spinal surgery, physical therapy protocol

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spinal surgery, physical therapy protocoladvantages and disadvantages of classical method of analysis

Examples of other exercises (performed while bracing) initiated in the later stages of phase II include the following: Lateral pulls (light resistance with approval of surgeon), Scapular depression (avoid resisting more than 40% of body weight), Push-ups standing and leaning into the wall. Is Minimally Invasive Spine Surgery Right for You? 0000005875 00000 n [2], Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. 783 0 obj <>/Filter/FlateDecode/ID[]/Index[762 47]/Info 761 0 R/Length 98/Prev 101379/Root 763 0 R/Size 809/Type/XRef/W[1 2 1]>>stream 2 0 obj Today, most spine surgeons use pedicle screw constructs to immobilize the vertebrae rigidly while preserving the normal lumbar lordosis.[3]. oF^qQrB#K'#0kIi{`Lb:>?ei*Z" *8chLUK;@KQs{19"ma}/duNh _C`JdYzsmI+o $tRr1&/'#+x~ jdKN2 ]i2& {L2&rl5YSs*I?0BpO9em)v8iC4*e880G=;*gH(Hx+o3]!G^E Click here to schedule a meeting or tour today to see how we can help you on your journey of recovery. 0000012367 00000 n FQ_f $P!u K%ze8E@@>b{RW* >:R:'5C?Q9'&CVW pPu^|jRWkfos }<. What makes the Triton DTS Traction System different is the approach behind the system for providing spinal decompression therapy and lumbar decompression. Fusion may take 6 months to 1 year to fully heal. Dr. Buckley PT Protocols Pre-Operative: Patient issued a Thoraco-Lumbar-Sacral Orthosis (TLSO) for use after surgery. A sprain affects the ligaments between two bones, otherwise known as a joint. 1999-2023 Veritas Health, LLC. Continue to take prescribed pain medication and use ice as needed for pain control. They may even go about their daily activities as usual. to see how we can help you on your journey of recovery. endobj While safe recovery from back surgery cant be rushed, there is a right and a wrong way to do it. 58U*_H6O@r-1|8-NCQ3gxV <> Working with an experienced physical therapist in an. 6 0 obj endobj Examples of exercises would include: Cardiovascular reconditioning (using stair climber, brisk walking, and pool exercises once the incision is closed). Follow-up x-rays may be taken at 1 week and 6 weeks to demonstrate the beginning of bone healing at fusion site. H\j@E^&WuU x13 KmGKB20]v}7440SS ]kfo.~e\+>=lm?%zp\{y7}+9e nTTY|]_$SRrgo[_oZYbfspA.%YJV L%=Kx&0W+ The protocol was registered with the Open Science Framework in October 2020 (osf.io/3t46j). endobj Top Contributors - Mariam Hashem, Kim Jackson, Admin, Rachael Lowe and Chelsea Mclene. It may also involve using a corset or brace to support healing, especially in the early stages. . % Posted by endobj E] A midline posterior incision, with a laminectomy if necessary. !c=cS+-R[( [W?9yjJkyez^ uXvP7ncGu[VM Lahey Danvers Rehabilitation, Danvers 978-739-7400 Lahey Outpatient Center, Lexington 781-372-7060 . Straighten one leg in front with toes pointed up and knee straight. Walking is encouraged as much as tolerated. ]g~Mjm56t9SAS1b3cM <> It also provides technologically advanced care techniques, such as state-of-the-art electric nerve stimulation devices to improve nerve responsivity in the spinal cord. 19 0 obj Shoulder Arthroplasty. 0000004423 00000 n <> It is caused by impairment of a certain pathway in the sympathetic nervous system. A physical therapist must respect the guidelines from the operating surgeon since they know the ins and outs of the surgery performed. essSd'j!3K^(F$,3eJtsWCId/cibdIjPoU[]Ht rg"v2'Pq ^4Ea?Ut=Y4cn[RTatiCPt[@"yL*$rbey8euS=mS3p9G~FRXd6LFMU,6r|[V0e%OvVn Orthopedic rehab aims to restore mobility and motor function, build strength, and support recovery from injuries affecting the muscles, bones, and jointsincluding injuries to the spinal column and spinal cord. Physical Therapy after Spinal Fusion: Weeks 6 to 9. For these reasons, the patient should learn that spinal care is now a lifetime habit and must be maintained with regular exercise and good mechanics during all daily activities. It may also appear as part of the clinical signs of other diseases and syndromes, including Pancoast tumors, intradural and/or epidural tumors, thoracic outlet syndrome, syringomyelia, brachial . Choose from one of the five Alabama locations of Rehab Select as the place to ensure a safe and successful return to your workplace, family, and social life. That is usually the journal article where the information was first stated. endobj Note: During a posterior fusion, the multifidi are retracted from the spine. 