Proefschrift

A protocol for permissive weight bearing during allied health therapy in pelvic and the lower extremities fractures 59 Select treatment aim Select body region Select means Select intensity Edema circulation Option menu Shoulder Elbow Wrist Hand Spine Pelvis Hip Knee Ankle Foot Total Body Other…. Option menu Active means Walking Home trainer Leg press Squat Leg extension Leg curl Rowing Swim Step Hydrotherapy Cross-trainer Cycling outside Treadmill Other…. Option Menu Passive Means CPM (Constant Passive Movement) Orthotics Manual therapy Traction, translation Angular mobilization Technics Other…. Option menu Dosage 1 Dosage 2 Seconds Seconds Minutes Minutes Hours Hours RPM/ (Rounds per minute) RPM/ Watt Watt Kg (Kilograms) Kg Sets Sets Series Series Repetitions/series/ Intensity/Frequency/week Repetitions/series/ Intensity/Freq.-week Meter Meter Steps Steps Pain level: Pain level: Below threshold Below threshold At threshold At threshold Beyond threshold Beyond threshold Other…. Other…. Muscle strength/ function Range of motion Motor control Cardio/ pulmonary Other… Figure 5.4 Treatment Guide. Permissive weight bearing is operationalized in daily practice as follows First a patient profile is established by filling out the patient assessment guide (Figure 5.3). This results in a comprehensive overview of patient and lesion characteristics that need to be taken into account when setting up a personalized rehabilitation treatment plan. Complications are gauged/inventoried in order to be able to adequately adjust the treatment plan when complications occur. Subsequently, the treatment guide (Figure 5.4) assists the therapist in choosing the appropriate means and training intensities/dosages for setting up the aforementioned personalized training plan. During the actual treatment phase, a gradual progression in functional activities guided by the subjective experience (pain and confidence of to bear weight) and by objective clinical symptoms of the patient occurring during the process of

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