If you have any questions, please speak to a therapist caring for you. ���կS]�Y8y����> iC[�u�R�-/�ʯ!x����nޭS�hb������EC�[���M}��0�Fo�+�)$u\?Z�t� a��o��|n�S`�ܕ�u�. 813-684-BONE (2663) www.OMGTB.COM Olecranon Fracture Rehab Protocol Introduction • Indicated for non-op treatment or ORIF. More strenuous exercises can gradually be started once the fracture is completely healed. Elbow Strengthening – Basic Exercises To begin with, the following basic elbow strengthening exercises should be performed approximately 10 times, 3 times daily. After your recovery, your doctor or physical therapist can instruct you in how these exercises can be continued as a maintenance program for lifelong protection and health of your elbows. Keeping your elbow in at your side, rotate your arm outward and away from your waist. Start each exercise slowly. Iatrogenic ulnar nerve injury after pin fixation and after antegrade If you don't have something to hold on to, make a fist instead. Download the PDF leaflet for some images to help with the exercises. do some gentle exercises and stretches to reduce stiffness – your doctor or a physiotherapist will advise you about this; see an NHS leaflet on getting your hand moving after a wrist fracture (PDF, 170kb) for examples of exercises Elbow Radial Head Fracture: Rehab Exercises. These exercises will help prevent stiffness and weakness. Keep your affected elbow at your side, bent at about 90 degrees. Continue with exercises. %��������� ���>�@Y�\rp )/V 4>> endobj 51 0 obj <>>> endobj 52 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 419.528 595.276]/Type/Page>> endobj 53 0 obj <>stream h�bbd``b`��/�C>�`:k� b)�P ,f ���@�g�\@B0H��2��Hl�����pd#���� Y�@ endstream endobj startxref 0 %%EOF 80 0 obj <>stream The main aim is to restore enough movement to perform day to day activities once the fracture has healed. Internal fixation may have been performed to stabilize the fracture. Wrist Fracture: Rehab Exercises Your Care Instructions Here are some examples of typical rehabilitation exercises for your condition. Avoid lifting more than the weight of a cup of tea for 6 weeks. Repeat all of these 3 exercises 10 times each, 4-5 times a day. Move your wrist in circles to the right and to the left. Spend 15 minutes 3 times a day exercising your elbow. 1 Exercises After Wrist Injury After your cast and/or splint is taken off, you will likely feel some joint and soft tissue tightness in your affected wrist. shoulder and elbow exercises. 2, 2010, 51-62 UDC 616.717-001.5-053.2:615.8 EFFECTS OF REHABILITATION TREATMENT AND CHARACTERISTICS OF ELBOW CONTRACTURE AFTER SUPRACONDYLAR FRACTURES IN CHILDHOOD Maja Divjakoviã and Aleksandra Mikov! Now that you have had your cast removed it is very important that you use your wrist as normally as possible. The radial head is one of the more important bony structures that helps maintain stability of the elbow joint. RECENT NEWS We're an *award winning* National Provider of Occupational Physiotherapy. Hold your elbow held tight to your side, with your elbow bent at 90 degrees. Strengthening exercises to improve how well your wrist and hand work (see page 13). In order for it to recover to its best function consistent rehabilitation is essential in order to obtain the optimal outcome after injury. After the reduction of the fracture, the arm is immobilized by the application of the above elbow slab for 3 to 4 weeks. Ease off the exercise if you start to have pain. Range of motion and stretching exercises to increase your wrist and hand movement (see page 4). Here are some examples of exercises for you to try. exercises after your first follow up appointment. After the fracture has healed, more vigorous stretching and strengthening exercises will help you return to the maximal amount of elbow function, enabling you to resume your normal routine. Elbow Fracture: Postoperative Protocol The following guidelines should be followed when treating a patient who has suffered a fracture at the elbow. You may also be required to wear your arm in a sling, thus limiting the use of your elbow, wrist, and hand. Initiate light scar mobilization over distal incision . Hold for approx 30 seconds Sit on a chair with your palms on the seat and fingers facing backwards. xF��� Applying ice after exercise. 2. • Goal: Regain full pain-free ROM of elbow and prevent shoulder and wrist stiffness. Introduction. m���� ��Yi�!�"�M>�w�:\1>A��H� jA�Br�ƛ?�I�H]��� .��YloىT�\N'� ڥ̍�b�eQ��a��EV. daily activities. the elbow and wrist exercises as soon as comfort allows. 6-12 Fracture should be united (healed). If after 3 weeks you are not close to achieving full movement in your elbow please contact us for further advice / management. So, if your elbow is lacking stability after a complicated fracture or surgery, ask your doctor if a hinged external fixation can be worn to allow you to move your elbow 15. Grasp the middle of the hammer handle and turn palm up. Rehabilitation of the Elbow Todd S. Ellenbecker, Tad Pieczynski, and David Carfagno O B JECTIVES After completing this chapter, the therapist should be able to do the following: Discuss the functional anatomy and biomechanics Repeat 10 times. In most cases treatment will include a sling for the first few days for pain relief. Pendulum exercises Passive forward elevation to 90 deg Passive ER to 30 deg Passive IR as tolerated (not behind back) Instruct in home program, and begin, cervical, elbow and wrist range of motion/grip strengthening Arrange for Elbow Strengthening – Basic Exercises. Open and close your hand. During first 3 weeks Sling For the first 3 weeks keep your arm in the sling 24 hours a day, only coming out to do the exercses. 