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Rehabilitation of Elbow injuries

Rehabilitation of Elbow injuries. Chapter 18. Rehabilitation – Acute Phase. Acute Rehabilitation Goals Prevent reinjury (immobilization) Prevent atrophy Minimize loss of motion Reduce edema Control Pain. Rehabilitation – Acute Phase. Acute Rehabilitation (While Immobilized) Exercises

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Rehabilitation of Elbow injuries

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  1. Rehabilitation of Elbow injuries Chapter 18

  2. Rehabilitation – Acute Phase • Acute Rehabilitation • Goals • Prevent reinjury (immobilization) • Prevent atrophy • Minimize loss of motion • Reduce edema • Control Pain

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

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

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

  6. Rehabilitation – Subacute • Active Elbow ROM in Warm W/P • Alternate w/ • US treatment then stretching • 3MHz, 100% Duty Cycle, 1.0 W/cm2, 6mins, 3-4°C increase • Superficial heat w/ Elbow EXT

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

  8. Rehabilitation – Subacute • Exercises • Isotonic Flexion & Extension • PNF Patterns • Passive, Active, Isometric, Isotonic • Progress through dynamic stability to reactive NMC • D2 Flexion / Extension • D1 Flexion / Extension

  9. Rehabilitation – Subacute • Dynamic Stability • Swiss Ball • Medicine Ball • Foam Rollers • Balance Disks • Reactive NMC • Close Eyes

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

  11. Rehabilitation – Functional • Push-ups • Wall • Ground • Plyometrics • Plyometric Wall • Knee Drop Push-ups • Explosive Push-up • Standing Drops

  12. Rehabilitation – Functional • Medicine Ball Strengthening • Catch and Toss • Concentric • Eccentric

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