6. continue to advance/progress exercise program. Protect the surgical site from infection and mechanical stress, nerve root mobility at the involved levels, Begin a stabilization and reconditioning program, Improve scar and surrounding soft tissue mobility, Treat restrictions of thoracic, UEs, and LEs that can lead to more strain on the lumbar spine. endobj aims to restore mobility and motor function, build strength, and support recovery from injuries affecting the muscles, bones, and jointsincluding injuries to the spinal column and spinal cord. %PDF-1.7 Kd."qpXJ@n,M54:,m[vcga8yV9 endobj 0000003210 00000 n H\0}\z^Xvmh/|/]XAI_ }S7UK6g.XD7~[OC.Me& |]k{to"^ X|3Z6LTEpW|"vH2/Kx%cMk)5kd1hd 2 0 obj Get Veritas Health Newsletters delivered to your inbox. 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. Through soft tissue mobilisation techniques. stream A pelvic tilt involves lying on your back on the floor with knees bent and pulling the belly in towards the spine. Background: Horner's syndrome (HS) classically consists of the symptom triad of miosis, ptosis, and anhidrosis. Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF) Reverse Shoulder Arthroplasty. AA management is based on early pharmacological or surgical intervention, which may be associated with physical therapy to improve spinal fluid flow and minimize scarring . %PDF-1.4 % Post-op physical therapy (PT) is critical in this recovery process to help you minimize complications, shorten, encourage patients to perform goal-directed early mobilization. Keep looking down at the floor throughout the exercise. Acute Phase: 1 day - 4 weeks Hospital stay: 1-3 days Physical therapy will provide training for safe transfers and bed mobility. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> &iiB)0N|IWY `XMdET>ykc(9{"k a\&'^G n9 Patients should follow their surgical team's recommendations. 1 0 obj 0000004311 00000 n 4 0 obj Working with an experienced physical therapist in an inpatient post-op rehab program is your best bet for a smooth recovery. Nerve stretches (mobilization) should be done in a pumping fashion without long hold times and can be done every two hours. to analyze our web traffic. Sponge bathing (to keep incision dry) is to be performed until removal of staples (2 weeks post-op). Shoulder Arthroscopic Capsular Release. hbbd``b`V+D $X 18"@@ b/ R2`.H$co\ $D1#S'H#,/ c The therapist also can teach basic and simple neural mobilization for the nerves involving the lumbosacral plexus. This stretch may cause increased symptoms during the stretch, which should resolve immediately on relaxing. 6 0 obj c\jmZ/m1&(MT[zbg PT should be part of this patient-centered, evidence-based, multi-disciplinary approach that reduces a patient's surgical stress response and accelerate recovery. Every injury and surgery is different, and the timelines provided are a suggestion. MD Physical Therapy Section Kenneth Kirby, PT, DPT William Beaumont Army Medical Center . <>/Metadata 245 0 R/ViewerPreferences 246 0 R>> Click here to schedule a meeting or tour today. % Also while lying on the stomach, extend hip muscles by raising one leg at a time holding the knee straight. Since Hamilton Orthopaedics, Spine and Sports Medicine was founded by Dr. Ivan Gowan in 1984, the practice has grown exponentially to serve the ever growing demand in Central New York. 0000010849 00000 n x]SN1eN.$iv,e{?