Lumbar Fusion Physical Therapy Protocol

A nerve stretch is achieved by lying on the back with legs on the ground and slowly lifting one leg until a stretch is felt in the back of the thigh and through the hip. LUMBAR FUSION PHYSICAL THERAPY POST OP PROTOCOL N PHASE 1 0-4 WEEKS WOUND HEALING AND PROTECTION OUTPATIENT PT STARTS AT 2-4 WEEKS OBJECTIVES.

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University of Jyvskyl 2014 106 p.

Lumbar fusion physical therapy protocol

. O Hip dominated movements o Neutral spine movements o Posture Abdominal bracing. Brace removed at approximately 8 weeks if indicated will begin physical therapy. Lumbar Fusion Protocol Weeks 0-6.

De -bracing per discretion of the therapist is allowed while under direct supervision of. Rehabilitation after lumbar spine fusion Development of an exercise program Jyvskyl. Avoid flexion ROM and exercises.

Gradual return to ADLs at home with Home Health PT. Lumbar Fusion Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. For 4 weeks avoid lifting 5.

_____ Initiate home walking program. NO bending or twisting Wear brace when out of bed Log roll No sitting for 15 min Lifting limited per MD. - Use lumbar roll when sitting - Maintain neutral posture Diskectomy - AVOID SITTING avoid long car rides x 2 weeks - NO bending twisting or lifting over 10 pounds Laminectomy - May sit bend and twist without limitations - Lift as pain permits Fusion - Sit in chair for all meals.

Lumbar ROM is allowed to tolerance all planes after brace removal beginning in mid-range with progression to full available within pain limits. Non-Instrumented Fusion 0 to 6 weeks sp. Post operative Spine Rehab-Lumbar Fusion Treatment Guideline Precautions Promote AROM after 8-10 weeks Avoid all exercises that reproduce or increase the pain Phase I.

214 ISBN 978-951-39-5944-9 nid ISBN 978-951-39-5945-6 PDF Finnish summary Diss. If any of the following occur contact Dr. Start functional training to progress back to worksport.

Any signs of infection Worsening of radicular symptoms including progressive weakness. Avoid ROM at fusion level. Decrease pain and inflammation.

Lumbar fusion physical therapy post op protocol n psifaliflliftlif typical psif can be done alone or in combination with anterior lateral lumbar or transforaminal lumbar interbody fusion placement of one or multiple interbody devices into disc space through posterior anterior lateral or transforaminal approach. Cook C Learman K. Limit driving to short intervals 30 mintime.

Immediate post Surgical Phase IPSP 0-8 weeks Goals. APTA Independent Study Course 1816. Make arrangements to have your teeth cleaned prior to surgery as you will not be able to have dental work or cleanings for six months postoperatively.

Increase distance by 12 miles by six week checkup. Studies in Sport Physical education and Health ISSN 0356-1070. Click here to download.

No endrange back movements. Fusion may take 6 months to 1 year to fully heal. No outpatient PT or the first 12 weeks unless otherwise specified by physician.

For 4 weeks sitting. Post-Op Lumbar Fusion Protocol Brace Schedule. Add SB and ROT when stabilization is controlled.

Pain control wound care and promote healing via progression of mobility. Careful planning and follow through on a prescribed physical therapy program will go a long way in helping the patient recover from the fusion and have the best prospects for pain relief over the long term. Rehabilitation and exercise are an essential part of recovery from a lumbar spine fusion.

Immediately Post-Op - Follow precautions from hospital. Resume driving after 2-4 weeks or when off pain medication. Poulter and hold off on physical therapy.

Nerve stretches mobilization should be done in a pumping fashion without long hold times and can be done every two hours. During the time prior to your admission you can also be getting your home. Low Back Pain and the Evidence of Effectiveness of Physical Therapy Interventions.

Will see MD at 3 weeks 3 months 6 months and 12 months post op 12-14 Weeks post-op. - Wear brace as needed for comfort. Lumbar Fusion Protocol Patient Name_____ Surgery date.

Its not intended substitute as a for clinical decision making. For 3 months avoid rotation and extension beyond neutral. Avoid excessive loading and distraction.

Lumbar Fusion REHABILITATION PROTOCOL Phase I. Walk with assistive device 2-3 times a day and progress distances Patient education. Lumbar Fusion Protocol.

For 2-4 weeks no driving and only for short intervals after consulting physician. Precautions - No Lifting 10-15 pounds - Cleared to drive when no longer taking pain medications and as patient tolerates - Motion restrictionsno trunk flexion extension rotation or side bending. Physical therapist or personal trainer to optimize your condition preoperatively.

All exercises are fully supported and neutral spine is strictly maintained. O Short walkscycling but avoiding as much lumbar and lumbopelvic motion as possible 5-10 minutes 2-3 times per day In the first 3 months were purposefully avoiding any type of core stabilization including isometrics in order to prevent any excessive pulling on the fusion site and therefore promote proper healing from bone to bone. Protection PhaseImmediate Motion 0 12 Weeks post-op 0-12 Weeks post-op.

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