Please enable JavaScript.
Coggle requires JavaScript to display documents.
Left Labral Tear (22 y/o OT student NWB for 4 weeks) (Max Protection 0-4…
Left Labral Tear (22 y/o OT student NWB for 4 weeks)
Max Protection 0-4 Weeks
Range of Motion
PROM
CPM
Manual
May begin AROM later in the phase
Family Education on PROM
Strengthening
Week 1-3
.Supine abd. crunches (avoid activating hip flexors), Standing HS curls, Supine Illiopsoas/Rectus stretch (pain free).
Superman in prone on pillow, bike (no resistance), Active Hip ROM
Bilat. Ankle pumps, Bilat. Quad sets, Bilat. Glut sets,Heel slides, pelvic tilt in hook-lying,Hip IR, add. isometrics in HL
Pain Management
Ice, pain meds, edema message, e-stim
Protocol
Precautions: Hip Flexion past 90*, ER
Indications: TTWB-PWB <70lbs 4wks; begin PT 2-3 days post-op
Labrum
Progressive Strengthening
Calf raises, Mini squats, stationary bike with slight resistance
Weight shifts – standing, supported, anterior/posterior, laterals, SLB
Core Stabilization: single leg bridge, side planks
Gait Training
WBAT
Stride length
Correct any compensations
AROM
No forced stretching
Slant Stretch, 3 Way hamstring stretch, Stair Stretch, Hip flexor stretch
Progress to Full ROM
Min Protection 8+ wks
Strengthening & Balance
Single leg balance, Leg Press, Mini-Squats
Lunges – progress from single plane -->tri planar -->add medicine balls for resistance and rotation
Theraband walking patterns (~25 yds) – forward, sidestepping, backward, carioca, monster steps, half circles. Start with the band at knee height and progress to ankle height.
Return to Function
Continue AROM
Mod Protection 4-8 weeks
