Anshuman Rampal

HI, i am a student of physiotherapy in mother teresa saket college of Physiotherapy, chandimandir. contact on facebook

Physiotherapy is a science-based healthcare profession which views movement as central to health and well being. Physiotherapists aim to identify and make the most of movement ability by health promotion, preventive advice, treatment and rehabilitation. It is a health care profession primarily concerned with the remediation of impairments and disabilities and the promotion of mobility, functional ability, quality of life and movement potential through examination, evaluation, diagnosis and physical intervention carried out by Physical Therapists (known as Physiotherapists in some countries) and Physical Therapist Assistants (known as Physical Rehabilitation Therapists in some countries).


Did you know that you should see a physiotherapist instead of a general doctor after you fracture or break any of your bones.

Saturday, 17 March 2012

Protocol for ulnar nerve transposition

           Hi, this post is helpful for the patients and the therapists.
to follow the protocol for intermuscular ulnar nerve transposition. hope you find it interesting.

  Ulnar Nerve Transposition Protocol
                                                                 As per, Physical Rehabilitation of the Injured Athlete

  • Follow this protocol for subfascial ulnar nerve transposition.

  • For submuscular ulnar nerve transposition, follow this protocol with these changes:Post op splint x 3 weeks, then start PROM/AROM,
    1. Resistance begins at Week 7.

  •  Post op Week 0 to 1:
    Goals:-


  1. Allow soft tissue healing of relocated nerve.
    2.  Decrease pain and inflammation.

   3.  Retard muscle atrophy.


     Week 1.


  •     Posterior splint at 90° elbow flexion with wrist free for motion        (sling for comfort)
  • Compression dressing.
  • Exercises such as gripping exercises, wrist ROM, shoulder isometrics.

     Week 2.
  • Remove posterior splint for exercise and bathing.
  • Progress elbow ROM (PROM 15 to 120°).
  • Initiate elbow and wrist isometrics.
  • Continue shoulder isometrics. 
     Post op Week 3 to 7:

   Goals:


  • Restore full pain free ROM.
  • Improve strength, power, and endurance of upper extremity musculature.
  • Gradually increase functional demands.
    Week 3.


  • Discontinue posterior splint.
  • Progress elbow ROM, emphasize FULL EXTENSION.
  • Initiate flexibility exercises for wrist extension/flexion, forearm supination/pronation, elbow extensors/flexors.
  • Initiate strengthening exercises for wrist extension/flexion, forearm supination/pronation, elbow extensors/flexors, and a shoulder program.
   Week 6.


  • Continue all exercises listed above.
  • Initiate light sport activities.
    Post op Week 8 to 12:

  Goals:


  • Increase strength, power, and endurance.
  • Gradually initiate sporting activities.
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1 comment:

  1. Ashksngh28 March 2012 at 19:00

    Physiotherapy involves techniques such as massage, manipulation and exercise. It is the perfect cure for sports injuries, fractures, joint disorders, back and neck pain, arthritis and post operative conditions.
    ____________________________
    physiotherapist Dublin.

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