Physiotherapy Aims After Surgery
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Questions and Answers

Which of the following exercises is NOT introduced on the first day of post-C-section recovery?

  • Leg exercises
  • Circulatory exercises
  • Pelvic floor exercises (correct)
  • Deep breathing exercises
  • What is the recommended delivery method when a vaginal delivery is deemed unsafe or lengthy?

  • Assisted Delivery
  • Cesarean Section (correct)
  • Vaginal Delivery
  • Natural Childbirth
  • Excessive abdominal pain after a C-section can be caused by wound infection.

    True (A)

    Postoperative pain is a common complication after a mastectomy.

    <p>True (A)</p> Signup and view all the answers

    What is the recommended frequency for applying ice packs to the incision site after a C-section?

    <p>Every 8 hours for 72 hours</p> Signup and view all the answers

    What is the primary goal of physical therapy after a Cesarean Section?

    <p>Improve pulmonary function and circulation, decrease incisional pain, and aid in recovery.</p> Signup and view all the answers

    The recommended intensity for ultrasonic therapy on the suture site is ______ W/cm2.

    <p>1-2</p> Signup and view all the answers

    Match the post-C-section recovery exercises with the days they are introduced:

    <p>Deep breathing exercises = First day Pelvic floor exercises = Third day Early ambulation = Second day Hip shrugging = Fifth day Trunk flexion = Seventh day</p> Signup and view all the answers

    The antagonistic pattern for the ______ motion after mastectomy includes extension, abduction, and internal rotation of the shoulder.

    <p>flexion, adduction, and external rotation</p> Signup and view all the answers

    Match the following exercises with their categories:

    <p>Relaxation exercises = Preoperative management for amputation Deep breathing exercises = Postoperative management for Cesarean Section Circulatory exercises = Preoperative management for Cesarean Section Coughing with wound support = Postoperative management for Cesarean Section</p> Signup and view all the answers

    A common complication following surgical procedures is muscle weakness, which can be addressed through physiotherapy.

    <p>True (A)</p> Signup and view all the answers

    Which of the following is NOT a primary aim of physiotherapy after a surgical operation?

    <p>To increase blood pressure (A)</p> Signup and view all the answers

    What type of exercises are commonly used to improve chest movement and respiration after surgery?

    <p>Breathing exercises, coughing, and postural drainage.</p> Signup and view all the answers

    Physiotherapy interventions for delayed wound healing may involve ______ exercises and modalities like laser therapy.

    <p>active</p> Signup and view all the answers

    Match the surgical procedure with the affected muscle group:

    <p>Cholecystectomy = Upper abdominal muscles (external and internal intercostals muscles) Appendectomy = Lower abdominal muscles and hip muscles Thyroidectomy = Neck flexors</p> Signup and view all the answers

    What is the primary physiotherapy treatment for disturbance of gait after major surgery?

    <p>Gait training (B)</p> Signup and view all the answers

    What are the two main types of muscle patterns used in physiotherapy for post-cholecystectomy rehabilitation?

    <p>The primary pattern is upper trunk flexion with rotation to the right, and the antagonistic pattern is upper trunk extension with rotation to the left.</p> Signup and view all the answers

    Following an appendectomy, the antagonistic pattern for hip muscles involves extension, abduction, and internal rotation.

    <p>True (A)</p> Signup and view all the answers

    Flashcards

    Wound healing improvement methods

    Exercises and therapies aim to accelerate recovery from wounds.

    Pelvic floor exercises

    Exercises designed to strengthen the pelvic floor muscles and prevent dysfunction.

    Breathing exercises

    Techniques to improve oxygen intake and respiratory function post-surgery.

    TENS therapy

    Transcutaneous Electrical Nerve Stimulation used for pain management post-surgery.

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    Laser therapy

    A treatment that uses focused light to accelerate wound healing and kill microbes.

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    Aims of Physiotherapy

    To reduce pain, improve wellbeing, enhance movement and function after surgery.

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    Respiratory Complication

    Issues affecting breathing functions post-surgery that physiotherapy aims to address.

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    Muscle Weakness Post-Surgery

    Loss of muscle power due to surgical incision, often 40-60% weaker.

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    Gait Training

    Physiotherapy technique to help restore walking ability affected by surgery.

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    Stiff Joints Treatment

    Exercises and stretching to improve joint mobility after surgery.

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    Pain Management Techniques

    Approaches like positioning, modalities, and hydrotherapy to alleviate post-operative pain.

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    Cholecystectomy Effects

    Surgery affecting upper abdominal muscles and their movements post-operation.

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    Thyroidectomy Muscle Impacts

    Post-surgical focus on neck flexor muscles and their rehabilitation.

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    Antagonistic Pattern

    Muscle movement involving extension with rotation to the left.

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    Post-operative Pain

    Common discomfort experienced after surgical procedures.

