technique/body mechanics Foot Placement Understand Neglect s Impact Cognitive visual perceptual deficit Only aware of ½ the body, environment Impulsivity Proper foot placement Manual contacts Proper Footwear
42 TRANSFERS VIDEO
43 SPINAL CORD INJURY: TRANSFER STRATEGIES Facilitate anterior weight shifting Consistent/appropriate guarding technique Appropriate adaptive equipment Proper body mechanics Understand Key Concepts ASIA Classification Expected functional outcomes
44 Pressure ulcer prevention & treatment RESOURCES Spinal Cord Injury Clinical Practice Guidelines (CPGs) created by the Paralyzed Veterans of America Stroke National Stroke Association Traumatic Brain Injury Brain Injury Alliance of New Jersey Amputee www. Sexuality Acute Management Bladder Management Respiratory Management Preservation of Upper Limb Function Autonomic Dysreflexia Functional Outcomes Depression Neurogenic Bowel
45
46 STROKE/TRAUMATIC BRAIN INJURY: OTHER CHALLENGES TO ADDRESS Dysphagia Precautions Shoulder pain/subluxation G-Tube Visual perceptual deficits Cognitive impairments Behavioral challenges
Slide 1. Slide 2 Disclosure. Slide 3 Objectives. Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation
Slide 1 Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation Terry Carolan, MSPT, NCS Slide 2 Disclosure Terry Carolan has no industry disclosures to make
More informationTable of Contents Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dres
Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dressing 15 Feeding 18 Functional Communication 20 Functional Mobility 22
More informationTable of Contents 85 Treatment Guides 283 Handouts
Table of Contents 85 Treatment Guides 283 Handouts ADLs and IADLs Activities of Daily Living Training Bathing and Showering Clothing Care Community Mobility Dressing Driving Feeding Functional Communication
More informationMaximizing Functional Independence: Modifying Tasks and
Maximizing Functional Independence: Modifying Tasks and Using Adaptive Equipment/Mobility Aids Kathy Farrell, MS, OTR/L Clinical and Research Occupational Therapist National Institutes of Health Disclaimer
More informationShoulder Surgery Discharge Instructions
Note: This information is provided for general educational purposes only. Because every individual is different, these instructions will not apply to every patient. Only your doctor can tell you what is
More informationClinical Information for Wheeled Mobility Page 1 of 6
Clinical Information for Wheeled Mobility Page 1 of 6 PART A: PATIENT / PROVIDER INFORMATION - Please Print Name: Sponsor Soc. Sec. No: Address: City: St: Zip: Phone: ( ) Age: Sex: Height: Weight: Date
More informationOccupational Therapy: INTERVENTION AND INDEPENDENCE
Occupational Therapy: INTERVENTION AND INDEPENDENCE What is Occupational Therapy? A therapy to help people find ways to do things that matter to them Dressing, bathing, toileting Housekeeping Leisure Community
More informationPosterior Total Hip Replacement with Precautions. Therapy Resources
Posterior Total Hip Replacement with Precautions Therapy Resources The information presented is intended for general information and educational purposes. It is not intended to replace the advice of your
More informationHip Resurfacing with Precautions. Therapy Resources. xpe045 (4/2015) AHC
Hip Resurfacing with Precautions Therapy Resources xpe045 (4/2015) AHC Hip Resurfacing Home Exercise Program - Phase I 1. Breathing Exercises Exercise can be done while sitting or lying down. Action: Place
More informationVancouver. CoastalHealth. Promoting wellness. Ensuring care. Mary Pack Arthritis Program Occupational Therapy
Vancouver CoastalHealth Promoting wellness. Ensuring care. Mary Pack Arthritis Program Occupational Therapy O.T. IVA-9 01 12005 PATIENT EDUCATION: JOINT PROTECTION AND ENERGY CONSERVATION The goals of
More informationHeidi Sanders, OTR/L. Amy Shuckra, MPT
Adaptive Equipment Heidi Sanders, OTR/L University of New Mexico Health Sciences Center, Los Pasos Program Amy Shuckra, MPT Shriners Hospitals for Children Salt Lake City, Utah What is Adaptive Equipment?
