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    Post-Operative Rehabilitation Protocol Following Olecranon Orif

    Uploaded by

    yuniaramadhan ramadhan
    Olecranon fracture

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Post-Operative Rehabilitation Protocol Following Olecranon Orif

    Uploaded by

    yuniaramadhan ramadhan
    66 views3 pages
    Olecranon fracture

    Original Title

    Olecranon

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Olecranon fracture

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    66 views3 pages

    Post-Operative Rehabilitation Protocol Following Olecranon Orif

    Uploaded by

    yuniaramadhan ramadhan
    Olecranon fracture

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Page 1 of 3

    Post-Operative Rehabilitation Protocol Following Olecranon


    ORIF
    Precautions:
    • Aggressive elbow flexion ROM for 4-6 weeks
    • Biceps strengthening for 6 weeks
    • Closed kinetic chain exercises for 6-8 weeks

    I. IMMEDIATE POST-OPERATIVE PHASE (0-4 weeks)

    Goals: Protect healing site for 4-6 weeks


    Decrease pain/inflammation
    Retard muscular atrophy
    Promote tissue healing

    Post-Operative Week 1

    Brace: Posterior splint at 90 degrees elbow flexion for 4 weeks

    Range of Motion: Wrist AROM ext/flexion immediately postoperative

    Elbow postoperative compression dressing (5-7 days)


    Wrist (graft site) compression dressing 7-10 days as needed

    Exercises: Gripping exercises


    Wrist ROM
    Shoulder isometrics (No Shoulder ER)

    Cryotherapy: To elbow joint as needed

    Post-Operative Week 2

    Brace: Posterior splint at 90 degrees flexion

    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 scar mobilization over distal incision
    No biceps or active elbow flexion
    Continue wrist ROM exercises 6-8 x daily

    Cryotherapy: Continue ice to elbow

    Post-Operative Week 3

    Brace: Posterior splint for comfort

    Exercises: Continue all exercises listed above


    Elbow ROM 6-8 x daily
    Initiate active ROM Wrist and Elbow (No resistance)
    Continue PROM/AAROM elbow motion
    Elbow ROM (minimal) 15-105- progress extension as tolerated

    Copyright © by the Advanced Continuing Education Institute, LLC. AdvancedCEU.com.


    All Rights Reserved. Any redistribution, alteration, or reproduction of any materials herein is strictly prohibited.
    Page 2 of 3

    Initiate shoulder rehab program


    -Tubing IR/ER
    -Full can
    -lateral raises
    -Elbow extension
    Initiate light scapular strengthening exercises
    May incorporate bicycle for lower extremity strength & endurance
    Week 4

    Brace: Posterior splint for comfort


    Elbow ROM 0 to 125 degrees

    Exercises: Begin light resistance exercises for arm


    - Wrist curls. Extensions, pronation, supination
    - Elbow extension
    Progress shoulder program emphasizing rotator cuff and
    scapular strengthening
    Initiate shoulder strengthening with light dumbbells
    Initiate Throwers Ten

    II. INTERMEDIATE PHASE (Week 5-8)

    Goals: Gradual increase to full ROM


    Promote healing of repaired tissue
    Regain and improve muscular strength
    Restore full function of graft site

    Week 5

    ROM: Elbow ROM 0-135 degrees


    Discontinue brace

    Continue all Exercises: Progress all shoulder and UE exercises (progress


    weight 1 lb.)

    Week 6

    AROM: 0-145 degrees without brace or full ROM

    Exercises: Continue Thrower’s Ten Program


    Progress elbow strengthening exercises
    Initiate shoulder external rotation strengthening
    Progress shoulder program
    Able to initiate more aggressive elbow flexion
    Initiate biceps strengthening

    Week 7

    Progress Thrower’s Ten Program (progress weights)


    Initiate PNF diagonal patterns (light)

    III. ADVANCED STRENGTHENING PHASE (Week 9-14)

    Goals: Increase strength, power, endurance


    Maintain full elbow ROM
    Gradually initiate sporting activities

    Copyright © by the Advanced Continuing Education Institute, LLC. AdvancedCEU.com.


    All Rights Reserved. Any redistribution, alteration, or reproduction of any materials herein is strictly prohibited.
    Page 3 of 3

    Week 8

    Exercises: Initiate eccentric elbow flexion/extension


    Continue isotonic program: forearm & wrist
    Continue shoulder program – Thrower’s Ten Program
    Manual resistance diagonal patterns
    Initiate plyometric exercise program
    (2 hand plyos close to body only)
    -Chest pass
    -Side throw close to body
    Continue stretching calf and hamstrings

    Week 10

    Exercises: Continue all exercises listed above


    Program plyometrics to 2 hand drills away from body
    -Side to side throws
    -Soccer throws
    -Side throws
    - Increase plyometrics as tolerated

    IV. RETURN TO ACTIVITY PHASE (Week 12-16)

    Goals: Continue to increase strength, power, and endurance of upper extremity


    musculature
    Gradual return to sport activities

    Week 12

    Exercises: Continue strengthening program


    Emphasis on elbow and wrist strengthening and flexibility
    exercises
    Maintain full elbow ROM
    Initiate one hand plyometric throwing (stationary throws)
    Initiate one hand wall dribble
    Initiate one hand baseball throws into wall
    Initiate interval throwing program phase I
    Initiate hitting program

    Week 14-16

    Exercises: Continue interval throwing program


    Gradual return to sports

    Copyright © by the Advanced Continuing Education Institute, LLC. AdvancedCEU.com.


    All Rights Reserved. Any redistribution, alteration, or reproduction of any materials herein is strictly prohibited.

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