dose this pateint need physiotherapy at this time....!!!????

[The therapist]

hiiiiii all physio

plz could any body tell me if this case can be managed and what is the appropriate management ....

the case is patient who falls from high altitude resulted in lumbar vertebra fracture and tibial fracture......from 15 days he performed 2 operation
1 - vertebral fixation by orthotic cage
2- open reduction with internal fixation with plate and screws for the tibia now he is in plaster cast .....

plzzzzz any suggestions?????!!!!

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[jennifer]

yesss....

breathing exs
circulatory exs
staticn abds exs,
static quads

[physiobob]

hiiiiii all physio

plz could any body tell me if this case can be managed and what is the appropriate management ....

the case is patient who falls from high altitude resulted in lumbar vertebra fracture and tibial fracture......from 15 days he performed 2 operation
1 - vertebral fixation by orthotic cage
2- open reduction with internal fixation with plate and screws for the tibia now he is in plaster cast .....

plzzzzz any suggestions?????!!!!

With a username like "The Therapist" you would think you already knew the answer to your question. Sounds like a typical orthopaedic case. Consider each injury independently and make a list of what you might do in the short term for each. Then combine the lists and see if anything conflicts. If so see if you can work around them.

Perhaps we should know how long he is post surgery now.

[The therapist]

thanx alot for the suggestion

my point is that i am afraid to harm him as he has an orthotic cage around his vertebrea he is 15 day post operative

thanx

[physiobob]

No problem. If it is that soon post surgery perhaps talk with the surgeon. I am sure they have a pretty strict protocol for the initial weeks

[hafiz asim]

hiiiiii all physio

plz could any body tell me if this case can be managed and what is the appropriate management ....

the case is patient who falls from high altitude resulted in lumbar vertebra fracture and tibial fracture......from 15 days he performed 2 operation
1 - vertebral fixation by orthotic cage
2- open reduction with internal fixation with plate and screws for the tibia now he is in plaster cast .....

plzzzzz any suggestions?????!!!!

Hi
This is incompelete history of the patient .
Spinal mobility and rehab totally depends on surgeon,s opinion wheather he needs extrenal sport like plaster jacket or not
Aftrer spinal fixation , pt has to mobilzed as soon as possible and lower limb strengthening exercises and non-weight bearing on effected limb
Thank

[Yarok]

hi
establish goals
e.g.;if movement is impossible do isometrics, synergists - ipsy or colateral etc

thenks Yaro
all the best

[The therapist]

thanx alot

[Physio-Oms]

What were the instructions from the OP?

WB, PWB, NWB??
I feel this is necessary information before u treat the pt!