More informationCSHCN Services Program Benefits Have Changed for Some Durable Medical Equipment (DME) CSHCN Services Program Documentation of Receipt
CSHCN Services Program Benefits Have Changed for Some Durable Medical Equipment (DME) Information posted February 6, 2009 Effective for dates of service on or after April 1, 2009, benefit criteria for
More informationOptimizing Independence in Self care for Patient with Tetraplegia. Liza Criswell, OTR, ATP
Optimizing Independence in Self care for Patient with Tetraplegia. Liza Criswell, OTR, ATP Objectives The learner will be able to synthesize knowledge gained to optimize independence in self care for patient
More informationExercise information. only those exercises marked in your book. E-1
Exercise information The exercises may cause some discomfort or soreness, but avoid the exercises that cause sharp pain. Even a few weeks of exercises prior to your can improve the tone and strength of
More informationTotal Hip Replacement Rehabilitation: Progression and Restrictions
Total Hip Replacement Rehabilitation: Progression and Restrictions The success of total hip replacement (THR) is a result of predictable pain relief, improvements in quality of life, and restoration of
More informationMedical Complications after SCI Sara Kate Frye MS OTR/L ATP
Topic List Medical Complications after SCI Sara Kate Frye MS OTR/L ATP Upper Extremity Health Heterotopic Ossification Autonomic Dysfunction Bladder Care Bowel Care Skin Care Sexual Function Wheelchair
More informationDRAFT. Activities of Daily Living After Lung Surgery Self-care for safety and healing. Clamshell Precautions
UW MEDICINE PATIENT EDUCATION Activities of Daily Living After Lung Surgery Self-care for safety and healing This handout gives important guidelines to follow to help your healing and keep you safe after
More informationRehab to Home. Stroke Recovery EDUCATION BOOKLET FOR: Care & Safety Tips. Frequently Asked Questions. Working Toward Independence. Adaptive Equipment
Stroke Recovery Rehab to Home Care & Safety Tips Frequently Asked Questions Working Toward Independence Adaptive Equipment Summary of Progress Different Types of Therapy Personal Goals EDUCATION BOOKLET
More informationA Patient s Guide to Artificial Hip Dislocation Precautions
A Patient s Guide to Artificial Hip Dislocation Precautions Introduction Hip surgeries such as total joint replacement and hemiarthroplasty require the surgeon to open the hip joint capsule. This puts
More informationRehabilitation Program Following Isolated Biceps Tenodesis
Rehabilitation Program Following Isolated Biceps Tenodesis Richard Holtby Assistant professor, Department of Surgery University of Toronto Biceps Groove Biceps tendon HOLLAND ORTHOPAEDIC & ARTHRITIC CENTRE
More informationMedical Center ADignity Health Member Francisco, ca direct stmarysniedicalcenter.org PATIENT INFORMATION PACKET FOR
St. Mary's SpineCenter One ShraderStreet, Suite 450 Medical Center ADignity Health Member Francisco, ca 94117-1079 direct 415.750.5570 ST. MARY'S SPINE CENTER stmarysniedicalcenter.org PATIENT INFORMATION
More informationBack Safety Healthcare #09-066
Back Safety Healthcare Version #09-066 I. Introduction A. Scope of training This training program applies to healthcare employees whose job requires them to lift patients or other heavy objects. Lifting
More informationHome Exercise Program Progression and Components of the LTP Intervention. HEP Activities at Every Session Vital signs monitoring
Home Exercise Program Progression and Components of the LTP Intervention HEP Activities at Every Session Vital signs monitoring Blood pressure, heart rate, Borg Rate of Perceived Exertion (RPE) and oxygen
More informationChapter 8 8/23/2016. Body Mechanics and Patient Mobility. Introduction to Body Mechanics and Patient Mobility
Chapter 8 Body Mechanics and Patient Mobility All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Introduction to Body Mechanics and Patient Mobility
More informationORTHOPEDIC PHYSIOTHERAPY EVALUATION FORM. Age: Gender: M/F IP/OP
ORTHOPEDIC PHYSIOTHERAPY EVALUATION FORM NAME: DATE: Age: Gender: M/F IP/OP Occupation: Referred by: Address: Phone Number: Registration Number: Civil Status: Diagnosis: Chief Complaints: Past Medical
More informationSAVE YOUR BACK! How to Safely Use a Back Support Brace, Assisting with Body Positioning, Transfers, ADLs, Adapting the Home, Ambulation and Falling.
