Frature management

[alophysio]

Hmmm, I am not sure i am good at these - basically i just see what it looks like during movement and get them to focus on one thing during Active Movements.

Then look at something to do with passive ROM and then get them to do one stretch (being careful not to twist the fracture!).

Then look at C/S and T/S and make sure they are all ok.

The reason i stick with one exercise and one stretch to start with is to make their home programme seem less daunting - you can't really have a whinge if you only have ONE thing to do - people will just think you are lazy. Once they are in the swing of things and see that is is beneficial, then load them up with more and replace older exercises with progressions.

The above information is good as well from dapy...

I know you were probably expecting something more insightful but i tend to pass on fracture management to my other physio - i am more interested in spinal rehab and motor control - i take the peripheral stuff as it comes but not my speciality - gotta know what you are good at! sorry - but happy to help if able...

[twilight]

Thanks Alo and Dapy. Those were both useful to me.
Alo, I agree with ur concept of not overloading the patient with exs. I very much appreciate ur efforst to answer this.

Dapy, just to clarify, when giving mobs, in this case being # NOH, what u mean is you give AP if you need to improve flexion isn't it? whatz the frequency that u give in the first session? Me having not much idea abt mulligan, if u don't mind could u explain just one technique eg.to improve flexion. Have u tried success with hold relax for this?
alo, though these questions are directed to dapy, ur comments are most welcome.

ta