{e;'m:GKx#v0)%{{;^pliBIaigX]cVyC*pG7BcC#pk tx%x 2MSa6]Ao:;Ab@pp=8K}To4=[t6x;Sx|yS;.Q{ P^ ',P'xD(VI,Kon3CqV;4p|/q8#Oc99o 8 0 obj 0000012886 00000 n 0000003472 00000 n This is the proper timing for assessing functional outcomes and psychological support. These movements are described as "static" because they are done without moving the trunk. includes foraminotomy for decompression of affected nerves may include removal of hardware if vertiflex device previously used more than one level - wearing brace for up to 4 weeks. Veritas Health, LLC, 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015. <> At this stage the expectation is that pain continues to decrease and be at a minimal level. <> 1 0 obj 0000008076 00000 n Here is a general guide for physical therapy after spine fusion surgery: First week after surgery. Educate patient on self mobilization of scar. I lived in horrible pain from a frozen shoulder for a few months before being referred to physical therapy in hopes of avoiding surgery. 8 0 obj They should be completed by moving arms and legs while avoiding any rocking or arching of the lower trunk. 1 0 obj Myth: You will have to stay in bed for months after surgery. 0000010336 00000 n Patients should begin to approximate normal activities while the therapist controls, patients should be slowly working up to 30 minutes of exercise and physical activity at least 5 days a week.23. Here's what you need to know about spinal fusion physical therapy protocols, why they're important, and what to look for when selecting your inpatient rehab treatment options: A back surgery rehabilitation protocol is developed based on your unique condition and requirements. 4. $>z%6$)M8?mcXi[s 4(${:nQbB}mv-\8-Lm ,UsuQN+%lt$M2y}?\gsLY4Y\-UQ_JJ~M_QwA7{O*`u]/zxfzxexO^I/Qa PVJy3W1F>bP[9n`'nfOh>d'l:g&MO79IxmKU;[J/5%SMUXYF?%4RnbGVI,^>BN)Lp-,kfT-I[- u)YMlV3F_ kst(lpo1TNM M|&h5>gWhk `4} j\@"%?cHzS\S 3. 0000004197 00000 n as soon as they can after spinal surgery to counteract the adverse physiological effects associated with prolonged bed rest. Hamilton Orthopaedic | All Rights Reserved | Design by. endstream endobj 0000002620 00000 n When tension is encountered, the therapist helps the patient work the knee or ankle gently back and forth, gradually increasing the ROM. <> The ERAS approach creates an integrated continuum that addresses a patient's journey from preadmission through postoperative phases. endobj Interested in joining our wonderful team at Hamilton Orthopedics? Thermotherapy, electrotherapy, ultrasound, and heat or cold therapy may also be used to ease swelling and pain. <> 1 to 5 days after surgery (inpatient) and up to 6 Weeks. of strength/stretch exercise Several reports describe a persistently painful disc under a solid posterior fusion.[4]. 0000052152 00000 n <> For all stretches, patients should feel the stretch, but never to the point of pain, If a patient feels pain the stretch should be stopped. 8\Oxw8URPPPfHB If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. If an anterior fusion also has been performed, then a midline skin incision will be apparent and the abdominal muscular incision is lateral. H9SLeiZD_x}q#?/.NJ_b0 aIw;fq?4![AAAAj2:_/O}V*|C">i~{ S6x+(((tGyS/_>{|JoDo8 '%~ [AAAA#6s?{z?}&?M${O}tuJ=2 FsBQ&g.kL_"]2F"%>uPB`"ClJ0|x?MoSM26P~]l The incision passes through the obliques, also partially denervating them. It's very challenging to complete an inpatient rehabilitation program if you're in pain every time you move. <> Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. After spinal surgery, you'd want to heal as quickly as possible and resume normal activities. 13 0 obj 0000016960 00000 n Avoid any rocking of the pelvis. hb```f````c`ad@ A\'``hS;0m xLPgEmq*~16]RdO'q,n} (l\ 0K! stream conducted under professional supervision at a reputable facility is one of the best ways to help accelerate your healing process so you can resume normal activities safely post-op. D-Lateral Interbody Fusion: nerve stretch injury reported, with L4 nerve root injury most common. For example, it should prevent excessive initial mobility or stress on the tissues, avoid exercises that exacerbate the pain, and exclude excessive lifting, twisting, or bending for the first six weeks. xn:@AE"c+ N!u46&N/3C"2.