SAVE YOUR BACK! How to Safely Use a Back Support Brace, Assisting with Body Positioning, Transfers, ADLs, Adapting the Home, Ambulation and Falling. 5/15/2017 Table of Contents How to Use a Back Support
More informationPatient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB: / / BP: (Prior) Position Side Heart Rate: Respirations:
Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0152) Services Performed by a qualified
More informationBody Mechanics and Safe Patient Handling
Body Mechanics and Safe Patient Handling Body Mechanics means using the body in an efficient and careful way involves good posture, balance, and using your strongest and largest muscles for work good body
More informationAdvanced Life Support (ALS) Paramedic. Physical Capacity Testing Protocols Pre-Employment Candidate Pack
Advanced Life Support (ALS) Paramedic Physical Capacity Testing Protocols Pre-Employment Candidate Pack Developed by: Mark Jansz (Health & Fitness Advisor) AV Physical Capacity Testing Protocols Version
More informationPhysical Therapy throughout the Life Span. Tina Duong Stanford University Leslie Vogel, MSPT Seattle Children s Hospital
Physical Therapy throughout the Life Span Tina Duong Stanford University Leslie Vogel, MSPT Seattle Children s Hospital Lifetime Goals for Physical Therapy Maximize Participation in school, work, community
More informationYOUR TOTAL HIP REPLACEMENT. General Guide to getting you back to function.
YOUR TOTAL HIP REPLACEMENT General Guide to getting you back to function. Topics to Cover Walking, step climbing, functional mobility, use of assistive devices Transfers in and out of bed, car, chairs
More informationcopyrighted material by PRO-ED, Inc.
Contents Preparation for Functional Sitting Partial Pull to Sit.......................................................... 2 Pull to Sit................................................................ 3
More informationBefore, During and After Hip and Knee Replacement
Working Together for Healthy Joints Before, During and After Hip and Knee Replacement Last revised October 2012 Introduction Paperwork Washrooms Things that beep Today s Main Message: Your hospital stay
More informationPRE-OPERATIVE VISIT FOR KNEE REPLACEMENT with Dr. LaReau
PRE-OPERATIVE VISIT FOR KNEE REPLACEMENT with Dr. LaReau PATIENT NAME: D.O.B.: DIAGNOSIS: L / R Knee Pain (Pre-op TKA visit) DATE of SURGERY: SUBJECTIVE: Knee Outcome Survey Activities of Daily Living:
More information24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment.
24 Hour Positioning, Passive Movements, Shoulder pain, Splinting, Use of Assistive Technology, Early Mobilisation, and the Home Environment. Christine Hogg Physiotherapy Team Leader and Vicky Thomas Senior
More informationThe SPORTS CENTRE L.L.C. PATELLA/QUADRICEPS TENDON REPAIR REHABILITATION PROTOCOL
The SPORTS CENTRE L.L.C. Orthopedic Surgery, Sports Medicine, Fractures, Joint Replacement Rob O Connor M.D. www.sportscentreortho.com PATELLA/QUADRICEPS TENDON REPAIR REHABILITATION PROTOCOL GENERAL POST-OPERATIVE
More informationREX REX Clinical Assessment Guide
REX Clinical Assessment Guide All product names and brand names in this document are trademarks or registered trademarks of their respective holders. Copyright Rex Bionics Ltd 2016. All rights reserved.
More informationSTROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB
STROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB PRESENTED BY: Francine Carrier-Stevens, PT. Natasha Uens, PT. Chelsea Foster, RN. OVERVIEW Objectives Factors affecting mobility
More informationKentucky Medically Frail Provider Attestation v5. Part I. Member Information. Page 1
Page 1 Kentucky Medically Frail Provider Attestation v5 This Attestation is to be completed by an enrolled Medicaid Provider whose scope of expertise qualifies them to assess the Member for medical frailty.
