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Hip & Shoulder Precautions Cheat Sheet by

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
 

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
 

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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