Fracture Healing Times

Upper Extremity Callus formation: 2-3 weeks Union: 4-6 weeks Lower Extremity Callus formation: 2-3 weeks Union: 8-12 weeks Union has indications for weight bearing Check for MD orders prior to mobilizing Terms: Stable: clinical union vs. Unstable Displaced: long axis does not align Open vs. closed: whether bone breaks skin   Bookmark

Amputation Levels

Amputation is identified by which joint or long bone has been amputated. Above knee (AKA): transfemoral Below knee (BKA): transtibial Below ankle: transmetatarsal Above elbow: transhumeral Below elbow: transradial Below wrist: transmetacarpal Disarticulation: across a joint such as hip, wrist, elbow, or shoulder OT Dude Rant: A lot of old school doctors, nurses, therapists may … Read more

Colles’ Fracture (Distal Radius)

Etiology Most common mechanism of injury is a fall on an outstretched hand. The wrist usually lands in extension and the forearm in pronation. Facts Most common injury to the wrist May result in limited wrist flexion, extension, forearm pronation & supination External fixation may be used vs internal fixation Educate patient in active ROM … Read more

MoCA Certification Requirement on 9/1/19

MoCA or Montreal Cognitive Assessment is an easy to administer screening tool for early detection of cognitive dysfunction. Conditions that the MoCA are commonly used for include Dementia, Parkinson’s Disease, and Stroke. Currently, any clinician, health professional, or worker can administer, score, and interpret the MocA should be trained and certified. Many practitioners may currently be using … Read more

Assistive Technologies for Older Adults

Products listed are advertised by Amazon for paid affiliate product linking. Be sure to conduct your own research prior to recommendation. An assistive technology device is any item, piece of equipment, or product system, whether acquired commercially, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of individuals with disabilities. Assistive technology services include the … Read more

Laser-Pointer Therapy for Inattention/Neglect

Interventions for left neglect/inattention “The Dynavision is a large, computerized light board containing 64 small red square target buttons that light up randomly one at a time. The client searches the board to locate the lighted button. Once located, the client touches the button to extinguish the light. The target button beeps when it is … Read more

Stroke Overview

Hemispheric Differences MCA Syndrome Contralateral hemiparesis Contralateral sensory loss Aphasia Perceptual deficits (inattention, neglect, visual) Ataxia PCA Syndrome Contralateral hemiplegia Contralateral homonymous hemianopsia Visual impairments Occulomotor nerve impairment Dyslexia Memory impairments Pain ACA Syndrome Contralateral hemiparesis (LE > UE) Contralateral sensory loss (LE > UE) Apraxia Difficulty with bimanual tasks Urinary incontinence Bookmark