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    Lymphedema

    Swelling due to lymph fluid buildup, often after surgery.

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    Post-operative Goals after Amputation

    Focus on healing, mobility, and prosthetic preparation.

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    Cesarean Section

    Surgical delivery through an incision in the abdomen and uterus.

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    Preoperative Management for CS

    Strategies to prepare the mother before cesarean surgery.

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    Post-operative Management Goals in CS

    Aim to improve lung function and reduce pain after surgery.

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    Component of Motion

    Specific movements involving flexion, adduction, or rotation.

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    Study Notes

    Aims of Physiotherapy After Surgery

    • Decrease pain and improve psychological well-being
    • Reduce swelling (edema) and improve muscle function
    • Improve breathing and chest movement
    • Improve muscle strength affected by surgery
    • Improve range of motion (ROM) in affected and unaffected limbs
    • Restore normal function as much as possible

    Complications of Interest in Physical Therapy

    • Respiratory complications
    • Muscle weakness
    • Limitations in function
    • Pain
    • Delayed wound healing

    Respiratory Complications Physiotherapy Treatment

    • Pre-operative chest care using breathing exercises, coughing, and postural drainage
    • Early post-operative ambulation
    • Cough training

    Muscle Weakness and Imbalance

    • Muscle strength decreases by 40-60% after surgery
    • Pre-operative strength training is important
    • Post-operative muscle training is necessary

    Limitation of Function

    • Gait disturbance after major operations
    • Physiotherapy treatment includes gait training
    • Stiff joints are addressed with active exercises, modalities, and stretching

    Pain Management

    • Positioning
    • Post-operative handling, like using crutches
    • Modalities—heat and cold applications, electrotherapy (TENS)
    • Hydrotherapy

    Delayed Wound Healing

    • Active exercises
    • Modalities, such as laser therapy

    Common Operations

    Cholecystectomy

    • Affected muscles: upper abdominal muscles (external and internal intercostals)
    • Pattern used: upper trunk flexion with right rotation
    • Antagonistic pattern: upper trunk extension with left rotation

    Appendectomy

    • Affected muscles: lower abdominal and hip muscles
    • Pattern used: lower trunk flexion with right rotation
    • Antagonistic pattern: lower trunk extension with left rotation
    • Hip pattern: flexion, adduction, and external hip rotation

    Thyroidectomy

    • Affected muscles: neck flexors
    • Pattern used: flexion with right rotation
    • Antagonistic pattern: extension with left rotation

    Post-Operative Complications (Mastectomy)

    • Post-operative pain
    • Pulmonary complications
    • Limited shoulder range of motion (ROM)
    • Lymphedema
    • Muscle weakness
    • Postural deformities (trunk)
    • Limitations in activities of daily living (ADLs)

    Amputation

    • Post-operative management involves:
    • Evaluation
    • Range of motion (ROM) and strength assessment of involved and uninvolved limbs
    • Relaxation exercises
    • Correct positioning of the residual limb
    • Ambulation with assistive devices and daily activity training

    Cesarean Section (CS)

    • Delivery through the abdominal and uterine wall
    • Recommended when vaginal delivery is not possible or prolonged
    • Preoperative management can be arranged for selective CS cases

    Post-Operative Goals and Methods (General)

    • Improve pulmonary function to prevent complications
    • Improve circulation to prevent deep vein thrombosis (DVT)
    • Prepare the patient emotionally for the recovery period

    Post-Operative Management (General)

    • Improve lung function and circulation
    • Reduce incisional pain related to coughing, movement or breastfeeding
    • Improve wound healing
    • Prevent adhesion development
    • Correct posture

    Post-Operative Management (Days 1-7)

    • Deep breathing exercises initially (days 1-5)
    • Circulatory exercises (days 1-5)
    • Leg exercises (days 1-5)
    • Static abdominal contraction (days 1-5)
    • Early ambulation and arm exercises (day 2 onward)
    • Pelvic floor and rocking exercises (days 3-4 onward)
    • Hip shrugging (day 5 onward)
    • Postural correction
    • Pelvic rotation, lateral flexion and trunk rotation (day 6 and 7)

    Complications of Cesarean Section (CS)

    • Respiratory complications: due to immobilisation, anesthesia, and post-operative pain
    • Excessive abdominal pain: due to infection or haematoma formation (blood clot)
    • Treatment
      • Ice packs
      • Transcutaneous electrical nerve stimulation (TENS) electrodes
      • Laser therapy for wound healing
      • Ultrasound therapy for wound healing

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    Description

    This quiz covers the essential aims of physiotherapy following surgery, focusing on pain management, muscle function, and respiratory health. It explores the complications addressed in physical therapy and specific treatments designed to restore function and strength effectively. Test your knowledge on post-operative care techniques and their importance.

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