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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.
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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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