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shoulder and hip precautions to remember
Hip Replacement Surgery
Weight Bearing Precautions |
Non-weightbearing |
0% of body weight |
Toe-touching weight-bearing |
Up to 20% of body weight |
Partial weight-bearing |
20-50% of body weight |
Weight-bearing as tolerated |
AS TOLERATED |
Full weight-bearing |
100% of body weight |
Anterior Hip Precautions |
Hip Extension |
No |
External Rotation |
No |
Crossing Legs |
No |
Stepping backward with surgical leg |
No |
Sleeping Position |
Side lying on surgical side |
Posterior Hip Precautions |
Hip Flexion |
No |
Crossing legs |
No |
Twisting hip or toes inward (IR) |
No |
Adaptive Equipment |
Reacher |
ADLS |
Long handled shoe horn |
ADLS |
Long handled sponge |
ADLS |
Dressing stick |
ADLS |
Sock aid |
ADLS |
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Shoulder Surgery Precautions
General Precautions |
Sling |
4-6 weeks |
Pushing up |
No |
Pendulum Exercises |
Yes |
Lifting objects |
No heavier than a coffee cup |
External Rotation |
No ER beyond 30d in caption |
Positioning |
Pillow or towel roll behind the elbow to avoid shoulder hyper-extension |
ADL Education |
Mobility |
No pushing up from chair, toilet, bed with affected arm for X amount of weeks |
Hygiene |
No reaching back during tolieting until cleared |
UB dressing |
Don and doff with affected arm first |
BADLS |
use non-surgical arm until cleared |
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Spinal Surgery
Spinal Precautions |
Bending Forward |
Not past 90d |
Lifting |
Not over 5 to 10lbs |
Trunk Twisting |
No |
Log Rolling Method |
Turning body in a straight aligment |
Knee Replacement Surgery
Total Knee Replacement |
Assistive Devices |
FWW/ rolling walker |
Ambulation |
Lead with walker, then surgical leg, then non-surgical leg, keep walker close |
Positioning |
keep surgical leg elevated and extended with towel roll under the heel when sitting or laying down |
Twisting |
Avoid |
Surfaces to avoid |
Low chairs, low toilets, etc |
LB Dressing |
follow precautions, can use AE to help don/doff socks, shoes, and pants |
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