Rehab care plan
1.To improve ROM:
Shoulder joint mobilizations
Shoulder joint traction
Elbow joint, humerus radioulnar joint immobilization
Elbow traction along the longitudinal axis
2.Strengthening:
Shoulder flexion, abduction, and external rotation with resistance in sitting
Elbow flexion with resistance, stretching the antagonistic muscles actively
Forearm pronation and supination with resistance
Home exercises program (aerobic exercise)
3.Pain/swollen and scar management:
Wrist extensor stretching and relaxing
Retrograde massage (patient family education)
Scar management, scar mobilization, Kinesio taping (family education)
4.Mental interventions:
Reach a consensus on rehab goals
Correct misconceptions, objective knowledge education
Daily lift simulation (self-hygiene, homework)
Encourage the participation in social activities (maintain her basic activity level)
Rehab outcomes
After a period of rehabilitation treatment combined with daily activities, Aunt Wang has transferred from carrying out ADLs independently to being able to do housework, sports and leisure activities. Since more participation in housework and social activities, Aunt Wang's anxiety has been improved, and she is full of expectations for her future retirement life.
Before
After
limited elbow ROM
affected elbow back to normal ROM
After
Improved should ROM
Wash face with both hands
Comb her hair with affected arm
Able to do housework with both hands!
Play ping-pong without any difficulty
Able to do the rope skipping!