elbow/wrist/hand rehab sports med. phase 1 elbow general body conditioning rom – joint...
TRANSCRIPT
Elbow/wrist/hand Rehab
Sports Med
Phase 1 Elbow
• General Body conditioning• ROM– Joint Mobilizations
• Inferior, anterior and posterior glides
– Humeroulnar traction– Passive stretching
• Low force and long duration• Flexion and extension
• Strengthening– Low resistance, high reps
• Flexion, extension, pronation, supination, grip, and shoulder
Phase 1 Wrist/Hand• General Body Conditioning• ROM
– Traction, joint mobilizations– Stretching PROM
• Extension, flexion
• Strength– Towel/flex bar twists– Wrist roll– Flexion and extension (no or decreased weight)– Ulnar/radial deviation (no or decreased weight)– Pronation/supination (no or decreased weight)– Grip
• Web, stress ball, machine, rubberbands
• Neuromuscular control– Coin pickup– Tying shoes/knots– Buttoning buttons
Phase 2 Elbow
• General body conditioning• Proprioception• Strengthening– PNF, Isokinetic– PRE• Tubing, weights, or manual resistance
• ROM– Joint mobilizations– Stretches
Phase 2 Wrist/Hand• General Body Conditioning• ROM
– Traction, joint mobilizations– Stretching AROM
• Extension, flexion
• Strength– Towel/flex bar twists (thicker bar)– Wrist roll (more weight)– Flexion and extension (dumbbells/bands)– Ulnar/radial deviation (dumbbells/bands)– Pronation/supination (dumbbells/bands)– Grip
• Web, stress ball, machine, rubberbands
• Neuromuscular control– Coin pickup– Handwriting – Buttoning buttons
Phase 3 Elbow
• General Body Conditioning• Functional Progressions– Swimming– Throwing– Pushups– Sitting pushup– Weight shifting on ball
Phase 3 Wrist/Hand
• General Body Conditioning• Sports specific activities• Full grip strength is goal