22 nov 2019 · Body mechanics b Pain and stress management (if condition is of a chronic nature) 2 Flexibility: a Hamstring with neural flossing avoiding
Reinforce sitting, standing and ADL modifications with neutral spine and proper body mechanics Criteria for progression: 1 Pain and swelling within tolerance
OBJECTIVES: Pain control, wound care Patient to focus on good body mechanics Resume driving as tolerated Limit driving to short intervals < 30 min time and
Working knowledge of body and lifting mechanics • Level one stabs • Balance single leg x 20 sec • Cardiovascular tolerance to 30 min /day • Treadmill or
Lumbar Spine Surgery Exercises – Acute Post-Op Phase I the following exercises Tips for Proper Body Mechanics, Page 2 Getting in and out of chairs
The stay after the anterior surgery is approximately 2 to 5 days What Is a Lumbar (Low Back) Laminectomy? A laminectomy is a Proper body mechanics
integrate with proper body mechanics moving forward Koppenhaver S, Fritz J Postoperative rehabilitation following lumbar discectomy with quantification
Rehabilitation will evaluate you following your surgery Education regarding spinal precautions and log rolling whole body turns together
Back Surgery – Lumbar Laminectomy and/or Discectomy using good body mechanics You will be seen for follow-up 6 to 8 weeks after your surgery
![[PDF] Physical and Occupational Therapy after Spine Surgery](https://pdfprof.com/EN_PDFV2/Docs/PDF_7/34699_7PTOTPre_OpClassTherapyPresentation12_7.pdf.jpg "[PDF] Physical and Occupational Therapy after Spine Surgery")
34699_7PTOTPre_OpClassTherapyPresentation12_7.pdf
Physical and Occupational
Therapy after Spine Surgery
Preparation for your surgery
Agenda
Pre-Operative Exercises
What to Expect
Post-Operative Plan
Spinal Precautions
Post-Discharge Plan
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What to Expect
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What to Expect from Physical and
Occupational Therapy
Rehabilitation will evaluate you following your surgery. They will be looking at the following: Reviewing home layout and availability of caregivers Identifying any barriers to a safe discharge to home
Physical therapy:
Getting out bed
Getting up from a chair
Walking and use of any assistive device
Stairs
Getting in and out of a car
Mobility and balance
Occupational therapy:
Activities of daily living
Dressing, bathing, grooming, cooking, housework, etc.
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After Surgery
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Post-Operative Day #0
With nursing or physical therapy
Attempt activity with patient as pain, sedation allows
Sit up or dangle legs at the edge of the bed
Transfer to a chair
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Post-Operative Day #1
Out of bed to the chair
Walk within the room
Education regarding spinal precautions and log rolling
Occupational therapy consultation, as appropriate
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Post-Operative Day #2
Go to the rehabilitation gym for therapy sessions
Via wheelchair transportation
Increase walking distances
Practice stairs
Practice car transfer
Continued education on spinal precautions
Determine medical equipment needs and set up with provider
Rolling walker, cane
Bathroom, dressing supplies with OT
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Your Hospital Room
Use log rolling to get out of bed.
Sit up in chair rather than in bed when possible.
Eating, reading, watching TV
Use walker until you are steady on your feet and cleared by therapist.
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Therapy Gym
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Therapy Gym
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Therapy Gym
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Spinal Precautions
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Precautions
Therapists will emphasize ͞No BLT"
Bending
Lifting
Twisting
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Bending
Do not bend any further than you would with comfortable sitting Bend at your hips, keeping your back straight, when standing at counters
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Lifting
Do no lift anything greater than 10 pounds, until cleared by your surgeon
Approximate weights:
1 gallon of milk у 8.6 pounds
12" stainless steel skillet у 6 pounds
2 liter bottle of sodaͬwater у 4.4 pounds
Pack grocery bags light
Use a rolling bag or cart; ask for help with loading/unloading
Do not lift overhead
Place frequent used items at arms reach prior to surgery.
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Twisting
Move your feet instead of twisting at
your waist
Turn your hips and shoulders together
Take short steps around turns
Imagine rods connecting your
shoulders and your hips so that your whole body turns together
Turn your whole body to look behind you
Log roll when getting out of bed
Turn full body when getting out of the car,
rather than just swinging your legs out
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Lifting and Carrying
Wrong: Avoid carrying objects that are held
away from your body.
Right: Only carry light objects and always keep
them close to your body.
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Bending and Lifting
Wrong: Do not bend through the back if you
need to lift something off of the floor. Right͗ Kneeling or using the golfer͛s lift, is a better option for reaching down to the floor.
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Bending
Wrong: Avoid full bending in through the spine. Avoid a fully rounded out back to protect your surgery. Right: Rather, bring your foot to your body to put on your shoes and socks. This will avoid excessive bending.
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Getting out of Bed: Log Rolling
Roll onto your side
Keep your knees together.
Flatten your stomach muscles to
keep your back from arching.
Put your hands on the bed in front
of you.
Raise your body
Push your upper body off the bed
as you swing your legs to the floor.
Keeping your back straight, move
your whole body as one unit. Don͛t bend or twist at the waist.
Let the weight of your legs help
you move.
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Stand up
Lean forward from your hip and
roll onto the balls of your feet.
Flatten your stomach muscles to
keep your back from arching.
Using your arm and leg muscles,
push yourself to a standing position.
Getting In and Out of the Car
Sit Down
Back up to the car seat.
Hold on to the side of the car or the dashboard
for support.
Lower yourself slowly onto the seat edge. Watch
your head.
Bring your legs into the car
Slide back to the center of the seat.
Lift your legs one at a time into the car.
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Proper Posture
Keep your head, shoulders, and hips in
line
Chin slightly tucked
Shoulders back, pull shoulder blades in
Lightly draw abdominal muscles in
Avoid slumping back
Avoid sway back
Keep your weight equal on both sides
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Proper Sitting
Do not sit for longer than 30 minutes.
Keep your feet flat. Don͛t cross your
legs.
Make sure your back and your legs are
supported.
Use a foot stool if needed.
Support your arms.
Avoid slouching or slumping.
Avoid very soft or plush chairs and
couches.
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Sitting Down
Follow these steps to sit down. Reverse them
to get back up.
Make sure the chair is behind you.
Place one foot slightly behind the other.
Tighten your stomach muscles. Bend forward
from the hips, keeping your back straight.
Hold the armrests or sides of the seat for
support.
Bend your knees. Use your leg muscles to
lower yourself onto the seat.
Scoot back in the seat until you are
comfortable.
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Sleeping Positions
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On Your Back
On your back
Pillow for head
Pillow supporting legs
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Side-Lying
Right: Use a pillow between your knees.Wrong: Avoid twisting the spine.
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On Your Stomach
If allowed by your surgeon
Support feet.
Support your abdomen.
Keep your head and neck in
center.
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Post-Discharge
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Outpatient Therapy Following Discharge
Outpatient physical therapist will do an evaluation of your status. Therapists will continue to progress your motion, mobility, balance, and strength- especially core strength. You will be provided with a home exercise program.
Individualized goals will be set.
Walking and cardiovascular exercises will be emphasized. You will have a goal to get up to 45 min of activity per day to keep your spine healthy.
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Outpatient Therapy Gym at Saint Luke͛s
Hospital of Kansas City
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Outpatient Therapy Gym at Saint Luke͛s
Hospital of Kansas City
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Questions?
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