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what is stage 1 of rehabilitation?
low threshold for injury or high tissue irritability
what is stage 2 of rehabilitation?
moderate threshold for injury
what is stage 3 of rehabilitation?
high threshold for injury or low tissue irritability
what is the healing time for bone?
6-8 weeks
what is the healing time for muscle?
4-8 weeks
what is the healing time for ligaments?
up to 12 weeks
what is the healing time for tendons?
6-12 weeks
what is the healing time for nerves?
1mm a day, an inch a month
what are stage 1 priorities?
focus on tissue level assessment (strength, ROM, Pain)
tissue protection, pain relief over movement optimization
restore mobility and function
encourage good movement patterns when possible (this may not be the priority) may be education or what it Will look like
when asking a subjective what do you want to know?
protocols
pain, MOI
goals
functionality
what is visual apraisal in outpatient?
remove the dressings and visualize the wound!
what is visual appraisal in inpatient?
dressings, drains and IVs!
dont remove dressings unless directed
during examination should you take vitals?
YES! may obtain in chart, but monitor during change of position
what should you check on for neurological status in the exam?
sensation and motor
what mobility and stability should you look at?
bed mobility
sit to stand
balance
gait/stairs
what should we know about precautions?
they are sometimes universal, sometimes highly variable based on physician training, technology and region
what are muscle length precautions?
opposite of the muscle action!