23 Questions
What are the spine precautions following back surgery?
No bending forward and backward, no lifting > 5 pounds, no twisting/rotation of the spine
When should the orthosis be donned and properly fitted?
In supine, flatbed, in an anatomical position prior to any movement, ROM, or repositioning
What is the correct sequence for supine to sitting movement?
Logrolling only, then lowering head of bed, positioning patient in hook-lying, instructing patient to initiate logrolling, therapist assists at shoulder/scapula and pelvis, preparation, instructing patient to push off from elbow
What is the purpose of logrolling in the supine to sitting movement?
To keep the shoulders, hips, and knees facing the same direction throughout
What should the therapist do during the logrolling process?
Assist at shoulder/scapula and pelvis to maintain a neutral spine
How should the patient initiate logrolling to the right?
By gently pushing the left foot off the mattress while the left arm reaches across for the bedrail or edge of bed
What should the patient do with the head while pushing off from the elbow to sit up?
Keep the head tucked gently
What should the patient do with the ankles while pushing off from the elbow to sit up?
Drop both ankles off the bed
What should the patient do with the elbows while preparing to push off to sit up?
Position the right elbow forward
What is the maximum weight limit for lifting according to the spine precautions?
5 pounds
What is the primary purpose of the orthosis after surgery?
To provide support and proper alignment
What is the linear distance between the occurrence of one point in the gait cycle of one foot and the same point in the gait cycle accomplished by the opposite extremity?
Step length
What is the period that an extremity is off the ground during the swing phase of that extremity called?
Swing time
What does 'NWB RLE' stand for in terms of weight-bearing status for lower extremities?
Non-Weight-Bearing
What is the primary purpose of 'TTWB RLE' or 'TDWB RLE' weight-bearing status?
To avoid crushing a potato chip underfoot
When should the orthosis be donned and properly fitted?
In upright sitting, feet flat on the floor, knees hip-width apart
What is the purpose of having the edge of the bed slightly elevated when the patient is in a hospital bed?
To reduce the need and workload the patient needs to exert to go from sitting to standing
What does 'WBAT RLE' stand for in terms of weight-bearing status for lower extremities?
Weight-Bearing As Tolerated
What is the linear distance between the occurrence of one point in the gait cycle of one foot and the recurrence of that point by the same extremity called?
Stride length
What is the period when only one extremity is in contact with the ground called?
Single-limb support time
What is the period when both feet are in contact with the ground called?
Double-limb support time
What is the period that an extremity is in contact with the ground called?
Stance time
What does 'FWB RLE' stand for in terms of weight-bearing status for lower extremities?
Full Weight Bearing
Test your knowledge of post-operative spine precautions and orthosis donning with this quiz. Review essential guidelines for mobility and learn about the precautions to take following back surgery.
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