More informationThe RehabStation. User Manual
The RehabStation User Manual www.med-mizer.com *Patent Pending 1 TABLE OF CONTENTS 1. Important General Safety Guidelines.3 2. General Use and Features 4 3. Use of Safety Ropes and Harness System..7 4.
More informationOn The Road. Training Manual
On The Road Training Manual ST - 1 Standing External Rotation Strength Training Injury prevention Strengthening the rotator cuff Attach the tubing to a secure location like a fence or the net post. Start
More informationTraining the Joint Replacement Client
KNEE PRE-OP SAMPLE EXERCISE PLAN Quadricep: Shuttle 1 leg and 2 legs (focus on 1 leg) Leg Press 1 and 2 legs (focus on 1 leg) Sit to Stand (if no pain or compensation) Supine Circle Foam knee extension
More informationPHASE ONE: THE FIRST SIX WEEKS AFTER INJURY
Exercises After Injury to the Anterior Cruciate Ligament (ACL) of the Knee Dr. Abigail R. Hamilton, M.D. PHASE ONE: THE FIRST SIX WEEKS AFTER INJURY Initially, the knee needs to be protected-use the knee
More informationPatient Lifter (Hydraulic Lift) Information for the Patient A Guide for Patients in the Home
Patient Lifter (Hydraulic Lift) Information for the Patient A Guide for Patients in the Home Table of Contents Chapter 1... 1 Patient Lift (Hydraulic Lift)... 1 What you should expect?... 1 Chapter 2...2-9
More informationChapter 23 Body Mechanics, Positioning, and Moving
Chapter 23 Body Mechanics, Positioning, and Moving Question Is the following statement true or false? Good body posture distributes gravity through the center of the body over a wide base of support. Answer
More informationSoteria Strains. Safe Patient Handling and Mobility Program Guide
Soteria Strains Safe Patient Handling and Mobility Program Guide Section 4 Special Considerations Section 4.3 - Orthopedics V1.0 edited July 28, 2015 A provincial strategy for healthcare workplace musculoskeletal
More informationMVP Most Versatile Power Tool!
MVP Most Versatile Power Tool! IDEA World session 736 Aileen Sheron This workshop showcases the tremendous versatility of resistance tubing by integrating strength, cardio and flexibility exercises. Combinations
More informationInternational Clinical Educators, INC. Self-Care. By Jan Davis, MS, OTR/L
International Clinical Educators, INC. By Jan Davis, MS, OTR/L About the Author & Presenter Jan Davis, MS, OTR/L, is an internationally recognized leader in educational programs developed for health care
More informationRange of motion and positioning
Range of motion and positioning Learning guide Why is motion important? Most people take free, comfortable movement for granted. Motion is meant to be smooth and painless. The ligaments, tendons, muscles,
More informationDAY 2 III. WORKOUT RULES
DAY 2 III. WORKOUT RULES A. Order of Exercise 1. Largest amount of muscle mass to smallest amount of muscle mass, eg., squats -- calf raises 2. Complex exercise to assisting, eg., squats -- leg ext. 3.
