Phase rehabilitation after lumbar fusion internal fixation
General rehabilitation goals.
1.Postoperative education
2.Guiding patients on postoperative standardized movements, the correct way to get in and out of bed, safe transfer methods, walking
3.Enhance the function of lower limbs
4.Guiding patients on spinal training methods
5.The correct functional activities, self-management of the spine
Postoperative contraindications.
1, contraindicated lumbar forward flexion, back extension, lateral bending, rotation
2, contraindicated 4.5 kg of heavy objects
3, contraindicated to induce neurological symptoms of the movement
Post-operative pain management methods.
Pain management.
1.Medication
2.Ice pack
3.Recommended pain relief position
4.Nerve relaxation (must be treated by professional physical therapist)
Early stage is one or two level of manipulation
Post-operative phase rehabilitation treatment
Phase I: (1-5 days after surgery)
Objectives: patient education, daily activities, nerve relaxation and training principles
1.Bed transfer training
Safe turning: roller method, keep shoulders, hips and feet in a line to turn over as a whole, waist can not rotate
Get in and out of bed: abdominal muscles tighten and hold, use hands and elbows to support the body, keep the upper body not to bend sideways
2.Daily activity training: walking, within the range of pain and fatigue tolerance, it is recommended that several times the amount of moderate
3.Body mechanism training
4.Maintain a neutral posture of the lumbar spine: no back extension, no bending, no side-bending, no rotation
5.Nerve relaxation
Ankle pump
Patient self nerve relaxation method
First and second level nerve relaxation method
6.Lower limb muscle strength training
Quadriceps isometric muscle training
Gluteus maximus isometric muscle training
Note: If the patient’s general condition is good, get out of bed in three to four days.