Total Ankle Arthroplasty: Difference between revisions

No edit summary
(Added PT Management Table)
Line 42: Line 42:
== Physical Therapy Management <br>  ==
== Physical Therapy Management <br>  ==


add text here <br>  
{| width="600" border="0" cellpadding="1" cellspacing="1"
|-
! scope="col" colspan="2" |
Guidelines for Rehabilitation Following Total Ankle Arthroplasty<ref name="Martin">Martin, RobRoy L, Stewart, Gary W, Conti, Stephen F. Posttraumatic Ankle Arthritis: An Update on Conservative and Surgical Management. JOSPT 2007; 37:253-259.</ref> <br><br>
 
|-
| '''Immobilization'''
| <br>
|-
| &nbsp;&nbsp;&nbsp;0-2 weeks
|
*Short leg cast
 
|-
| &nbsp;&nbsp;&nbsp;2-6 weeks
|
*Removable splint
 
|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|
*Discontinue immobilization
 
|-
| '''Weight Bearing'''
|
|-
| &nbsp;&nbsp;&nbsp;0-6 weeks
|
*Non-weight bearing
 
|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|
*Weight bearing as tolerated
 
|-
| '''Exercises for the Involved Ankle &amp; Foot'''
|
|-
| &nbsp;&nbsp;&nbsp;2-6 weeks
|
*Active &amp; passive ankle dorsiflexion and plantar flexion
 
|-
| <br>
|
*Active toe flexion &amp; extension
 
|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|
*Active inversion &amp; eversion
 
|-
|
|
*Aggressive ankle stretching&nbsp;and mobilization emphasizing dorsiflexion
 
|-
|
|
*Progression to weight-bearing stretches to increase dorsiflexion range of motion
 
|-
|
|
*Weight-bearing toe- and heel-raising exercises and standing-balance activities
 
|}


== Key Research  ==
== Key Research  ==

Revision as of 03:32, 8 July 2011

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Search Strategy[edit | edit source]

Databases Searched: PubMed, CINAHL, Cochrane, JOSPT

Keywords Searched: ankle arthroplasty, ankle physical therapy, ankle replacement, total ankle arthroplasty, total ankle replacement

Search Timeline: June 11th 2011 -

Definition/Description[edit | edit source]

add text here

Epidemiology/Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

Guidelines for Rehabilitation Following Total Ankle Arthroplasty[1]

Immobilization
   0-2 weeks
  • Short leg cast
   2-6 weeks
  • Removable splint
   >6 weeks
  • Discontinue immobilization
Weight Bearing
   0-6 weeks
  • Non-weight bearing
   >6 weeks
  • Weight bearing as tolerated
Exercises for the Involved Ankle & Foot
   2-6 weeks
  • Active & passive ankle dorsiflexion and plantar flexion

  • Active toe flexion & extension
   >6 weeks
  • Active inversion & eversion
  • Aggressive ankle stretching and mobilization emphasizing dorsiflexion
  • Progression to weight-bearing stretches to increase dorsiflexion range of motion
  • Weight-bearing toe- and heel-raising exercises and standing-balance activities

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. Martin, RobRoy L, Stewart, Gary W, Conti, Stephen F. Posttraumatic Ankle Arthritis: An Update on Conservative and Surgical Management. JOSPT 2007; 37:253-259.