More informationGENERAL EXERCISES ELBOW BMW MANUFACTURING CO. PZ-AM-G-US I July 2017
GENERAL EXERCISES ELBOW BMW MANUFACTURING CO. PZ-AM-G-US I July 2017 Disclosure: The exercises, stretches, and mobilizations provided in this presentation are for educational purposes only are not to be
More informationMaximal isokinetic and isometric muscle strength of major muscle groups related to age, body weight, height, and sex in 178 healthy subjects
Maximal isokinetic and isometric muscle strength of major muscle groups related to age, body weight, height, and sex in 178 healthy subjects Test protocol Muscle test procedures. Prior to each test participants
More informationPTA 210 PTA Techniques
PTA 210 PTA Techniques Patient Positioning and Draping INTRO Patient Positioning Must be considered before, during and after treatment AND when the patient is to be at rest for a prolonged period of time
More informationPT Goals - Certification or Supplemental Orders
General G01 PT Rehab potential excellent for stated goals C General G02 PT Rehab potential good for stated goals C General G03 PT Rehab potential fair for stated goals C General G04 PT Discharge when goals
More informationTHE INNATE PHYSICAL FITNESS PROGRAM ENERGY EXPENDITURE AND DAILY ACTIVITY PATTERN PROFILES
Phase 2 - Stretches THE INNATE PHYSICAL FITNESS PROGRAM ENERGY EXPENDITURE AND DAILY ACTIVITY PATTERN PROFILES Activities to Avoid or Minimize 1. Sitting 2. Standing with weight on one foot 3. Reading
More informationMoving The Patient. From Our Perspective. From the Patient s Perspective. Techniques, Tips, and Tools
Moving The Patient From Our Perspective From the Patient s Perspective Techniques, Tips, and Tools From The Perspective of the Health Care Provider Does our training, clinical experience, and knowledge
More informationAging Gracefully Program by
Aging Gracefully Program by What is Aging Gracefully by Nautilus? Proven and researched exercise circuit for the elderly 5 Nautilus ONE machines for 6 exercises Over 1,200 Long Term Care facilities are
More informationChapter 13. Body Mechanics. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 13 Body Mechanics Body Mechanics Body mechanics means using the body in an efficient and careful way. It involves good posture, balance, and using your strongest and largest muscles for work. 2
More informationChapter 13. Safe Patient Movement and Handling Techniques. Objectives. Body Mechanics
Chapter 13 Safe Patient Movement and Handling Techniques Copyright 2012, 2007, 2002, 1997, 1991, 1984, 1979 by Saunders, an imprint of Elsevier Inc. All rights reserved. 1 Objectives 1. Define the terms
More informationChapter 9: Exercise Instructions
RESOURCES RESEARCHERS / MEDICAL HOW TO HELP SPONSORS GEHRIG CONNECTION MEDIA TELETHON MDA.ORG search our site Go MDA/ALS Newsmagazine Current Issue Home> Publications >Everyday Life With ALS: A Practical
More informationCaring Sheet #17: Safety After Hip Surgery: Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA
: : Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA Introduction Dementia can increase a person s chances of breaking a hip. After surgery on the hip there is an increased risk of further
More informationPrevent Falls. with the Moore Balance Brace. Many falls can be prevented. By making minor changes, you can lower your chances of falling
Prevent Falls with the Moore Balance Brace Many falls can be prevented. By making minor changes, you can lower your chances of falling Moore Balance Brace (MBB) Instructions for use Putting the MBB into
More informationCENTER FOR ORTHOPAEDICS AND SPINE CARE PHYSICAL THERAPY PROTOCOL ACUTE PROXIMAL HAMSTRING TENDON REPAIR BENJAMIN J. DAVIS, MD
Weeks 0-6 Goal: 1) Protection of the surgical repair Precautions: 1) Non-weight bearing with crutches for 6 weeks with foot flat or with knee Knee flexed to 90 degrees with sitting 2) No active hamstring
More informationA PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY
A PHYSIATRIC APPROACH TO PATIENTS WITH FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY SUSAN KEESHIN M.D. MEDICAL DIRECTOR DAY REHAB THE SHIRLEY RYAN ABILITY LAB (FORMERLY KNOWN AS RIC) WHAT IS A PHYSIATRIST AND
More informationPhysical & Occupational Therapy
In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be
More information3 Moves To Improve Your Lifts
1 Each lift has three exercises outlined to help you perform at your best. Muscle strength, endurance and stability are taken into account and serves as a guide to help coordinate all of your systems.
More informationCervical Surgeries. DO NOT twist or bend your neck, or lift with your arms, without getting clearance from your doctor.