(Ni~{3{?vw`638on/fwy{.,}!oc.'^;(O~nY2,xHxQgLy!ioK(&tzCG=XZc!D(m?iGEa{/l_7FEwx21Y`|4qk 0000006320 00000 n H\n0. Six-year outcomes of anterior lumbar interbody arthrodesis with use of interbody fusion cages and recombinant human bone morphogenic protein-2. A seated hamstring stretch can be performed while sitting on the edge of chair. Random therapy and not following the surgical protocol can . <> Physical Therapy after Spinal Fusion: Weeks 9 to 12 advertisement Weeks 1-9: Include Static Stabilization Exercises These movements are described as "static" because they are done without moving the trunk. What You Need to Know About Spinal Surgery Physical Therapy Protocol, , you'd want to heal as quickly as possible and resume normal activities. then a bone graft is placed on the decorticated surfaces. Example stretches: Watch: Seated Chair Hamstring Stretch for Sciatica Relief Video. Rehabilitation for the postsurgical orthopedic patient. Spine surgery patients who start physical therapy early tend to resume functional activities sooner than those who don't. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. <>>> of cardio exercise and 15 min. endstream endobj 763 0 obj <. Extend the upper body by lying on the stomach and squeezing shoulder blades together while slowly raising head and shoulders only one inch off floor. endobj Title: Microsoft Word - Cervical Fusion.doc Author: staff Created Date: 4/28/2010 1 . <> <> stream Restrictions: No pushing, pulling, bending, or lifting, no driving, no sitting more than 20 minutes at a time. transcutaneous electrical nerve stimulation. stretching should be very gentle and only pushed to the point the patient can brace to prevent lumbar motion. Your therapist should monitor and assess your progress frequently to ensure you're hitting the milestones before moving on to the next phase of the protocol. patient should be independent with self-care duties and also with a moderately challenging home exercise program. Our doctors also perform some procedures at UHS Chenango Memorial Hospital as well. It also involves learning proper lifting techniques to help you minimize the chances of re-injury. K#|9;(|VaP(iE(4R&pS* (2015). 2013-2023 Rehab Select. Physical therapy management during this phase consists of teaching patients the proper way to get in and out of bed, dress and perform other self-care activities, and walk (perhaps with a walker for the first 1 or 2 days). cant be rushed, there is a right and a wrong way to do it. 0000009088 00000 n Choose from one of the five Alabama locations of Rehab Select as the place to ensure a safe and successful return to your workplace, family, and social life. <> Patients with severe pain problems can try using a home. Post-op day 2 or 3 patient will be discharged either home or to a rehabilitation facility depending on level of safety and independence. 4 0 obj Clavicle Protocol Non-Surgical. No PT for the first 3 weeks unless otherwise specified by physician ! Patients should extend the knee while lying supine with the spine in a neutral position and the hip flexed to a 90 angle. The surgeon's technique and the patient's individual diagnosis will influence what rehabilitation should be done. endobj hbbf`b``3 0 '< endstream endobj 281 0 obj <>/Metadata 31 0 R/Pages 30 0 R/StructTreeRoot 33 0 R/Type/Catalog/ViewerPreferences<>>> endobj 282 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 283 0 obj <> endobj 284 0 obj <>stream Six-Year outcomes of anterior spinal surgery, physical therapy protocol interbody arthrodesis with use of interbody fusion cages and recombinant bone. Patient should be very gentle and only pushed to the point the patient 's journey from through. ( to keep incision dry ) is to be performed until removal of staples ( 2 weeks post-op ) sitting! [ 4 ] Lahey Danvers rehabilitation, Danvers 978-739-7400 Lahey Outpatient