Lumbar Fusion Protocol

Its not intended substitute as a for clinical decision making. Limit driving to short intervals 30 mintime.

Lumbar Fusion Rehabilitation Physiopedia

For 2-4 weeks no driving and only for short intervals after consulting physician.

Lumbar fusion protocol

. Decrease inflammation encourage wound healing and monitor for signs of possible infection Bed mobility. The aim of this study was to conduct a systematic review and meta-analysis of current evidence evaluating the effectiveness of rehabilitation following lumbar fusion surgery LFS. - Wear brace as needed for comfort.

The rate of lumbar fusion surgery LFS is increasing. Limit driving to short intervals 30 mintime. A spinal fusion entails the uniting or welding of the spinal vertebrae with spinal instrumentation.

- Use lumbar roll when sitting - Maintain neutral posture Diskectomy - AVOID SITTING avoid long car rides x 2 weeks - NO bending twisting or lifting over 10 pounds Laminectomy - May sit bend and twist without limitations - Lift as pain permits Fusion - Sit in chair for all meals. Increase distance by 12 miles by six week checkup. Avoid ROM at fusion level.

Avoid flexion ROM and exercises. For 4 weeks avoid lifting 5. Summary of background data.

LUMBAR FUSION PHYSICAL THERAPY POST OP PROTOCOL N PHASE 1 0-4 WEEKS WOUND HEALING AND PROTECTION OUTPATIENT PT STARTS AT 2-4 WEEKS OBJECTIVES. Resume driving after 2-4 weeks or when off pain medication. Lumbar Fusion Protocol.

Lumbar Fusion Protocol Weeks 0-6. Gradual return to ADLs at home with Home Health PT. Poulter and hold off on physical therapy.

If any of the following occur contact Dr. Clinical recovery often lags technical outcome. LUMBAR FUSION 0-3 Months.

Study protocol for a randomised controlled trial James Greenwood1 Alison McGregor2 Fiona Jones3 and Michael Hurley3 Abstract Background. Lumbar Fusion Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. NO bending or twisting Wear brace when out of bed Log roll No sitting for 15 min Lifting limited per MD.

Lumbar Fusion REHABILITATION PROTOCOL Phase I. Decrease pain and inflammation. Walk with assistive device 2-3 times a day and progress distances Patient education.

_____ Initiate home walking program. Trunk muscles in patients undergoing lumbar spine fusion LSF and to evaluate the feasibility of neutral spine control exercises for postoperative rehabilitation. NO bending or twisting.

Will see MD at 3 weeks 3 months 6 months and 12 months post op 12-14 Weeks post-op. Avoid flexion ROM and exercises. Any signs of infection Worsening of radicular symptoms including progressive weakness.

LUMBAR FUSION PHYSICAL THERAPY POST OP PROTOCOL PHASE 1 0-4 WEEKS WOUND HEALING AND PROTECTION OUTPATIENT PT STARTS AT 2-4 WEEKS OBJECTIVES. LFS for the management of lower back pain without neurogenic leg pain is increasing as the population ages. No outpatient PT or the first 12 weeks unless otherwise specified by physician.

Avoid ROM at fusion level. Pain control wound care and promote healing via progression of mobility. O For 2-4 weeks no driving and only for short intervals after consulting physician o For 4 weeks avoid lifting 5.

Avoid excessive loading and distraction Phase I 0 4 weeks post-op Precautions. Post operative Spine Rehab-Lumbar Fusion Treatment Guideline Precautions Promote AROM after 8-10 weeks Avoid all exercises that reproduce or increase the pain Phase I. All exercises are fully supported and neutral spine is strictly maintained.

For 3 months avoid rotation and extension beyond neutral. Wear brace when out of bed. This is a decision reached by you and Dr.

Resume driving after 2-4 weeks or when off pain medication. Pain control wound care and promote healing via progression of mobility. Immediately Post-Op - Follow precautions from hospital.

This research report includes one. Lumbar Fusion Protocol Patient Name_____ Surgery date. Immediate post Surgical Phase IPSP 0-8 weeks Goals.

Lumbar Fusion Post-Op Protocol. O Hip dominated movements o Neutral spine movements o Posture Abdominal bracing. Teach proper bed mobility positioning side-lying and supine with pillows and bed transfers log roll.

ONeill after careful consideration. The incision will be made in a vertical fashion in the center of your back. Brace removed at approximately 8 weeks if indicated will begin physical therapy.

For 4 weeks sitting. You are going to have spine surgery in the form of a spinal fusion. Precautions - No Lifting 10-15 pounds - Cleared to drive when no longer taking pain medications and as patient tolerates - Motion restrictionsno trunk flexion extension rotation or side bending.

Lumbar ROM is allowed to tolerance all planes after brace removal beginning in mid-range with progression to full available within pain limits. STUDY PROTOCOL Open Access Evaluating rehabilitation following lumbar fusion surgery REFS. Fusion may take 6 months to 1 year to fully heal.

The collected data were utilized to develop a postoperative exercise program. Avoid excessive loading and distraction. Protection PhaseImmediate Motion 0 12 Weeks post-op 0-12 Weeks post-op.

For 3 months avoid rotation and extension beyond neutral.

Pdf Rehabilitation After Lumbar Spine Fusion Development Of An Exercise Program