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Colles Fracture

The document outlines rehabilitation protocols for Colle's fracture, detailing therapeutic exercises, manual therapy, and modalities for both non-operative and internal fixation rehabilitation stages. It specifies goals and interventions for acute, sub-acute, and settled stages, focusing on pain control, range of motion, and strengthening. The document emphasizes a structured approach to restore function and promote healing through specific exercises and activities of daily living.

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Syeda Ayesha
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25 views6 pages

Colles Fracture

The document outlines rehabilitation protocols for Colle's fracture, detailing therapeutic exercises, manual therapy, and modalities for both non-operative and internal fixation rehabilitation stages. It specifies goals and interventions for acute, sub-acute, and settled stages, focusing on pain control, range of motion, and strengthening. The document emphasizes a structured approach to restore function and promote healing through specific exercises and activities of daily living.

Uploaded by

Syeda Ayesha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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COLLE’S FRACTURE REHABILITATION PROTOCOLS

BASED ON:

o Kisner CC, LA. Therapeutic exercise. foundations and techniques. 5th ed.
Philadelphia: F.A. Davis Company; 2007:928.
o Pho C, Godges J. Colles' fracture. KPSoCal Ortho PT Residency Web site.
http://xnet.kp.org/socal_rehabspecialists/ptr_library/04WristandHand
%20Region/20Wrist-CollesFracture.pdf.
PHYSIOTHERAPY PROTOCOL FOR COLLE’S FRACTURE
BASED ON:

o Kisner CC, LA. Therapeutic exercise. foundations and techniques. 5th ed. Philadelphia: F.A. Davis
Company; 2007:928.
o Pho C, Godges J. Colles' fracture. KPSoCal Ortho PT Residency Web site.
http://xnet.kp.org/socal_rehabspecialists/ptr_library/04WristandHand%20Region/20Wrist-
CollesFracture.pdf.

THERAPEUTIC EXERCISES:
 Flexibility exercises
 Stretching, ROM
 Strength and endurance exercises
 AAROM, AROM, resistive exercise
 Balance, coordination, and agility training
 Neuromuscular education or re-education
 Task specific performance training
MANUAL THERAPY:
 Massage
 Mobilization
 PROM
MODALITIES:
 Electric stimulation
 TENS
 Cryotherapy
 Thermotherapy
 Ultrasound (US)
REHAB GOAL:
 Perform gentle exercises to avoid joint stiffness, adhesion formation and to promote fracture
healing.
 Control pain and swelling by exercise and modalities (if necessary).
 Increase ROM.

Rehabilitation Guideline for Non-Operative/Conservative rehabilitation


Acute Stage (0-8 weeks):
Goals:
1. Protection with short-arm cast
2. Control pain and edema
3. Maintain range in digits, elbows, shoulder
Interventions:
1. AROM and PROM of digits, elbow, shoulder
2. Elevation of hand and digits to control edema and cast removal between 6-8 weeks

Sub-Acute Stage:
Goals:
1. Control pain and edema (TENS, ice)
2. Increase ROM
3. Increase activities of daily living (ADLs)
Interventions:
1. AROM and PROM of digits, elbow, shoulder
2. AROM wrist flexion/ extension, forearm supination/ pronation
3. PROM of low load and prolonged stretch
Return to Function Stage:
Goals:
1. Regain full ROM
2. Begin strengthening
3. Return to activity
Interventions:
1. Continue all ROM exercises
2. Progress to strengthening of all joints

Rehabilitation Guideline for Internal Fixation:


Acute Stage (1-6 weeks):
Goals:
1. Control pain and edema (TENS, ice)
2. Protect surgical site
3. Maintain ROM of digits, elbow, shoulder
Interventions:
1. Elevation
2. AROM of digits, elbow, shoulder
3. AROM forearm supination/ pronation

Sub-Acute (7-10 WEEKS):


Goals:
1. Protect fracture site
2. Control pain and edema (TENS, ice)
3. ROM of involved and uninvolved joints
Interventions:
1. AROM and PROM of wrist extension/ flexion, radial deviation, and supination/ pronation
Settled Stage (10-16 weeks):
Goals:
1. Regain full ROM
2. Begin strengthening
3. Increase tolerance to ADLs
Interventions:
1. ROM of wrist flexion/ extension, radial/ ulnar deviation, forearm supination/ pronation
progressing to isometric exercises and resisted exercises using dumbbells or resistive bands
2. PROM of low load and prolonged stretching of wrist motions
3. Grip strengthening
4. ADL training within tolerance
Supervised Exercises Actively Done By Patient According To Above Phases :
1. ISOMETRIC EXERCISE
1. Wrist flexors and extensors
2. ACTIVE RANGE OF MOTION EXERCISE
1. Assisted stretch to forearm flexors and extensor musculature and radial/ulnar
deviation
2. Weight bearing wrist extension exercise(hand on the table with the patient leaning
forward on them) to patient tolerance
3. Active stretch to shoulder girdle and rotator cuff musculature
4. Active stretch to elbow flexor and extensor musculature
3. INTRINSIC HAND MUSCLE EXERCISE
1. Thumb/digit opposition
2. Repetitive squeezing of physio ball
4. STRENGTHENING ROUTINE
1. Biceps curl with 1,5-2 pound weights bilaterally
2. Shoulder abduction, flexion and extension reps with 2 pound weights bilaterally
3. Repetitive squeezing of rubber ball in affected wrist
4. Flexion and extension of wrist using 1,5 pound weights increasing as tolerated
5. FUNCTIONAL ACTIVITIES
1. Patient is encouraged to resume pre-accident activities that involve the affected
extremity (eg. writing, typing, cooking, etc.)

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