Treatments


Objective notes

Keep your patient records up to date

 

Pace of rehab treatment will be affected by the following factors

& MORE...

 

 

Inclusion

Encourage independence and include patient in all aspects of life

 

Multiple injuries

Related respiratory injuries

Related SCI injuries

8 related eight modules

Prioritise your treatments and adapt positions as necessary

 

Day 1 post-operation

 

Early mobility

As soon as possible encourage bed mobility, sitting out of bed and using the wheelchair

 

Early rehab

Encourage mobility and independence in wheelchair, and gradually increase the number of repetitions as the patient becomes more able.

Self exercises

 

Wheelchair transfers

Floor to chair & chair to bed

 

Day 3, post operation

Teach exercise and progress them under supervision

(not yet sure if below what is needed... or is it something more of a repeat of previous?)

Progress exercises, strengthening and mobility as able

 

Wheelchair mobility

 

Balance

 

Crutches

Only use crutches if essential, altered centre of gravity, loss of proprioception & stump swelling make their use unsafe


 

Stump pain

 

 

Phantom pain

(in missing limb)

 

Pain elsewhere

 

Use other modules for specific treatment

TEMP

this material below is here temporarily in case it might help suggest further illustration needed

oedematous oedematous oedematous

 

Lower limb ROM

 

Reduced leg strength

Increase the weights used or the number of repetitions of each exercise as the patient gets stronger

Exercises to strengthen remaining leg

Exercises to strengthen below knee stump

Exercises to strengthen above knee stump

Increase the weights used or the number of repetitions of each exercise as the patient gets stronger

Exercises

 

 

Upper limb exercises

Maintain and improve range of movement and strength in upper limbs

Increase the weights used or the number of repetitions of each exercise as the patient gets stronger

See also

 

Health of remaining foot

 

Oedematous stump

stump bandaging, elevation, exercise and massage will reduce post-op swelling

Above knee bandaging (print)
Below knee bandaging (print)

 

Infected wound

An infected would will be painful, delay healing and slow rehab

 

Delayed healing

 

 

Tethered scar

 

 

Dexterity

Inform prosthetist if dexterity is poor.

 

Anxiety & depression

Hospital Anxiety and Depression

HAD see also
Find culturally acceptable anxiety and depression diagnosis tool

 

Unable to retain new information

 

Post operation day 1 (print-out version)

prevent hip flexion contractures by prone lying with hip in neutral

Bones: pelvis, femur, patella, tibia, fibula

do not place pillow under stump

avoid foot-drop in remaining foot

 

Early rehab (print-out version)

encourage patient to look at and feel stump

prevent hip flexion contractures by prone lying with hip in neutral

do not place pillow under stump

avoid foot-drop in remaining foot

check safety when moving around

check safety when moving around

encourage inclusion

lift bottom as high as possible, hold for 5 seconds, lower slowly

squeeze towel or football between thighs

with towel under end of stump press leg down into the floor

keep knee straight & lift leg off the bed

keep knee straight & lift leg off the bed

keep knee straight & lift leg off the bed

press straight leg down and lift pelvis off floor

lie on stomach, keep knee straight & lift thigh off floor

lie on back , lift thigh off floor, as high as possible

lie on non-amputated side with knee bent & lift stump up, keeping it in line with the body

keep knee straight & lift leg off the bed

keep knee straight & lift leg off the bed

keep knee straight, lift leg in line with body

increasing lateral and medial rotation of hip

increasing strength of knee flexion

move ankle up and down

push down on blocks and lift bottom and legs off the chair

tie an elastic band firmly to the arm of the wheelchair and pull against it

use weights in hands with elbows straight and lift arms out sideways

lie on stomach, keep knee straight & lift thigh off floor

hold weight in hand and bend and straighten elbow slowly