Precautions: Cervical Surgeries DO NOT twist or bend your neck, or lift with your arms, without getting clearance from your doctor. If you must bend down to pick up an object, use a grabber instead. Tighten
More informationRehabilitation Program Following Shoulder Diagnostic Arthroscopy, Acromioplasty, Decompression, AC Resection, Debridement
Rehabilitation Program Following Shoulder Diagnostic Arthroscopy, Acromioplasty, Decompression, AC Resection, Debridement Richard Holtby Assistant professor, Department of Surgery University of Toronto
More information11/2/2017. Individualized Seating and Wheeled Mobility for the Older Adult
1 2 3 4 for the Older Adult Course Objectives Upon completion of this course the participant will be able to: Recognize the need for individualized seating and wheeled mobility Understand seating as it
More informationDependence to Adaptive Independence Colm I. Roe, LPTA/CBIS
Dependence to Adaptive Independence Colm I. Roe, LPTA/CBIS Objectives Define the most common causes of spinal cord injuries Review the incidence of spinal cord injuries Outline the costs of spinal cord
More informationFunctional Mobility. What does that mean? 6/26/2013. Evaluation for Seating and Wheeled Mobility
Evaluation for Seating and Wheeled Mobility Mark R. Schmeler, PhD, OTR/L, ATP Jeannie Minkel, PT, ATP Kendra Betz, MSPT, ATP VA-Polytrauma 14 th Grand Rounds University of Pittsburgh Functional Mobility
More information1-Apley scratch test.
1-Apley scratch test. The patient attempts to touch the opposite scapula to test range of motion of the shoulder. 1-Testing abduction and external rotation( +ve sign touch the opposite scapula, -ve sign
More informationShoulder Arthroscopic Capsular Release Rehabilitation
Shoulder Arthroscopic Capsular Release Rehabilitation Phase two: 3 to 6 weeks after surgery Goals: 1. Improve range of motion of the shoulder 2. Begin gentle strengthening Activities 1. Sling Your sling
More informationExercise Therapy for Patients with Knee OA Knee Exercise Protocol Knee Home Exercise Programme
Chapter FOUR Exercise Therapy for Patients with Knee OA Knee Exercise Protocol Knee Home Exercise Programme Chris Higgs Cathy Chapple Daniel Pinto J. Haxby Abbott 99 n n 100 General Guidelines Knee Exercise
More informationPhysical Therapy Workshop End Duchenne Tour Dallas, TX October 13, 2018
Physical Therapy Workshop End Duchenne Tour Dallas, TX October 13, 2018 Leslie Nelson, PT, PhD University of Texas Southwestern Medical Center Children s Health, Dallas Physical Therapy Standards in Duchenne
More informationResident Evaluation Form Personal Care
Resident Name Date Evaluator Directions: Use this information to supplement your existing assessment. Exercise examples designed to improve skill areas are included with this resource. Skill needed Corresponding
More informationFall Risk Management. Is Everybody s Business
Fall Risk Management Is Everybody s Business A fall is An unintentional change in position, resulting in an individual coming to rest on the floor or a lower surface Risk Factors for Falls Over age 65
More informationSterile gauze used at incision site. Check brace for rubbing or irritation. Compression garment at elbow to be used with physician s authorization
ULNAR COLLATERAL LIGAMENT RECONSTRUCTION GUIDELINE Functional Outcome Measure KJOC (Appendix 1) should be completed at initial evaluation and at all identified times through guideline, Phase 1 Immediate
More informationToday s session. Common Problems in Rehab. Tim Keeley B.Phty, Cred.MDT, APA Principal Physiotherapist. physiofitness.com.au facebook.
