Rehabilitation of Elbow injuries Chapter 18 Rehabilitation Acute

Rehabilitation of Elbow injuries Chapter 18

Rehabilitation – Acute Phase n Acute Rehabilitation ¡ Goals n n n Prevent reinjury (immobilization) Prevent atrophy Minimize loss of motion Reduce edema Control Pain

Rehabilitation – Acute Phase n Acute Rehabilitation (While Immobilized) ¡ Exercises n Distally ¡ ¡ ¡ n Gripping Finger Extension Wrist FLX / EXT Proximally ¡ Shoulder AROM n FLX, EXT, ABD, ADD, HABD, HADD

Rehabilitation – Acute Phase n Acute 0 -7 Days (w/o Immobilization) ¡ ¡ ¡ Maintain Sling Immobilization Previous exercises Modalities n n n Ice & IFC Stim before Ther Ex initially Effleurage w/ gravity assist Ice afterwards

Rehabilitation – Subacute n Subacute 7 -21 Days ¡ Goals n n Obtain full ROM Regain ¡ ¡ Full Strength Endurance Neuromuscular Control Note: Pt may be in a brace to prevent EXT

Rehabilitation – Subacute n Active Elbow ROM in Warm W/P ¡ ¡ Alternate w/ US treatment then stretching n ¡ 3 MHz, 100% Duty Cycle, 1. 0 W/cm 2, 6 mins, 3 -4°C increase Superficial heat w/ Elbow EXT

Rehabilitation – Subacute n Exercises ¡ ¡ Add Pronation & Supination to wrist strengthening Isometric Elbow Flexion & Extension n n ¡ Three separate plainer areas & Pronated, Neutral, Supinated Basketball Dribble n n Sets of 30 Seconds to build muscular endurance Work into wall chest pass

Rehabilitation – Subacute n Exercises ¡ ¡ Isotonic Flexion & Extension PNF Patterns n n Passive, Active, Isometric, Isotonic Progress through dynamic stability to reactive NMC D 1 Flexion / Extension D 2 Flexion / Extension

Rehabilitation – Subacute n Dynamic Stability ¡ ¡ n Swiss Ball Medicine Ball Foam Rollers Balance Disks Reactive NMC ¡ Close Eyes

Rehabilitation – Functional n n Functional – 21+ Days Goals ¡ ¡ Engage in more sport specific or activity specific exercises Prepare for return to full activity

Rehabilitation – Functional n Push-ups ¡ ¡ n Wall Ground Plyometrics ¡ ¡ Plyometric Wall Knee Drop Push-ups Explosive Push-up Standing Drops

Rehabilitation – Functional n Medicine Ball Strengthening ¡ Catch and Toss n n Concentric Eccentric