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shoulder and hip precautions to remember
Hip Replacement SurgeryWeight 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 PrecautionsGeneral 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 SurgerySpinal 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 SurgeryTotal 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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