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Friday, February 22, 2019

Brostrom physical therapy

Brostrom physical therapy mapquest.com

Brostrom physical therapy 

About Us

At Brostrom Physical Therapy, we strive to provide exceptional therapeutic experiences in the private environment and specialize in treating a broad spectrum of musculoskeletal disorders and sports injuries, including the use of the world-famous McKenzie Method. You can expect commitment to your physical rehabilitation needs, all by local staff and local owners.

All of our staff are active in the local community and we have also provided direct physical therapy for members in the City of South Lyon and beyond for several years. Maintaining the character and prosperity of society is very important to us here at Brostrom Physical Therapy.

In addition to our exceptional Physical Therapy team and exceptional staff who welcome you as you walk through our doors and patiently work with you on insurance issues, there are three main differences between our clinic and those in this area:

- We are owned and operated privately / locally. We take care of everything here.
- All therapies are carried out by a licensed Physical Therapist.
- Our treatment room is private.

Do I Need Physical Therapy?
How do you know if you need physical therapist services? If you have an injury or illness that causes pain, physical disruption, or limited normal movement / loss of function, a physical therapist can help. Physical therapists care for people of all ages. Many universities specialize in treating certain populations, such as children, parents, or athletes. Regardless of age, if you have a mobility disorder, physical therapy evaluation may be needed to offer care and strategies to improve function.

Some common problems that are evaluated and treated by physical therapists are:


- blow
- Fracture
- Spinal injury
- Carpal tunnel syndrome
- Sports injuries
- Amputation
- Arthritis

now, however, that physical therapists can treat many problems other than those listed. Be sure to talk to your doctor if you feel you have benefited from this treatment. When an injury or illness occurs that limits your ability to move safely or normally, a referral to a physical therapist can be done. Physical therapists work closely with patients, doctors, and family members to ensure quickly and safely returning to maximum function.

A physical therapist can also help you prevent injury or lose functional mobility. Your PT can analyze your movements before you get injured and offer strategies to help you stay healthy and move well. Some physical therapists work with athletes to help keep them on the playing field and get out of rehabilitation clinics, for example.

Brostrom physical therapy  scoi.com

where will I get my physical therapy?

Physical therapists work in a variety of different settings. Wherever you might meet someone who might have difficulty with normal mobility is where you can find a physical therapist, including:

- In the hospital
- in a nursing home
- in an outpatient clinic
- with sports teams
 In school (many state laws require children to receive services in the environment that is most familiar to them and / or that allows them to stay on track with their peers)
- at your home (if you cannot leave because of illness or injury)
- at the heart rehabilitation center

Protocol for rehabilitation of Brostrom procedures


The time frame mentioned in this article must be considered an estimate of the actual development based on clinical presentation. Careful observation and continuous assessment will determine progress.

There is no passive or active inversion or eversion for 6 weeks.
Avoid plantar flexion that is greater than the resting position for 4 weeks.

Carefully monitor incisions and surrounding structures for mobility and signs of scarring. Regular soft tissue treatment (eg mobilization of scars) to reduce fibrosis. Hold scar mobilization x 4 weeks or per MD.

"No touch zone" around the portal x 4 weeks
There are no running, jumping or ballistic activities for 6 months.
Aerobic and general conditioning during the rehabilitation process.

M.D./nurse appointment on day 2, day 14, 1 month, 2 months, 4 months, 6 months, and 1 year postoperatively.

Week 0 - 3 Immobilizer splinters posterior for 3 weeks.

Non-heavy pads for 3 weeks - no push-off or toe-touch movements.
Control pain and edema / modalities as needed (eg cryotherapy, electrical stimulation, soft tissue treatment).

Manual
Effleurage, soft tissue mobilization that is soft to the ankles to avoid incisions. Maintain 2 "no touch zone" around the portal x 4 weeks.

Exercise
Leg curl, toe extension, toe spread, hip and knee strengthening exercises.
Cycling well, good body weight training,

Aim
Minimal edema.
Closed incision site.

Increased core / gluteal strength.
Weeks 3-6

Progress from posterior splint to pneumatic boot runs. Be sure to wear the heel lift in the opposite shoe to compensate for the difference in foot length caused by the boots.

Progress to hold the full load in the boot running. Walking weight bearing for 3-6 weeks postoperatively.

Aircast splints to sleep at night (make sure the sheets / covers do not push your feet down toward plantarflexion).

Brostrom physical therapy podiatrytoday.com

Manual
Continue with effleurage and soft tissue mobilization. Regular mobilization of the intermetatarsal and midtarsal joints. Attention to talocrural and subtalar mobilization.

Exercise
Isometrics in various fields and progress to active practice in a protected range.
Proprioception exercise, intrinsic muscle strengthening, manual exercise.
Cycling with boots, an aerobic machine in splint according to tolerance, and swimming in splint after the incision is closed. There are no fins in the pool for up to 12 weeks.

Aim
Gentle dorsiflexion initiation - slow progress to full range of motion.
There is no edema.
Full bearing gait, good mechanics.
Week 6 - 12
Progress from booting to aircast at 8 weeks post operation.

Manual
Continue with soft tissue mobilization, ankle / foot mobilization as needed for range of motion.

Exercise
Gradually increase the intensity of the exercises that focus on closed chains and balance / property rights.

At 8 weeks post gradual development and slow passive and active motion exercises become careful inversion and eversion.

Start stationary cycling, without clips, light to without obstacles, and slow rhythm.

Aim
Full passive / active range of motion at the end of 12 weeks.
Gait mechanics is normal.

Able to do a single foot heel increase.
Able to perform single leg balance> 30 seconds.
Month 3-6

Progress from broadcasting to ASO lace-up ankle brace.
Progress back to athletics based on functional status.
Wear lace-up ankle support for athletics.
Billiard training, weaning because of the splint.

Aim
Able to do Sports Tests 3 and 6 months.
Start plyometric training and start again to run the program with lace up brace.

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