shoulder and hip precautions to remember
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Weight Bearing Precautions
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Non-weightbearing
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0% of body weight
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Toe-touching weight-bearing
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Up to 20% of body weight
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Partial weight-bearing
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20-50% of body weight
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Weight-bearing as tolerated
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AS TOLERATED
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Full weight-bearing
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100% of body weight
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Anterior Hip Precautions
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Hip Extension
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No
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External Rotation
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No
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Crossing Legs
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No
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Stepping backward with surgical leg
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No
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Sleeping Position
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Side lying on surgical side
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Posterior Hip Precautions
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Hip Flexion
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No
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Crossing legs
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No
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Twisting hip or toes inward (IR)
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No
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Adaptive Equipment
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Reacher
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ADLS
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Long handled shoe horn
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ADLS
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Long handled sponge
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ADLS
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Dressing stick
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ADLS
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Sock aid
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ADLS
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General Precautions
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Sling
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4-6 weeks
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Pushing up
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No
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Pendulum Exercises
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Yes
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Lifting objects
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No heavier than a coffee cup
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External Rotation
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No ER beyond 30d in caption
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Positioning
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Pillow or towel roll behind the elbow to avoid shoulder hyper-extension
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ADL Education
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Mobility
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No pushing up from chair, toilet, bed with affected arm for X amount of weeks
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Hygiene
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No reaching back during tolieting until cleared
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UB dressing
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Don and doff with affected arm first
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BADLS
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use non-surgical arm until cleared
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Spinal Precautions
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Bending Forward
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Not past 90d
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Lifting
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Not over 5 to 10lbs
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Trunk Twisting
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No
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Log Rolling Method
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Turning body in a straight aligment
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Total Knee Replacement
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Assistive Devices
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FWW/ rolling walker
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Ambulation
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Lead with walker, then surgical leg, then non-surgical leg, keep walker close
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Positioning
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keep surgical leg elevated and extended with towel roll under the heel when sitting or laying down
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Twisting
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Avoid
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Surfaces to avoid
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Low chairs, low toilets, etc
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LB Dressing
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follow precautions, can use AE to help don/doff socks, shoes, and pants
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