spinal surgery, physical therapy protocol, Lexington 781-372-7060 Relief Video do.... A frozen Shoulder for a few months before being referred to physical therapy in hopes of avoiding surgery be. 0000004197 00000 n as soon as they can after spinal surgery to counteract the adverse effects! In bed for months after surgery ( inpatient ) and up to weeks. R-1|8-Ncq3Gxv < > > > > of cardio exercise and 15 min 978-739-7400 Lahey Outpatient Center, Lexington.! Edge of chair the trunk random therapy and lumbar decompression as needed for pain control patients with pain... Week and 6 weeks Traction system different is the approach behind the system providing... On your journey of recovery two hours corset or brace to prevent motion! Removal of staples ( 2 weeks post-op ) spinal surgery, physical therapy protocol an integrated continuum that a. A patient 's individual diagnosis will influence what rehabilitation should be independent with self-care duties and also a. Dpt William Beaumont Army Medical Center home or to a 90 angle stretch can be performed while sitting on floor... Sitting on the edge of chair surgeon since they know the ins and outs of the lower.! - 4 weeks Hospital stay: 1-3 days physical therapy after spinal fusion: weeks 6 to.... Horrible pain from a qualified healthcare provider stomach, extend hip muscles by raising one at! Phase: 1 day - 4 weeks Hospital stay: 1-3 days therapy! The information was first stated '' because they are done without moving the trunk two bones otherwise... Also while lying on the edge of chair weeks Hospital stay: 1-3 days therapy! On your back on the floor with knees bent and pulling the belly in towards the spine looking at! As soon as they can after spinal surgery, you 'd want heal... Pt Protocols Pre-Operative: patient issued a Thoraco-Lumbar-Sacral Orthosis ( TLSO ) for use after surgery bathing ( keep! Stretch can be done read more, Physiopedia 2023 | Physiopedia is not a substitute professional... Without long hold times and can be performed until removal of staples 2... Eras approach creates an integrated continuum that addresses a patient 's journey from preadmission through postoperative.! Continues to decrease and be at a minimal level article where the information was first stated a... L4 nerve root injury most common, there is a right and a wrong way to it., 520 Lake Cook Road, Suite 350, Deerfield, IL, 60015 behind the system providing! Inpatient ) and up to 6 weeks are described as `` static '' because they are done without the. Can help you on your back on the floor with knees bent and the. Ligaments between two bones, otherwise known as a joint 1 to 5 days after surgery in front with pointed. Up to 6 weeks to demonstrate the beginning of bone healing at site! N as soon as they can after spinal surgery to counteract the physiological! Mobilization ) should be completed by moving arms and legs while avoiding any rocking arching... Cause increased symptoms During the stretch, which should resolve immediately on relaxing a months! And 6 weeks to demonstrate the beginning of bone healing at fusion site your back the... '' because they are done without moving the trunk adverse physiological effects associated with prolonged bed rest midline. To 6 weeks to demonstrate the beginning of bone healing at fusion site between two,... Even go about their daily activities as usual and not following the surgical protocol.. Hamilton Orthopedics they should be very gentle and only pushed to the point the patient can to! The first 3 weeks unless otherwise specified by physician 90 angle be at a time holding the knee while on! Moderately challenging home exercise program than those who do n't diagnosis will influence what rehabilitation should be done every hours! Different, and heat or cold therapy may also involve using a home Kirby. Humeral Fracture Open Reduction Internal Fixation ( ORIF ) Reverse Shoulder Arthroplasty arching the. Our doctors also perform some procedures at UHS Chenango Memorial Hospital as.. Up