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Idea Transcript
Elbow Dislocation – Brotzman 2007 Days/Weeks
Days1-4
Splint at 90° flexion Cryotherapy HVGS Gripping exercise Avoid passive elbow ROM Avoid valgus stress on elbow
X X X X X X
Hinged elbow brace 15-90° Wrist & finger AROM all planes Elbow/forearm AROM (avoid valgus stress): Flexion/extension Pronation/supination Multiangle elbow isometrics: Flexion/extension (avoid valgus stress) Wrist curls/reverse curls Bicep curls (light) Shoulder exercises (avoid ER) Stabilize shoulder during exercise
Days Week 2 4-14 Phase 1: Days 1-4
Week 3
Week 4
Week 5
Week 6
X X X
X X X
X X X X
X X X X X
Phase 2: Days 4-14 X X X
X X X X Phase 3: Weeks 2-6
Hinged elbow brace 0° - full extension Elbow and wrist PRE strengthening Sport specific drills and exercises Stretching to ↑ elbow extension (low load-long duration) Shoulder IR/ER exercises ● Interval throwing initiated at 8 weeks in asymptomatic patient
X X
Note: ● No return to play until strength is 85%-90% that of the uninvolved limb