Laminectomy protocol post op

[sdkashif]

Usually the patient following this type of surgery is discharged 5-7 days postoperatively. The patient is mobilized, ambulated and taught the protective techniques and posture and importance of maintaining the lumbar Lordosis. The pateint is taught a programme of strengthening exercises for his lumbar extensor and abdominal muscles. A scheme of stretching exercises for tight hamstrings and hip flexors is added as they found to be tight. If abdominals are weak they need to be strengthened. Any fault in poor posture and pelvic tilt is corrected and taught. If lower limb muscles are weak, they need to be strenghtened. Infact, a stronge and mobile lower limb provide a suitable background for activity. Perform the tests for detecting the neural tension and if you find any sensitive nerve root or nerve, mobilize it by the nerve mobilizing techniques for lower quarter or lower limb. Teach a proper gait training to the patient. Assess the suitability of any walking aid or assistive device if required postoperatively. Beware of post laminectmy syndrome. Let the patient know the importance of exercises in maintaining the strength, mobility, flexibility and endurance of the back and the body.

[davidgrrr]

find the follow text:
Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician:
JeMe Cioppa-Mosca, Janet B. Cahill

Rehabilitation for the Postsurgical Orthopedic Patient: Lisa Maxey, Jim Magnusson.