Physical Therapy Protocols: Guidelines for Rehabilitation - download pdf or read online

By Janet Bezner

ISBN-10: 0761642218

ISBN-13: 9780761642213

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Patient is tolerating upright positioning in his wheelchair for two to three hours at a time and can propel the wheelchair inde­ pendently for 200 feet. Patient is unable to perform wheelchair weight shifts without minimum to moderate assistance at present. Goal: (1-2 weeks) 1. Patient will assume full flexed position (leaning forward) and full side leaning position to relieve pressure on hips and buttocks using biceps to pull selfforward and return to upright using anterior deltoid muscles to push.

Use care to prevent burns during galvanic (DC) electrical stimulation treatment. Apply only brief stimulus to elicit twitch contraction. D. Check with physician regarding specific precautions for nerve, tendon, or artery repairs, and for advisability of active versus passive motion. E. Use care when performing passive range of motion or mobilization during TENS treatment. F. Use foam or padding to protect fracture, pins, MCP and ICP arthroplasty, and equipment during compression pump treatment.

D. Clear all activities with physician if there is any doubt about appropriateness for the patient. E. Harrington rod stabilization between T3 and L5 may be performed to provide distraction or compression. 1. Ifrods are attached to pelvis, do not flex hips above 90°. 2. Do not rotate trunk in any case. 3. All patients should have body jacket or cast prior to beginning work in sitting. IV. Equipment. Each patient has individual needs, but most will require a wheelchair and shower chair. 228-D752 I ISBN 07616681280 33 NEUROLOGY V.

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Physical Therapy Protocols: Guidelines for Rehabilitation by Janet Bezner

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