Tim Keeley B.Phty, Cred.MDT, APA Principal Physiotherapist physiofitness.com.au facebook.com/physiofitness Today s session Essential list for the lower body Rehab starting point Focussing on activation,
More informationRehabilitation Program Following Shoulder Arthroscopy/Open Bankart Repair/Stabilization Procedures
Rehabilitation Program Following Shoulder Arthroscopy/Open Bankart Repair/Stabilization Procedures Richard Holtby Assistant professor, Department of Surgery University of Toronto HOLLAND ORTHOPAEDIC &
More informationSit to Stand. The sit to stand maneuver assisted by the Up n Free accomplishes three important functions:
Sit to Stand The sit to stand maneuver assisted by the Up n Free accomplishes three important functions: 1. Raising the user by supplementing their lower extremity strength 2. Learning/reinforcing the
More informationGENERAL EXERCISES KNEE BMW MANUFACTURING CO. PZ-AM-G-US I July 2017
GENERAL EXERCISES KNEE BMW MANUFACTURING CO. PZ-AM-G-US I July 2017 Disclosure: The exercises, stretches, and mobilizations provided in this presentation are for educational purposes only are not to be
More informationMusculoskeletal. A guide for patients. Passive movements and stretches. Splinting
Musculoskeletal A guide for patients Passive movements and stretches It is important to perform stretches regularly to maintain flexibility of muscles and joints. How often you need to stretch will depend
More information7 Element Order. elsewhere classified, Spinal stenosis, lumbar region, without neurogenic claudication. Physician signature:
7 Element Order Medicare national and local policy specify that following completion of the face-to-face examination, the physician or treating practitioner must complete a written order containing seven
More informationTPW 's Shin Splints Menu
TPW 's Shin Splints Menu # Sets Reps Duration E-cise 1 1 40 Supine Foot Circles & Point/Flexes 2 2 1 0:01:00 Supine Calf & Hamstring Stretch 3 1 1 0:02:00 Static Extension Position 4 1 1 0:02:00 Airbench
More informationPost Operative Total Hip Replacement Protocol Brian J. White, MD
Post Operative Total Hip Replacement Protocol Brian J. White, MD www.western-ortho.com The intent of this protocol is to provide guidelines for progression of rehabilitation. It is not intended to serve
More informationKnee Conditioning Program
Knee Conditioning Program Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following
More informationFoot and Ankle Conditioning Program
Foot and Ankle Conditioning Program Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.
More informationTeaching Independence: A Therapeutic Approach To Stroke Rehabilitation
ICE Learning Center INTERNATIONAL CLINICAL EDUCATORS, INC. Teaching Independence: A Therapeutic Approach To Stroke Rehabilitation s e c o n d e d i t i o n By Jan Davis, MS, OTR/L University Edition Student
More informationBefore, During and After Hip and Knee Replacement
Working Together for Healthy Joints Before, During and After Hip and Knee Replacement December 2017 Introduction Paperwork Washrooms Things that beep Today s Main Message: Your hospital stay is short so
More informationFoot and Ankle Conditioning Program
Foot and Ankle Conditioning Program Studies show, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. A program of this nature, focused
More information2002 Physioball Supplement
2002 Physioball Supplement These exercises are not detailed on the 2002 Off-Ice Training video but will be taught in detail during the 2002 Reach for the Stars Seminar. CORE STRENGTH Physioball/ Sport
More informationBefore, During and After Hip and Knee Replacement
Working Together for Healthy Joints Before, During and After Hip and Knee Replacement June 2018 Introduction Paperwork Washrooms Things that beep Today s Main Message: Your hospital stay will be anywhere
More informationPosterior/Direct Total Hip Arthroplasty Rehabilitation Guideline
Posterior/Direct Total Hip Arthroplasty Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. It is designed for
More informationEnhanced. Patient Care SAMPLE
Enhanced Patient Care Your Health is Our Priority In an effort to help facilitate an increased quality of life for you our valued customer, we have provided this simple reference guide for your convenience.
More informationPhysical and Occupational Therapy after Spine Surgery. Preparation for your surgery
Physical and Occupational Therapy after Spine Surgery Preparation for your surgery Agenda Pre-Operative Exercises What to Expect Post-Operative Plan Spinal Precautions Post-Discharge Plan S A I N T LU
More informationKnee Arthroscopy: Postoperative Instructions
Knee Arthroscopy: Postoperative Instructions John P. Woll, MD Knee arthroscopy is a commonly performed procedure that is much less invasive than previous open techniques, but it is still an operation,
More informationHemiplegic Shoulder. Incidence & Rationale. Shoulder Pain Assessment & Treatment
Hemiplegic Shoulder Jeane Davis Fyfe OT, Senior Therapist Incidence & Rationale Up to 72% of stroke survivors will experience shoulder pain Shoulder pain may inhibit patient participation in rehabilitation
More information