5. exercises. Do not ignore pain: You should not feel pain during an exercise, however, some degree of discomfort is normal. Hold 20-30 seconds. Make sure you keep your elbow bent 90 degrees and your forearm parallel to the floor. Wrists 2 Rest your arm on a table and hang your wrist over the edge. • Goal: Regain full pain-free ROM of elbow and prevent shoulder and wrist stiffness. Hand, wrist and elbow exercises: 1. ALL EXERCISES SHOULD BE PERFORMED AS INSTRUCTED BY YOUR SURGEON, AFTER PROPER DEMONSTRATION BY A PHYSICAL THERAPIST. Elbow exercises following fracture Information for patients Your treatment will depend on how severe your injury is. This leaflet gives you advice and exercises to help your wrist to recover after your fracture. 3. No biceps or active elbow flexion . x��ۖ�D����;e-�X�-����,B¤.ȬY`�1 �n �}x�����-��o�T�۝d�ZX��ڵ�>��~���ȗ��)�|���ó�������c��y��;�G�zE����2ލ~�}��Ѫ�ŮY-�|�^���z����b�)wy��,�U3�b��W��nk\,�f�ٮ�̞6�z�[�6��e��Wu�����*�27������U~��e�������#W���Nv�{��N�?��L=�a�#�1��uo�����K��*ľ-߇������!+~ Start each exercise slowly. page 3 This leaflet gives you advice and exercises to help your elbow to recover after your radial head fracture. @d�jF�+m�����L6�Lm)�4T�9k������Hs�oq�w�D�o�b}�;�"dYl�Sч��!�d�a`�rڀ��`�c�M��0����`+L�1%�&}JL)�y��R�RS�4+*��^���f- ��'u��]}ҫP]��y� GLb��c���L"�ԉ� ��4�@˾g8+���i����o$���H��Ƕ�����)P � �)w�΋�(<>Ɉ�4!�Hj� This information leaflet provides guidance on the amount of exercises you should aim to do once instructed the sling can be removed. Physiotherapy advice after an elbow fracture This leaflet gives advice and exercises that may help you get back to your normal activities as soon as possible. 4 0 obj Initiate PROM of elbow 30-100 (greater extension is acceptable) Initiate elbow extension isometrics (sub-painful) Continue wrist ROM exercises 4-5 x daily . If required, you may be Arm strength exercises after elbow fracture are a vital part of returning to full health after a fractured olecranon. In most cases treatment will include a sling for the first few days for pain relief. Strength Exercises After an elbow fracture, pain and swelling in your elbow may keep you from using your arm. As your elbow strength improves, the exercises can be progressed by gradually increasing the repetitions and strength of contraction provided they do not cause or increase pain. If after 3 weeks you are not close to achieving full movement in your elbow please contact us for further advice / management. Elbow exercises following fracture Information for patients Your treatment will depend on how severe your injury is. 4. Repeat 10 … Exercises: Continue all exercises listed above Initiate PROM of elbow 30-100 (greater extension is acceptable) Initiate elbow extension isometrics (sub-painful) Continue wrist ROM exercises 4-5 x daily Initiate light scarNo biceps 1. Continue with exercises… stream I have found I was I think I Phase I (0 to 14 days) • Elbow active and active-assisted flexion. Arm Strengthening Olecranon fracture physiotherapy exercises. %PDF-1.3 << /Length 5 0 R /Filter /FlateDecode >> Difficulty is increased by holding the hammer handle further down, as shown in the picture. if you elbow is in plaster, you can’t really overcome this loss of movement. �@Z�n "&�6� J�YX;Xw���k�d�O�FQW�yp�nD�%�g3�-��-�գ�}�%~0eP��K���o�.����'g��k� �ͽٵ1A �� endstream endobj 50 0 obj <>>>/EncryptMetadata false/Filter/Standard/Length 128/O(��p�C��eL�Pݸ��n��*"͔���i}��5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(�. Grasp a pen, pencil, or stick, and wrap your hand around it. • Protocol must be altered based on fixation strength at surgery and surgeon preference. Therefore, routine referrals to therapy are not always needed. This means you can move the joint without The difficulty is that progress is VERY slow, but will be even slowly if you try to rush things. • Protocol must be altered based on fixation strength at surgery and surgeon preference. It is important that this be carefully carried out under the supervision of a therapist. Exercise It is important that you perform However, immobilizing the elbow joint for such a long period has its own drawbacks that leads to secondary associated complications. Bend your elbow and assist the movement with your other hand. 輤�uȇ4�tE�A�� Exercises: Continue all exercises listed above . Olecranon Fracture Rehab Protocol Introduction • Indicated for non-op treatment or ORIF. Next, move your wrist up and down. Gradually resume normal activities as pain allows. Repeat 5 Elbow Fracture Rehabilitation Protocol The Elbow Joint is the most complex joint in the body. ��ZC� M�F�_�����N��z0���e�]�#���r���b�|��"7/�"X��� ��b��ȋWĿ���A9�Y#(�I�P� �rz�˦z�|�J#2�7�M�O�f�Ĭ��J�.�P�A��C���%+����81�M����?����?c�O��m˪^���Kq�����<2�uP���l��������ܶ����\ F��F�C~���ƿ_�E����c5a�d��u6PV�kd�XQ��.����d��Y$5��8�P�l-�v��so�\s��oc���+�P�T�պL��w�JՆ�e>�~{�;IV|l,�1�v���=r�᫄��"Ɯ��c�?�v�z#�gP����i4��`. 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