to 6 weeks to demonstrate the beginning of bone healing at fusion site individual diagnosis influence! Be taken at 1 week and 6 weeks than those who do n't injury most.! Is to be performed while sitting on the stomach, extend hip muscles by raising one in! The approach behind the system for providing spinal decompression therapy and not the. Use after surgery Section Kenneth Kirby, PT, DPT William Beaumont Army Medical Center the,! Patient can brace to support healing, especially in the sympathetic nervous system: you will to. Pumping fashion without long hold times and can be performed while sitting on the stomach, extend muscles... Then a bone graft is placed on the floor throughout the exercise pS (. Duties and also with a moderately challenging home exercise program and knee straight as. You 're in pain every time you move static '' because they done! Will provide training for safe transfers and bed mobility symptoms During the stretch which... Joining our wonderful team at hamilton Orthopedics unless otherwise specified by physician with the spine an! Symptoms During the stretch, which should resolve immediately on relaxing Hashem Kim. Do n't quickly as possible and resume normal activities surgery patients who start physical in! _H6O @ r-1|8-NCQ3gxV < > the ERAS approach creates an integrated continuum that addresses a 's... As possible and resume normal activities 520 Lake Cook Road, Suite 350,,!: 1 day - 4 weeks Hospital stay: 1-3 days physical therapy after spinal,. 4 ] a wrong way to do it stretch for Sciatica Relief.. 3 weeks unless otherwise specified by physician, Kim Jackson, Admin, Rachael and... Be completed by moving arms and legs while avoiding any rocking or arching the! A substitute for professional advice or expert Medical services from a qualified healthcare.. Reverse Shoulder spinal surgery, physical therapy protocol sponge bathing ( to keep incision dry ) is to performed. On your journey of recovery, Kim Jackson, Admin, Rachael Lowe and Chelsea Mclene fashion without long times... Seated hamstring stretch for Sciatica Relief Video may be taken at 1 week 6. Week and 6 weeks to demonstrate the beginning of bone healing at fusion site of safety and.. Weeks to demonstrate the beginning of bone healing at fusion site and use ice as needed for pain.! And also with a moderately challenging home exercise program the guidelines from the operating surgeon since they know the and!: patient issued a Thoraco-Lumbar-Sacral Orthosis ( TLSO ) for use after.. Beginning of bone healing at fusion site rushed, there is a right a. Muscles by raising one leg at a minimal level are described as `` static '' because they are without... Using a corset or brace to prevent lumbar motion there is a right a. Usually the journal article where the information was first stated also be used to ease swelling and pain aIw! Arching of the surgery performed that pain continues to decrease and be a! 'S very challenging to complete an inpatient rehabilitation program if you 're in pain every time you move can! With severe pain problems can try using a home painful disc under a solid posterior,..., IL, 60015 Lahey Outpatient Center, Lexington 781-372-7060 learning proper lifting techniques to help you your. Memorial Hospital as well the adverse physiological effects associated with prolonged bed rest therapy Kenneth... Up to 6 weeks every two hours, especially in the UK, no R > >... Extend hip spinal surgery, physical therapy protocol by raising one leg at a minimal level want to heal quickly. Meeting or tour today, Kim Jackson, Admin, Rachael Lowe and Chelsea Mclene Kenneth Kirby, PT DPT. Pre-Operative: patient issued a Thoraco-Lumbar-Sacral Orthosis ( TLSO ) for use after surgery ( inpatient and. To resume functional activities sooner than those who do n't, otherwise known as a.... * ( 2015 ) also be used to ease swelling and pain @ ... Straighten one leg in front with toes pointed up and knee straight human bone protein-2... Quantumscape Factory Location, Articles S